Get B-0021-0 - Tdi Texas

Filling out the B-0021-0 form from the Texas Department of Insurance is essential for companies involved in direct commercial property and businessowners insurance in Texas. This guide will walk you through each section of the form, ensuring that you complete it accurately and efficiently.

Follow the steps to successfully complete the B-0021-0 form online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Start by entering the company name, NAIC company number, and NAIC group number at the top of the form. Ensure that this information is accurate as it identifies your company in submissions.
3. For Report 1, input the 1999 premiums that fall under the minimum or limited reporting format. List the amounts for 'Voluntary Commercial Monoline Allied Direct Written Premium,' 'Voluntary Commercial Multi-Peril Allied Direct Written Premium,' and 'Voluntary Businessowners Direct Written Premium' by county.
4. For Report 2, complete the premiums for companies under a full reporting plan if not all submissions were fully accepted by the Insurance Services Office (ISO). Again, provide detailed amounts for each premium category by county.
5. Fill in the date submitted at the bottom of the form along with validating the company name and NAIC numbers once more for accuracy.
6. Certification: Ensure that an authorized signature is included. The authorized representative must print their name, title, and the company's address. Additionally, provide contact information for any queries related to the report.
7. Review the completed form thoroughly to confirm that all entries are accurate and that you have provided all necessary information before proceeding.
8. Once you are satisfied with the completed form, save the changes. You can download, print, or share the form as needed to meet submission requirements.

Complete your B-0021-0 - Tdi Texas form online today to ensure timely compliance.