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CONNECTICUT SURPLUS LINES NOTICESurplus Lines Statement (Form SL8) I/We, the named insured, state that on, I/We directed the licensed producing agent named on this Surplus Lines Statement to obtain

How to fill out connecticut surplus lines notice

How to fill out connecticut surplus lines notice

1. To fill out the Connecticut surplus lines notice, follow these steps:
2. Begin by entering the date on the top right corner of the form.
3. Fill in the agent or broker's name, address, and license number in the designated fields.
4. Provide the insured's name and address in the appropriate sections.
5. Specify the policy period by indicating the start and end dates.
6. Indicate the effective time of coverage, which can be specific hours or All Risks coverage.
7. Enter the insurance company's name, address, and NAIC number.
8. Provide a brief description of the type and amount of coverage being provided.
9. Include any applicable premium tax, which should be entered as a percentage.
10. Add any comments or additional information that may be necessary.
11. Finally, sign and date the notice before submitting it to the appropriate authority, such as the Connecticut Insurance Department.

Who needs connecticut surplus lines notice?

1. The Connecticut surplus lines notice is needed by insurance agents or brokers who are involved with surplus lines insurance transactions in the state of Connecticut.
2. It is required to be filled out and submitted for each surplus lines insurance policy placed with a non-admitted insurer in order to comply with the Connecticut Insurance Laws and Regulations.

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What is connecticut surplus lines notice?

The Connecticut Surplus Lines Notice is a form that must be submitted when a surplus lines insurance policy is placed in Connecticut. It provides information about the coverage and the surplus lines insurer.

Who is required to file connecticut surplus lines notice?

Insurance producers or brokers who place surplus lines insurance on behalf of their clients are required to file the Connecticut Surplus Lines Notice.

How to fill out connecticut surplus lines notice?

To fill out the Connecticut Surplus Lines Notice, you need to provide details about the insured, policy information, the surplus lines insurer, and a description of the coverage. Ensure all required fields are completed accurately.

What is the purpose of connecticut surplus lines notice?

The purpose of the Connecticut Surplus Lines Notice is to ensure transparency in the placement of surplus lines insurance and to provide regulatory oversight of the surplus lines market.

What information must be reported on connecticut surplus lines notice?

The notice must report the name of the insured, the name of the surplus lines insurer, a description of the coverage, the policy number, and the coverage effective dates.