Get the free surplus lines statement - Watermark Condominium
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SURPLUS LINES STATEMENT
Policy NumberInsured Name
401 MANAGEMENT, INC DBA WATERMARK CONDOMINIUM
ASSOCIATIONCIUCAP00537400Producer:Coastal Insurance Underwriters, Inc.
P.O. Box 3140
Monte Veda Beach,
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How to fill out surplus lines statement
How to fill out surplus lines statement
01
To fill out a surplus lines statement, follow these steps:
02
Start by obtaining a surplus lines policy from an approved surplus lines insurer.
03
Gather all the necessary information, such as the policy number, effective date, and expiration date.
04
Identify the insured party and provide their details, including name, address, and contact information.
05
Specify the type of coverage provided by the surplus lines policy.
06
Calculate the total premium amount and provide it in the statement.
07
Include details about any applicable taxes or surcharges.
08
List any endorsements or additional coverages that are included in the policy.
09
Sign and date the surplus lines statement to certify its accuracy.
10
Submit the completed surplus lines statement to the appropriate regulatory authority.
Who needs surplus lines statement?
01
Surplus lines statements are typically required by insurance agents or brokers who deal with surplus lines insurance.
02
Surplus lines insurance refers to coverage that is not available through licensed insurance companies due to the high risk or specialized nature of the coverage.
03
Individuals or businesses seeking such specialized or high-risk coverage may also require a surplus lines statement.
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What is surplus lines statement?
Surplus lines statement is a report that provides details on insurance policies that were placed with non-admitted insurers.
Who is required to file surplus lines statement?
Insurance brokers and agents are required to file surplus lines statement.
How to fill out surplus lines statement?
Surplus lines statement can be filled out electronically or on paper, providing detailed information on each non-admitted insurance policy.
What is the purpose of surplus lines statement?
The purpose of surplus lines statement is to ensure transparency and compliance with regulations regarding non-admitted insurance policies.
What information must be reported on surplus lines statement?
Information such as policy number, insurer name, premium amount, and policy effective dates must be reported on surplus lines statement.
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