IN Bulletin 106
Foreign Language Product Filings
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Bulletin
106
FOREIGN LANGUAGE PRODUCT FILINGS
September 14, 2001
This Bulletin is directed to all insurers and other entities making product filings in languages
other than English with the Indiana Department of Insurance (the "Department.")
To facilitate the review of forms in a language other than English, the Department requests a
translator's certification with each non-English filing, along with a copy of the English version.
For policies and forms subject to Ind. Code 27-1-26, pursuant to Ind. Code §27-1-26-4, the
insurer issuing the non-English language policy must also certify that if translated into English, the
policy would comply with Ind. Code §27-1-26-3.
A sample translator's certification is provided with this Bulletin. No filing in a language other
than English will be approved until the Department has approved, or is prepared to contemporaneously
approve, the English language version.
Name of translator/interpreter
Street address
City, State, Zip Code
CERTIFICATION OF ACCURATE TRANSLATION
I, (name of translator), hereby certify that I have translated the following document(s)
into the (name of language) language from the original(s), written in English, which were
presented to me:
(List form/s)
I also attest that, to the best of my knowledge and belief, these are accurate and
complete translations of the originals.
(Signature of translator and credentials)
(Date)
Sally McCarty, Commissioner