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Get the free MONTANA SURPLUS LINES SUBMISSION FORM - csi mt

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This form is used for the submission of independently procured surplus lines insurance policies in Montana. It requires complete information regarding the risk, affirmation of independently procured
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How to fill out montana surplus lines submission

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How to fill out MONTANA SURPLUS LINES SUBMISSION FORM

01
Start by downloading the Montana Surplus Lines Submission Form from the official website.
02
Fill in the applicant's name and contact information in the designated fields.
03
Provide the insured's name and address accurately.
04
Enter detailed information about the insurance coverage being applied for.
05
Complete the sections regarding the type of insurance and the amount of coverage requested.
06
Indicate any previous coverage details or claims history if required.
07
Review the form for completeness and accuracy.
08
Sign and date the form in the specified area.
09
Submit the completed form to the appropriate surplus lines broker or regulatory authority.

Who needs MONTANA SURPLUS LINES SUBMISSION FORM?

01
Individuals or businesses seeking insurance coverage that is not available in the standard market.
02
Licensed surplus lines brokers who are facilitating insurance placements for clients.
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Contact By Phone. During legislative sessions, which occur in the first 4 months of odd-numbered years, you may leave a message for a legislator by calling the Legislative Information Desk, 406-444-4800. By Mail. Address letters to: By Online Message Form. By Fax.
MONTANA STATE GOVERNMENT TELEPHONE DIRECTORY Contact the General Information line at 406-444-2511 with any questions.
Often called the “safety valve” of the insurance industry, surplus lines insurers fill the need for coverage in the marketplace by insuring those risks that are declined by the standard underwriting and pricing processes of admitted insurance carriers.
Surplus line insurance is coverage for higher risks, such as a: Home built on the side of steep bank or an extremely old home. Very expensive racehorse. Rare art or antique collection.
Surplus lines tax: 2.75%, plus 0.25% stamping fee if policy is mailed to Office of the Commissioner of Securities and Insurance (0% stamping fee if policy is filed electronically by agent) and 2.5% additional tax on fire portions of surplus lines placements), payable by agent.
Applicable Tax Rates In addition to this tax, there is a 2.5 % tax on the fire portion of net premiums for selected risks. Captive insurance companies are taxed 0.4% on the first $20 million of net direct premiums and 0.3% on each subsequent dollar collected.

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The Montana Surplus Lines Submission Form is a document used by insurance agents to report transactions involving surplus lines insurance. It provides necessary information regarding policies that are not available through standard market insurers.
Licensed surplus lines brokers in Montana are required to file the Montana Surplus Lines Submission Form when placing surplus lines insurance coverage.
To fill out the Montana Surplus Lines Submission Form, provide accurate details such as the policyholder's information, the details of the risk being insured, the insurer providing the coverage, and any applicable premium amounts. Ensure all sections are completed and required documentation is attached.
The purpose of the Montana Surplus Lines Submission Form is to comply with state regulations regarding surplus lines insurance, ensuring proper reporting and transparency for transactions that are not available through standard insurers.
The Montana Surplus Lines Submission Form must report information including the insured's name and address, the description of the property or risk, the name of the surplus lines insurer, the policy number, coverage amounts, applicable premiums, and the dates of coverage.
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