IN Bulletin 94
Commercial lines deregulation - exempt policyholders
Bulletin 94
COMMERCIAL LINES DEREGULATION -- SELF-CERTIFICATION OF
EXEMPT COMMERCIAL POLICYHOLDER
July 9, 1999
The purpose of this bulletin is to publish the Self-Certification form required by P.L. 268-1999.
Commonly known as commercial lines de- regulation, the provisions of P.L. 268-1999 allow an insurer to
sell a commercial insurance policy to an entity in Indiana who is an "Exempt Commercial Policyholder"
without filing the rate and corresponding policy form with the Indiana Department of Insurance (the
"Department").
An insurer who issues insurance to an Exempt Commercial Policyholder must file an annual
report and fee with the Department by February 1 of each year. The contents of the report and calculation
of the required fee are described in IC 27-1-22-4(n) and (o). The Department plans to adopt rules to
implement the annual report requirement. The rulemaking process will begin with a Notice of Intent in
the August 1999 volume of the Indiana Register.
The Self-Certification form is Attachment A to this bulletin. In response to questions about who
is an employee for purposes of P.L. 268-1999, the Department has determined that "employee" is a fulltime employee. A full-time employee is one who is employed to work at least thirty-seven and one-half
(37 1/2) hours per week and does not include an employee who works on a temporary or substitute basis
or a seasonal employee.
Sally McCarty
INSURANCE COMMISSIONER
INDIANA CERTIFICATION OF
EXEMPT COMMERCIAL POLICYHOLDER STATUS
Pursuant to Indiana Code 27-1-22-2.5
The undersigned, on behalf of _________________________ , (the "Insured") certifies to
____________________ (the "Insurer") that the Insured is an Exempt Commercial Policyholder under
Indiana law. Insurer may sell a commercial insurance policy to an Exempt Commercial Policyholder
without filing the rate and corresponding policy form with the Indiana Department of Insurance.
The policy and rate must comply with Indiana law, and complaints or questions about compliance may be
directed to the Indiana Department of Insurance.
In order to be an Exempt Commercial Policyholder, the Insured must:
1. Execute this Certification and return it to the Insurer
2. Purchase the insurance policy through an insurance agent licensed in Indiana.
3. Meet 3 of the following (check all that apply).
_____ Net worth of more than $25,000,000 at the time the insurance policy is issued.
_____ Net revenue or sales of more than $50,000,000 in the Insured's preceding fiscal year.
_____ More than 25 full-time employees per individual company or 50 full-time employees per holding
company aggregate at the time the insurance policy is issued. (Indiana and non-Indiana employees
may be counted).
_____ Aggregate annual commercial insurance premiums, excluding worker's compensation and
professional liability insurance premiums, of more than $75,000 in the Insured's preceding fiscal
year. Premium is calculated after any credits, discounts or other reductions are applied.
_____ Nonprofit or public entity with an annual budget of $25,000,000 or assets of at least $25,000,000
in the Insured's preceding fiscal year.1
_____ Procures the policy with the services of a risk manager.
A risk manager is a person qualified to assess an exempt commercial policyholder's insurance needs and
analyze and negotiate a policy of insurance on behalf of the policyholder. A risk manager may be a fulltime employee of the policyholder who is qualified through education and experience or through training
and experience. A risk manager may also be a person retained by the policyholder who holds a
professional designation, such as CPCU, relevant to the type of insurance to be purchased. A retained risk
manager must, in advance of providing services, disclose in writing to the policyholder the services to be
performed and any commissions or fees the risk manager might receive from the insurer. The risk
manager must receive from the policyholder written acknowledgement of the disclosures made by the risk
manager.
Signed: ________________________________ Title: _____________________________
Printed: ________________________________ Date: _____________________________
1 An insurance company that insures a public entity as an exempt commercial policyholder must maintain
at least an "A" rating by A.M. Best or equivalent rating by another independent insurance rating
organization.