CT Insurance Bulletin SL-04
New Procedures for Filing Surplus Lines Taxes and Affidavits
STATE OF CONNECTICUT
INSURANCE DEPARTMENT
Bulletin SL-4
July 25, 2013
To:
All Surplus Lines Brokers
Re:
New Procedures for Filing Surplus Lines Taxes and Surplus Lines Affidavits
Under previous law, surplus lines brokers were required to file affidavits with the Commissioner setting
forth the facts supporting the placement of coverage in the surplus lines market. On June 6, 2013, the
legislature enacted Public Act 13-171, an Act Concerning Surplus Lines Insurance Brokers, which
changed such requirement.
Public Act 13-171 provides that surplus lines broker can file with the
Commissioner signed written statements instead of affidavits.
The purpose of this bulletin is to advise all surplus lines brokers that, effective immediately, they are no
longer required to execute notarized surplus lines affidavits. They are now required to submit written
statements by the insured and by the licensee attesting that they were unable to procure the necessary
coverage in the authorized market. Such written statements are required to be filed with the Department
through OptIns along with the tax returns required under e.G.S. § 38a-743 on February fifteenth, May
fifteenth, August fifteenth and November fifteenth of each year in accordance with the guidelines set out
in Bulletin SL-3, adopted by the Department on June 15,2012, which will remain in effect, except that
any reference to "affidavits" contained therein is replaced with ''written statement" in accordance with the
guidance provided by this Bulletin. The written statement required to be submitted is attached as Exhibit
A.
In addition, the Department would like to remind all licensees that surplus lines brokers may place
insurance with eligible surplus lines insurers only if, after diligent effort to place the coverage in the
authorized market, a particular coverage, or part thereof, is not available from licensed insurers or a
residual market mechanism. Coverage placed in the surplus lines market can only be excess over the
amount of insurance, if any, that can be procured from authorized insurers. See, e.G.S. § 38a-741, as
amended by P.A. 13-171.
The Department restates its longstanding position that a diligent effort to procure coverage in the regular
market, within the meaning ofe.G.S. § 38a-741, as amended by P.A. 13-171, is presumed to have been
made if: (1) the line, sub-line or class of insurance sought is considered generally unavailable through
admitted insurers or a residual market mechanism and, as such,
is included in the Department's
Exportable List, as published by the. Commissioner from time to time; or (2) the risk has been previously
declined by three authorized insurers that customarily write the type of insurance at issue.
The records supporting the three declinations must be maintained by the surplus lines broker throughout
the policy period and must include the specific reason for declination, the date declined, and the name and
title of the insurance company's underwriter declining the coverage. Although surplus lines brokers are
required to maintain the records of the required declinations, it is the Department's position that the
responsibility to fulfill the due diligence requirement falls upon the insured's retail agent, given nature of
the authority of surplus lines brokers and the timing of the steps involved in surplus lines transactions.
Thomas B. Leonardi
Insurance Commissioner
www.ct.gov/cid
P.O. Box 816 • Hartford, CT 06142-0816
An Equal Opportunity Employer
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EXHIBIT A
IControl No.
Surplus Lines Statement (Form SL-8)
State of Connecticut
Insurance Department (Rev. 07/2013)
I. Name and Address of Surplus Lines Broker
2. Producing Agent (not agency)
3. Agency Represented
4. Name and Location on Risk
5a. Surplus Lines Insurer(s) and NAlC No.
5b. Surplus Lines Insurer(s) and NAIC No.
6. Kind of Insurance
6a. Limits
7. Type of Policy
New Business or
Renewal
8. Premium
8a.
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--
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per38a-741 C.S.G?
-
Yes --No
9a. Broker Service Fee
2a. CT License No.
3a. CT License No.
6b. Risk Description
7b. Reason for Placement
8b. Policy Period
Term Premium
Installment
Subject to Audit
9. Does the undersigned broker have on file evidence of declination by three licensed insurers and ineligibility for any residual market mechanism
Exportable List
19b. Producer Service Fee
STATEMENT BY INSURED
I1We, the named insured, state that on
, l/We directed the Iicensed producing agent
named on this Surplus Lines Statement to obtain insurance coverage described herein; that !/We were informed by said producing
agent that he/she made a diligent effort to place this risk with licensed insurers authorized to transact the class of insurance involved
and which accept in the usual course of business, insurance on risks of the same class as the risk described herein; and that said
companies accepted only part of or no part of the required insurance.
I/We, were further informed by said producing agent that the amount of insurance indicated herein could be obtained from
certain insurers not licensed to transact business in the State of Connecticut. I1We therefore directed the producing agent named herein
to obtain said insurance though the office of the licensed Surplus Lines Broker named herein. I1We have been advised by the
producing agent named herein that such insurance represents only the excess over the amounts procurable from licensed insurers or
the Connecticut residual market. I1We have been advised that, in addition to commissions, l/We will be charged a service fee as set
out in 9a and 9b.
Signature of Insured
STATEMENT BY SURPLUS LINES BROKER
I, as a licensed Surplus Lines Broker, authorized to transact insurance with the surplus lines insurer(s) named on this Surplus
Lines Statement, depose and declare under the penalties provided for false statements that the diligent effort has been made to procure
said insurance coverage from licensed insurers which are authorized to transact the class of insurance involved and which accept in the
usual course of business, insurance on risks of the same class described herein. This insurance has been procured with the surplus lines
insurer(s) named on this Surplus Lines Statement, which insurance is only the excess over amounts procurable from licensed insurers.
Signature of Surplus Lines Broker