From SLSOT Bulletin dated January  SO-2006-02

Evidence Filing Requirements for 2006 Surplus Lines Eligibility

 

To:

SURPLUS LINES AGENTS AND INSURERS

From:

Kathy A. Wilcox, Registration Officer
Company Licensing & Registration

Date:

January 1, 2006

Subject:

"Evidence Filing Requirements for 2006 Surplus Lines Eligibility”


The following are the requirements and due dates for filing documentation for 2006 eligibility for surplus lines insurers.  Each insurer wanting to maintain eligibility or to become eligible must meet the listed filing requirements.

These filing requirements are in accordance with the Texas Insurance Code, Chapter 981 and related provisions of the Texas Administrative Code, 28 TAC §15.8. Texas Administrative Code, 28 TAC §15.8 (j) requires the Texas Department of Insurance to maintain the “Surplus Lines Insurers List” compiled from the information submitted to meet the eligibility requirements. Any new information or updates to previously filed documentation must be submitted to the Texas Department of Insurance with copy to the Surplus Lines Stamping Office of Texas.  This includes name changes, addresses, changes in officers and directors, etc. All questions and/or comments pertaining to the Surplus Lines Insurers List are to be directed to the Texas Department of Insurance.

The minimum capital and surplus requirement is $15 million as of December 31, 1995. Failure to maintain at least $15 million capital and surplus may result in the removal of the insurer from the Texas Department of Insurance "Surplus Lines Insurers List." Failure to comply with the evidence filing requirements may also subject the insurer to removal from the list.

Enclosed is a Business Plan Outline to be used to meet the business plan filing requirements. Business Plans must be current within 3 years. If the current business plan on file has financial projections for years prior to 2003, a new plan will need to be filed by March 31, 2006.

Inquiries about the contents of this memo should be directed to Company Licensing and Registration, Texas Department of Insurance.

Attached is a Checklist for both foreign (U.S. domiciled) and alien (non-U.S. domiciled) companies. The Checklist must be completed and filed with the required documents. 

NOTE:  All Documents must be submitted in duplicate as follows

             Original Documents                                                 Duplicate Copies

            Texas Department of Insurance                                   Surplus Lines Stamping Office of Texas
Company Licensing & Registration, MC 305-2C            805 Las Cimas Parkway, Suite 150
333 Guadalupe                                                             Austin, TX  78746-5493
P.O. Box 149104                                                         P. O. Box 160170
Austin, TX  78714-9104                                               Austin, TX  78716-0170
512-322-3535, FAX 512-322-3550                                512-346-3274 ext 220, FAX 512-346-3422
registrationteam@tdi.state.tx.us                                    evidence@slsot.org 
 

Note: Documents filed solely with the Stamping Office are not deemed to be filed with the Texas Department.  All evidence submitted must have the complete name of the surplus lines insurer clearly displayed.

 Due Date

 The DUE DATE for filing documents varies based on the type of evidence required.  A due date is indicated for each type of evidence. 

 If an insurer is unable to comply with the due dates, a written explanation must be filed with the Texas Department of Insurance (with a copy to the Surplus Lines Stamping Office of Texas) using the Comments Section of the proper Checklist.  The explanation must include date the evidence will be filed.

 An insurer may also be asked to provide additional information as deemed necessary to perform an evaluation of the insurer's eligibility.  This may include, but is not limited to detailed policy information regarding direct premium written in Texas.

NOTE: Texas Department of Insurance will allow certain evidence, as indicated on the check list, to be filed electronically at e-mail addresses listed above, for insurers renewing their eligibility.  All evidence for new submissions must be filed in hard copy.
 


FOREIGN (U. S.) SURPLUS LINES INSURERS                      DUE DATE:  March 31,2006     (except as noted)

 1.  A complete 2005 NAIC Property and Casualty Annual Statement originally signed and notarized.  The statement must nclude: a) Page 14 for Texas, b) Actuarial Opinion, and c) Management's Discussion and Analysis of Operations.

 2. A Certified Copy of the Current License or Certificate of Authority (C of A) (current within 3 years) from the insurer's state of domicile.  This license or certificate of authority must indicate the kind and class of business the company is authorized to write. If no change has been made to the current C of A on file provide written statement.

 3. A Current List of Texas Surplus Lines Agents procuring business for the insurer.  In addition, indicate agents with agency agreements, binding authority and claims paying authority.  Any changes in the contracts (i.e., cancellation of contract, removal of binding authority or claims paying authority) must be submitted during the year.  Must include complete name of agent/agency and Texas Surplus Lines Agent License number.

 4. Provide a Three-Year Business Plan using the enclosed Guidelines to include Texas surplus lines business.  Also, describe the method the insurer uses to procure Texas business. Business Plans with financial projections for years prior to the year 2003 must be updated.

5. Biographical Affidavits (current within 3 years) on the officers, directors and management of the insurer, including underwriters primarily responsible for underwriting Texas risks.  If underwriting is managed or performed by a separate company or agency, submit the name, address and phone number of such entity. Replace biographical affidavits for President, Secretary and Treasurer if originals were filed prior to the year 2003.

 6. A copy of the NAIC IRIS Ratio Results and the insurer's response to any ratio outside the usual range.  If the NAIC reports are not available by the due date, so indicate and provide an internally generated set of the twelve IRIS ratios. Insurer’s written explanation to any IRIS ratio failures must be included.

 7. A copy of the most current Examination Report, from the examining state, if not previously filed.  Provide an explanation, response or description of corrective actions taken regarding exam  comments or recommendations.

 8. A copy of the audited GAAP/SAP Financial Statement, including the auditor's most recent "Management Letter" and management's response.  If not required by state of domicile, provide evidence of exemption.  DUE DATE:  June 1, 2006.

 9. If publicly traded, provide a copy of the S.E.C. 10K Report, as well as any other S.E.C. filing relating to a material event.  DUE DATE:  June 1, 2006.

 10. All foreign insurers are required to file NAIC Property and Casualty Quarterly Statements within 45 days following the close of the quarter. (Due dates falling on a weekend must be received the next business day)  Eligible Surplus Lines Insurers wishing to maintain eligibility are not required to file a hard copy of the NAIC Quarterly Statement but must file an affidavit that the statement has been timely filed with NAIC.  If the Quarterly Statement is not filed insurer must file written explanation.

                         1st Quarter ending March 31, 2006                      Due  May 15, 2006

                        2nd Quarter ending June 30, 2006                       Due  August 15, 2006

                        3rd Quarter ending Sept. 30, 2006                       Due  November 15, 2006

 NOTE: COPIES OF ALL EVIDENCE MUST BE FILED WITH THE SURPLUS LINES STAMPING OFFICE OF TEXAS


CHECKLIST

FOREIGN (U. S.) SURPLUS LINES INSURERS

  ________________________________________________________________

Name of Company

 1.         2005 NAIC Form 2 Annual Statement                                                           

            a) Page 14 for Texas                                                                                          

            b) Actuarial Opinion                                                                                        

             c) Management's Discussion and Analysis of Operations                    

2.         Certified Copy of the Current License or Certificate of Authority         

3.         *Current List of Surplus Lines Agents  (Include agent/agency name  and Texas Surplus Lines License Number)

 4.         *Three Year Business Plan                                                                            

 5.         Biographical Affidavits (must update if filed prior to year 2003)                

 6.         *NAIC IRIS Ratio Results (written explanation of failures must be included)

 7.         Examination Report                                                                                        

 8.         GAAP/SAP Financial Statement (DUE DATE:  June 1, 2006)              

9.         *S.E.C. 10K Report (DUE DATE:  June 1, 2006)                                                 

10.        *NAIC Quarterly Financial Statements (See instructions for due dates) 

Note:  If items listed above are not submitted by the due date provide explanation below and date evidence will be filed. 

*These items if available in electronic format may be transmitted via e-mail to both TDI and Stamping Office if filing to maintain eligibility.  All evidence for new submissions must be filed in hard copy to both offices. 


 ALIEN SURPLUS LINES INSURERS                                      DUE DATE:  June 1, 2006                                                                                                            (except as noted)

1.  An Annual Report and/or Audited Financial Statement expressed in U. S. Dollars, including auditor's most recent "Management Letter" and management's response.           

2. A Certified Copy of the Current License or Certificate of Authority from the insurer's country of domicile.  This license or certificate of authority must indicate the kind and class of business the company is authorized to write.  New copies of the license should be submitted on a three year cycle as with the biographical affidavits.  

3. A Current List of Texas Surplus Lines Agents procuring business for the insurer.  In addition,  indicate agents with agency agreements, binding authority and claims paying authority.  Any changes in the contracts (i.e., cancellation of contract, removal of binding authority or claims paying authority) must be submitted during the year. (Must include complete name of agent/agency and Texas Surplus Lines License Number) 

4. Provide a Three-Year Business Plan using the enclosed Guidelines to include Texas surplus lines business.
(Provide updated Business Plan if current one filed with our office has financial projections for years prior to year 2003.
)

 5. Biographical Affidavits (current within 3 years) on the officers, directors and management of the   insurer, including underwriters primarily responsible for underwriting Texas risks.  If underwriting is managed or performed by a separate company or agency, submit the name, address and phone number of such entity.  Replace biographical affidavits for President, Secretary, and Treasurer if filed prior to year 2003. 

 6. A copy of the Trust Fund Agreement and a Current Statement of Account from the trustee of trust fund.  The trust fund, maintained in a U. S. Federal Reserve System Bank is an amount of not less than $5.4 million.  The trust fund must be styled for the protection of U. S. policyholders. The International Insurers Department Standard Trust Fund Agreement is preferred. 

 7. Provide the  Premiums Written in Texas by each surplus lines agent with total premium for insurer for 2005.

 8. Provide Actuarial Opinion or statement. Due date:  August 1, 2006. 

9. If listed by the IID, provide a Complete Copy, Including Interrogatories, of the standard IID reporting format.  Due Date:  August 1, 2006.

 NOTE: COPIES OF ALL EVIDENCE MUST BE FILED WITH THE SURPLUS LINES STAMPING OFFICE OF TEXAS


CHECKLIST
ALIEN SURPLUS LINES INSURERS

____________________________________________________________________

Name of Company

1.   Annual Report and/or Audited Financial Statement.           (Must be in U.S. Dollars) 

2.   Certified Copy of the Current License or Certificate of Authority                     

3.   *Current List of Surplus Lines Agents.                                                 

4.   *Three-Year Business Plan.                                                                   

 5.   Biographical Affidavits (updated if filed prior to year 2003).                               

 6.   *a.  Trust Fund Agreement                                                                              

         b.  Current Statement of Account.                                                                  

7.   *Premium Written in Texas.  (Total for each agent with grand total)        

8.   Actuarial Opinion.  DUE DATE:  August 1, 2006.                                          

9.   Complete copy of the Standard IID reporting format, including

 Interrogatories.  DUE DATE:  August 1, 2006.                                   

Note:  If items listed above are not submitted by the due date provide explanation below.

*These items if available in electronic format may be transmitted via e-mail to both TDI and Stamping Office if filing to maintain eligibility.  All evidence for new submissions must be filed in hard copy to both offices.


SURPLUS LINES COMPANY BUSINESS PLAN OUTLINE 

NOTE:    This outline is not intended to be all inclusive, but rather to be used as a guide to key elements that might be included in a business plan (Plan).  Each Plan should be unique to a particular company and should contain sufficient detail to provide staff of the Texas Department of Insurance with adequate information about the viability of the company's operations.  The Plan should be written in a style that a lay person could understand, yet contains the necessary technical information to be deemed comprehensive.  The Plan is the sole responsibility of the company and adequacy of the Plan is a reflection upon the competency of the company's management.

 I.          OVERVIEW

Please provide the following:

a.         The full name of the company submitting the Plan.

b.         The name and phone number of the individual responsible for preparing the Plan.

c.         A current organizational chart, with a brief description of all members in the company’s holding company system, including the primary business functions of each member.

d.         A brief description of how the company is controlled including a list of all principals and key personnel.

e.         The identity of the party performing the underwriting functions for the company.  If this function has been delegated, state the manner of delegation and the relationship to the company.

f.          A brief description of the underwriting controls used to accept or reject a potential policyholder.

 II.         RECENT AND CURRENT OPERATIONS

Give a brief description of the company’s operations:

a.         The type of business the company intends to write in this State.

b.         The type of business currently being written, if different from that answer in II (a).

c.         The markets being targeted in this State, including the geographical areas.

d.         A schedule reflecting the commission structure for all lines of business.

 III.        REINSURANCE

 Provide the following regarding the company’s reinsurance program:

a.         Describe any material change to the company’s reinsurance program recently completed, or which is being contemplated.

b.         Briefly describe the material aspects of the company’s reinsurance program.

c.         The company’s maximum limit of liability (gross and net) by risk, line of business, etc.

 IV.        INTERNAL CONTROLS

Provide the following regarding the Company’s internal controls:

a.         Does the company have procedures or processes in place for reviewing the business produced by Texas surplus lines agents so that agents who consistently produce unprofitable business can be advised and/or so underwriting guidelines can be changed?
 

b.         Does the company have accounting procedures or processes in place for premiums from Texas surplus lines agents that provide timely updates on said premium?
 

c.         Does the company have procedures or processes in place for reviewing and accepting or denying claims?

 V.         FINANCIAL PROJECTIONS

Please provide the following information regarding the company’s overall plan:

a.         A projection covering a three year period for business written by the Company.

b.         A projection covering a three year period for business written in Texas.

NOTE:  State all assumptions used in the preparation of the projections, including actuarial, commission and expenses, investment and interest rate and other significant assumptions.  The projected quarterly financial statement should include a balance sheet, and state of income and capital of surplus account. 

VI:        ADDITIONAL INFORMATION

Please provide the following information, if applicable:

a.         A specimen copy of a managing general agent agreement.

b.         A copy of any operating and/or cost sharing agreement.

c.         A copy of the investment strategy, letter(s) of credit, trust agreement(s) or similar arrangements that exist for the benefit of the company.

NOTE: COPY MUST BE FILED WITH THE SURPLUS LINES STAMPING OFFICE OF TEXAS
 

 
 


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