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Get Pursuant To Gs 58-7-21(b)(4)
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How to fill out the Pursuant To GS 58-7-21(b)(4) online
The Pursuant To GS 58-7-21(b)(4) form is essential for insurance companies seeking authorization to operate as authorized reinsurers in North Carolina. This guide will provide you with clear steps to assist you with filling out the form online.
Follow the steps to complete the form effectively.
- Click the ‘Get Form’ button to access the document and open it in an editable format.
- Enter the insurance company name in the appropriate field. Ensure that the name matches the official registered name of your company.
- Fill in the company alien/FEIN number accurately. This number is crucial for identification purposes.
- If applicable, provide the company's NAIC code in the designated area. This is important for regulatory identification.
- Complete the Group Code field if your company operates under a group structure.
- Specify the domiciled state of your company in the Domicile section and provide a complete mailing address.
- Enter the company representative's name, mailing address, telephone number, and email address. This representative will handle communication regarding the application.
- Select the appropriate checkbox to indicate whether your company is a single assuming insurer or part of a group maintaining a trust as stipulated in the statute.
- Review and confirm your compliance with the necessary requirements outlined in the form, including details about the trust fund and financial organization.
- Complete any additional fields that require information about your trust fund and compliance with regulatory requirements.
- Finally, save your changes, download a copy for your records, and print or share the form as needed when you are ready to submit.
Complete the Pursuant To GS 58-7-21(b)(4) and submit your application online for authorized reinsurer status.
An authorized reinsurer is an assuming insurer (including U.S. branch of an alien assuming insurer) that is domiciled and licensed in (or entered through) a state which has substantially similar standards for reinsurance credit.
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