Get Surplus Lines Statement (form Sl-8) State Of Connecticut Insurance Department (rev

The Surplus Lines Statement (Form SL-8) is an essential document for surplus lines insurance transactions in Connecticut. This guide provides step-by-step instructions on how to accurately fill out the form to ensure compliance with state regulations.

Follow the steps to complete the form accurately.

1. Click 'Get Form' button to obtain the Surplus Lines Statement (Form SL-8) and open it for editing.
2. Begin by entering the name and address of the surplus lines broker in the designated field.
3. Provide the name of the producing agent in the next field, along with their Connecticut license number.
4. Input the name of the agency represented and the corresponding Connecticut license number.
5. Detail the name and location of the risk in the appropriate section.
6. Identify the surplus lines insurer(s) involved and enter their NAIC numbers, listed under fields 5a and 5b.
7. Specify the kind of insurance being provided in field 6, and complete the limits (6a) and risk description (6b) by describing the operation or risk type.
8. Indicate whether it is new business or a renewal in field 7, along with the reason for placement in field 7b.
9. State the premium in field 8 and specify the payment terms in 8a and the policy period in 8b.
10. Answer question 9 by selecting 'Yes' or 'No' and provide the amounts for the broker service fee (9a) and the producer service fee (9b).
11. Ensure to assign the control number in numerical sequence, followed by the last two digits of the year of the policy effective date.
12. Both the insured and the surplus lines broker must sign the statement.
13. Once completed, save your changes and proceed to download, print, or share the form as needed.

Complete your Surplus Lines Statement (Form SL-8) online today for efficient document management.