Get the free Surplus Lines Affidavit of Originating Agent - Ferneding Insurance

Property & Casualty 2100 Stella Court Columbus, OH 432151067 (614) 6442658 (614) 7281280 www.ohioinsurance.govOhio Department of Insurance Ted Strickland Governor Mary Jo Hudson DirectorSurplus Lines

How to fill out surplus lines affidavit of

How to fill out surplus lines affidavit of

1. To fill out the surplus lines affidavit, follow these steps:
2. Gather the necessary information and documents such as insurance policy details, insured party information, and transaction details.
3. Review the specific requirements and guidelines of the state where the affidavit is required. Each state may have different requirements for the affidavit.
4. Obtain the surplus lines affidavit form from the appropriate regulatory authority or download it from their website.
5. Complete all the required fields on the form, providing accurate and detailed information.
6. Double-check the filled-out form for any errors or missing information.
7. Attach any supporting documents required by the regulatory authority, such as policy documentation or evidence of diligent effort to obtain insurance coverage from licensed insurers.
8. Sign and date the affidavit.
9. Submit the surplus lines affidavit to the designated regulatory authority by the specified deadline through mail, fax, or electronic submission according to their instructions.
10. Keep a copy of the filled-out surplus lines affidavit and all supporting documents for your records.

Who needs surplus lines affidavit of?

1. The surplus lines affidavit is typically needed by insurance brokers, agents, or individuals who are involved in placing insurance coverage through surplus lines insurers.
2. Surplus lines insurance provides coverage for risks that traditional licensed insurers do not underwrite. In some cases, certain types of insurance may not be available through licensed insurance companies, and surplus lines insurance fills this gap in the market.
3. Therefore, if an insurance transaction involves placing coverage through a surplus lines insurer, the involved parties may need to fill out a surplus lines affidavit as required by the regulations of the state in which the transaction takes place.

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What is surplus lines affidavit of?

Surplus lines affidavit is a document used to report information about insurance policies that were placed with non-admitted insurance carriers.

Who is required to file surplus lines affidavit of?

Insurance brokers, agents, and surplus lines licensees are required to file surplus lines affidavit.

How to fill out surplus lines affidavit of?

You can fill out surplus lines affidavit by providing detailed information about the insurance policies that were placed with non-admitted carriers.

What is the purpose of surplus lines affidavit of?

The purpose of surplus lines affidavit is to ensure compliance with regulations and to provide transparency in the surplus lines insurance market.

What information must be reported on surplus lines affidavit of?

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