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This affidavit is to be filed with the Kansas Insurance Department by licensed excess lines agents to report their activities in placing excess lines insurance for the calendar year 2005, including
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How to fill out affidavit reporting 2005 excess
How to fill out AFFIDAVIT REPORTING 2005 EXCESS LINES PLACEMANTS
01
Obtain the Affidavit Reporting 2005 Excess Lines Placements form from your state insurance regulator's website or office.
02
Read the instructions carefully to understand the requirements for filling out the affidavit.
03
Provide your name and contact information as the reporting entity at the top of the form.
04
List all excess lines placements made during the reporting period, including the policyholder's name, policy number, and coverage details.
05
Include the names of the unauthorized insurers involved in each placement.
06
Report the gross premium collected for each placement individually.
07
Certify that the information provided is accurate and true by signing and dating the affidavit.
08
Submit the completed affidavit to your state insurance regulator by the specified deadline.
Who needs AFFIDAVIT REPORTING 2005 EXCESS LINES PLACEMANTS?
01
Insurance brokers and agents who have placed excess lines insurance during the reporting period.
02
Insurance companies that are required to report excess lines placements to comply with state regulations.
03
Regulatory bodies that monitor excess lines business to ensure compliance with state laws.
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People Also Ask about
What is excess line?
Excess & Surplus lines is a specialty market that insures things standard carriers won't cover. Simply put, Excess & Surplus lines (E&S) is a specialty market that insures things standard carriers won't cover.
Who is an exempt commercial purchaser in NY?
An “exempt commercial purchaser” is defined in 15 U.S.C. § 8206(5) to mean: any person purchasing commercial insurance that, at the time of placement, meets the following requirements: (A) The person employs or retains a qualified risk manager[2] to negotiate insurance coverage.
What is a surplus line insurance company best described as?
A Surplus Lines insurer is an unauthorized insurer that has been made eligible by OIR to write certain property and casualty insurance business not written by an admitted/authorized insurer.
What is notice of excess line placement?
The Notice of Excess Line Placement also provides protection/evidence to the excess line broker and producing broker if, at a later date, the insured asserts that they were never advised that their insurance policy was being placed with an eligible excess line insurer.
How much is the surplus lines tax in NY?
Surplus lines tax: 3.6%, payable by broker to the state, plus 0.15% stamping fee payable to ELANY (reduced from 0.17% effective 1/1/2023) (Additional fee of $25 applies for late/erroneous filing).
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What is AFFIDAVIT REPORTING 2005 EXCESS LINES PLACEMANTS?
AFFIDAVIT REPORTING 2005 EXCESS LINES PLACEMENTS refers to a specific documentation process required for reporting excess lines insurance placements in accordance with regulations established in 2005.
Who is required to file AFFIDAVIT REPORTING 2005 EXCESS LINES PLACEMANTS?
Producers or agents who place excess lines insurance on behalf of policyholders are typically required to file the AFFIDAVIT REPORTING 2005 EXCESS LINES PLACEMANTS.
How to fill out AFFIDAVIT REPORTING 2005 EXCESS LINES PLACEMANTS?
To fill out the AFFIDAVIT REPORTING 2005 EXCESS LINES PLACEMANTS, you must provide details about the insured, the insurance policy, and the excess lines placement, ensuring all information is accurate and complete.
What is the purpose of AFFIDAVIT REPORTING 2005 EXCESS LINES PLACEMANTS?
The purpose of the AFFIDAVIT REPORTING 2005 EXCESS LINES PLACEMANTS is to ensure compliance with regulatory requirements, providing transparency and accountability in the reporting of excess lines insurance.
What information must be reported on AFFIDAVIT REPORTING 2005 EXCESS LINES PLACEMANTS?
The information that must be reported includes the name of the insured, the type of coverage, the premiums, the reason for excess lines placement, and the name of the insurance company providing coverage.
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