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Date Co Name Address City St Zip NAIL# 2010 DIRECT PREMIUM REQUEST Data as reported on the New Mexico Department of Insurance Annual Statement for health and accident insurance direct premiums written

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What is direct premium request?

Direct premium request is a formal process in which an insurer or policyholder submits a request to an insurance company to purchase insurance coverage directly without involving any intermediaries.

Who is required to file direct premium request?

Both insurers and policyholders have the option to file a direct premium request. Insurers can offer direct policies to customers, while policyholders can request coverage directly from the insurer without involving an agent or broker.

How to fill out direct premium request?

To fill out a direct premium request, you need to contact your insurance company and request the necessary forms. The insurer will provide you with the required documentation and instructions for completing the request. Typically, you will need to provide personal and policy information, choose the desired coverage options, and sign the request form.

What is the purpose of direct premium request?

The purpose of a direct premium request is to enable individuals or businesses to purchase insurance coverage directly from an insurer. This bypasses the need for intermediaries, such as agents or brokers, streamlining the process and potentially reducing costs for both parties.

What information must be reported on direct premium request?

The specific information required on a direct premium request can vary depending on the insurance company and the type of coverage being requested. However, common information typically includes personal details (such as name, address, and contact information), policy details (such as desired coverage amounts and duration), and any additional information required by the insurer.

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