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STATE OF NEW JERSEYEXM (124)2023FOREIGN OR ALIEN COMPANIESType or print the requested informationFederal Employer I.D. Number Insurer NAIC Code NumberCompany NameInsurer NAIC Group Code NumberMailing
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How to fill out surplus lines company list

How to fill out surplus lines company list
01
Obtain a copy of the surplus lines company list form from the appropriate regulatory agency.
02
Provide all required information, such as company name, address, contact information, and lines of business written.
03
Ensure that the form is completed accurately and all mandatory fields are filled out.
04
Submit the completed form to the regulatory agency according to their guidelines and deadlines.
Who needs surplus lines company list?
01
Insurance companies looking to write policies in the surplus lines market.
02
Regulatory agencies overseeing insurance operations.
03
Insurance brokers and agents working with clients who require coverage from non-admitted insurers.
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What is surplus lines company list?
A surplus lines company list is a compilation of insurers that are authorized to provide insurance coverage in the surplus lines market, typically for risks that are not covered by standard insurance policies.
Who is required to file surplus lines company list?
Typically, surplus lines brokers or agents are required to file the surplus lines company list to ensure compliance with state regulations regarding surplus lines insurance.
How to fill out surplus lines company list?
To fill out a surplus lines company list, one must provide details such as the name of the insurer, its address, and the types of coverage it offers. This information is often submitted through state-specific forms.
What is the purpose of surplus lines company list?
The purpose of the surplus lines company list is to provide a reference for brokers and agents to identify which insurers are approved for writing surplus lines insurance, ensuring that they are dealing with legitimate and compliant companies.
What information must be reported on surplus lines company list?
Information that must be reported includes the insurer's name, NAIC number, contact information, and the types of insurance coverage that the insurer offers.
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