Bulletin No. PC 2015-01: Filing Procedures for Compliance with the Provisions of the Terrorism Risk Insurance Program Reauthorization Act of 2015

Ed. 01/26/2015 EXPEDITED SERFF FILING TRANSMITTAL DOCUMENT FOR TERRORISM RISK INSURANCE FORMS AND PRICING Indicate Type of Filing  Filing Related to Certified Losses  Filing Related to Non-Certified Losses  Filing Applicable to Both Certified and Non-Certified Losses This abbreviated filing transmittal document should be used in conjunction with a SERFF filing only. To be complete, a filing must include the following: • A completed Expedited SERFF Filing Transmittal Document. • One copy of each endorsement, disclosure form and/or or other policy language, unless the insurer has given an advisory organization authorization to file them on its behalf. • A copy of the rates, rating systems and supporting documentation, if applicable. • The appropriate filing fees, if applicable The insurer(s) submitting this filing certifies that it:  Is in compliance with the terms of the Terrorism Risk Insurance Act, as amended, and/or the laws of this state; and  Is in compliance with the requirements of the bulletin containing the voluntary expedited filing procedures. Electronic Signature: SIGN