Get the free Surplus Lines Statement Form SL-8 - bquakermacomb

EXHIBIT A Control No. Surplus Lines Statement (Form SL8) State of Connecticut Insurance Department (Rev. 07/2013) 1. Name and Address of Surplus Lines Broker THE QUAKER INSURANCE AGENCY OF MA, INC.

How to fill out surplus lines statement form

How to fill out a surplus lines statement form:

1. Begin by gathering all the necessary information. This may include the insured's name, policy number, and contact information, as well as detailed information about the insured property or risk being covered.
2. Identify the specific lines of insurance that fall under the surplus lines market. Surplus lines refer to insurance coverage that is not available through admitted or licensed insurers in a particular state. Therefore, the surplus lines statement form is typically required when purchasing insurance from non-admitted or non-licensed insurers.
3. Understand the specific requirements and regulations of the state where the surplus lines statement form is being filed. Each state may have different rules and guidelines for surplus lines transactions, so it is important to familiarize yourself with the specific requirements.
4. Complete the surplus lines statement form accurately and comprehensively. This typically involves providing detailed information about the insurer, the insured, the policy being purchased, and any other relevant details required by the state regulatory authority.
5. Ensure that the surplus lines statement form is signed by the appropriate parties. This may include the insured, the insurance broker, and other relevant individuals involved in the transaction. The signatures confirm that the information provided on the form is true and accurate to the best of their knowledge.

Who needs surplus lines statement form:

1. Individuals or businesses seeking insurance coverage that is not available through admitted or licensed insurers in their respective states may need a surplus lines statement form.
2. Insurance brokers or agents who are facilitating the purchase of surplus lines coverage on behalf of their clients may also be required to complete and submit a surplus lines statement form.
3. State regulatory authorities responsible for overseeing surplus lines insurance may require the completion of a surplus lines statement form as part of their regulatory processes. This helps ensure compliance with state laws and regulations regarding surplus lines transactions.

For pdfFiller’s FAQs

What is surplus lines statement form?

Surplus lines statement form is a form that reports the details of surplus lines insurance transactions.

Who is required to file surplus lines statement form?

Insurance companies and brokers are required to file surplus lines statement form.

How to fill out surplus lines statement form?

Surplus lines statement form can be filled out online or in paper form, providing details of the surplus lines insurance transactions.

What is the purpose of surplus lines statement form?

The purpose of surplus lines statement form is to report surplus lines insurance transactions to the regulatory authorities.

What information must be reported on surplus lines statement form?

Information such as policy number, insured name, premium amount, and coverage details must be reported on surplus lines statement form.

How do I execute surplus lines statement form online?

pdfFiller has made filling out and eSigning surplus lines statement form easy. The solution is equipped with a set of features that enable you to edit and rearrange PDF content, add fillable fields, and eSign the document. Start a free trial to explore all the capabilities of pdfFiller, the ultimate document editing solution.

Can I edit surplus lines statement form on an iOS device?

Yes, you can. With the pdfFiller mobile app, you can instantly edit, share, and sign surplus lines statement form on your iOS device. Get it at the Apple Store and install it in seconds. The application is free, but you will have to create an account to purchase a subscription or activate a free trial.

Can I edit surplus lines statement form on an Android device?

The pdfFiller app for Android allows you to edit PDF files like surplus lines statement form. Mobile document editing, signing, and sending. Install the app to ease document management anywhere.