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Direct Premium Request Form ... insurers to report the total direct premiums written in New Mexico for accident and health insurance for calendar year 2016.

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How to fill out 2016 direct premium request

01

To fill out the 2016 direct premium request, follow these steps:

02

Start by obtaining the 2016 direct premium request form. This form can typically be found on the official website of the organization or insurance company issuing the premiums.

03

Read all the instructions carefully to ensure you understand each section of the form and the information required.

04

Begin filling out the form by providing your personal information, such as your name, address, contact details, and any other requested identification details.

05

Move on to the section where you need to specify the type of premium you are requesting for the year 2016.

06

Provide accurate and detailed information regarding the premium you are applying for. Include any relevant policy or insurance numbers, as well as the desired coverage amount.

07

If there are any additional documents or supporting evidence required, make sure to attach them along with the form. This may include previous premium statements, medical records, or any other relevant documentation.

08

Double-check all the information you have provided to ensure its accuracy. Review the form for any errors or missing details.

09

Once you are confident that the form is complete and accurate, submit it according to the specified instructions. This might involve mailing it to a specific address or submitting it electronically through an online portal.

10

Keep a copy of the completed form and any attached documents for your records.

11

Wait for a response from the organization or insurance company regarding your 2016 direct premium request. They will typically contact you with the outcome or any further instructions.

Who needs 2016 direct premium request?

01

Anyone who was enrolled in an insurance policy or coverage in the year 2016 and wishes to request or update their premium for that specific year may need to fill out the 2016 direct premium request form.

02

This could include individuals who had changes in their coverage needs, policyholders who experienced life events impacting their premiums, or anyone who simply wants to revise their premium for the year 2016.

03

The specific eligibility criteria and requirements for submitting a 2016 direct premium request may vary depending on the insurance company or organization providing the coverage. It is always recommended to check with the respective entity to determine if the form is applicable to your situation.

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What is direct premium request?

Direct premium request is a formal request made by an insurer to an insured for payment of a premium without the use of an intermediary.

Who is required to file direct premium request?

The insurer is required to file the direct premium request.

How to fill out direct premium request?

The direct premium request can be filled out by providing the necessary information such as policyholder details, premium amount, payment instructions, etc.

What is the purpose of direct premium request?

The purpose of direct premium request is to collect premium payments directly from the insured without involving a third party.

What information must be reported on direct premium request?

The direct premium request must include policy details, premium amount, payment due date, and payment instructions.

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