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Reinstatement of Excess Aggregate Contributions Received
During the Election Period
Form 31Y
R.C. 3517.109(E)Full Name of Committee
Full Name of ContributorAggregate ContributionStreet Addressees
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How to fill out statement of excess aggregate
How to fill out statement of excess aggregate
01
To fill out a statement of excess aggregate, follow these steps:
02
Start by entering the name of the insured party.
03
Provide the policy number and effective dates of the insurance policy.
04
Specify the aggregate limits of liability as stated in the policy.
05
Calculate the actual amount of aggregate claims paid to date.
06
Determine the remaining amount of aggregate limit available.
07
If there have been any claim deductibles, include them in the calculation.
08
Enter any additional relevant information or explanations if required by the insurance company or policy conditions.
09
Sign and date the statement of excess aggregate.
10
Keep a copy for your records and submit the statement to the insurance company.
Who needs statement of excess aggregate?
01
A statement of excess aggregate may be needed by policyholders who have reached or exceeded the aggregate limits of liability stated in their insurance policy. It is typically required when filing claims for further coverage or seeking additional coverage beyond the original limits.
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What is statement of excess aggregate?
The statement of excess aggregate is a document that reports the amount by which an insurer's aggregate premiums exceed a specified threshold.
Who is required to file statement of excess aggregate?
Insurance companies are required to file the statement of excess aggregate.
How to fill out statement of excess aggregate?
The statement of excess aggregate is typically filled out by entering the relevant premium amounts and calculating the excess aggregate.
What is the purpose of statement of excess aggregate?
The purpose of the statement of excess aggregate is to monitor and regulate the insurance industry's aggregate premium levels.
What information must be reported on statement of excess aggregate?
The statement of excess aggregate must report the insurer's total premiums, the threshold amount, and the excess aggregate amount.
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