TX Captive Actuarial Opinion Waiver Affidavit free printable template

CAPTIVE ACTUARIAL OPINION WAIVER AFFIDAVIT Please complete the following information and submit this affidavit either by email (ActuarialDivision×TDI.Texas.gov) or by hard copy to the above address.

How to fill out TX Captive Actuarial Opinion Waiver Affidavit

How to fill out TX Captive Actuarial Opinion Waiver Affidavit

1. Obtain the TX Captive Actuarial Opinion Waiver Affidavit form from the Texas Department of Insurance website.
2. Review the form instructions carefully to understand the requirements.
3. Fill in the applicant's name and contact information at the top of the affidavit.
4. Provide details about the captive insurance company, including its name, address, and registration number.
5. Indicate the reason for requesting the actuarial opinion waiver in the designated section.
6. Include any relevant documentation that supports the request for the waiver.
7. Sign and date the affidavit at the bottom to certify that the information provided is accurate.
8. Submit the completed affidavit along with any supporting documents to the appropriate department at the Texas Department of Insurance.

Who needs TX Captive Actuarial Opinion Waiver Affidavit?

1. Captive insurance companies operating in Texas that qualify for an actuarial opinion waiver.
2. Businesses or organizations that risk exposure and manage their own insurance risks through a captive insurance arrangement.
3. Insurance regulators may also need the affidavit to assess compliance with Texas insurance regulations.

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What is TX Captive Actuarial Opinion Waiver Affidavit?

The TX Captive Actuarial Opinion Waiver Affidavit is a formal document that allows certain captives in Texas to waive the requirement for an actuarial opinion, typically concerning the adequacy of reserves and surplus.

Who is required to file TX Captive Actuarial Opinion Waiver Affidavit?

Captive insurance companies in Texas that meet specific criteria, such as those with limited premiums or risks, may be required to file the TX Captive Actuarial Opinion Waiver Affidavit.

How to fill out TX Captive Actuarial Opinion Waiver Affidavit?

To fill out the TX Captive Actuarial Opinion Waiver Affidavit, companies need to provide detailed information about their financial status, the reason for requesting the waiver, and any relevant supporting documentation.

What is the purpose of TX Captive Actuarial Opinion Waiver Affidavit?

The purpose of the TX Captive Actuarial Opinion Waiver Affidavit is to simplify the regulatory process for certain captives, allowing them to maintain compliance without the need for a full actuarial opinion when their risks are minimal.

What information must be reported on TX Captive Actuarial Opinion Waiver Affidavit?

The affidavit requires the reporting of financial statements, a description of the captive's operations, the nature and scope of risks covered, and statements concerning the reasons for the waiver request.