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(a) A surplus lines broker shall submit to the division at its Juneau office an original and one copy of the report of surplus lines transaction required by AS 21.34.080 . The report must be submitted with the monthly premium report required by AS 21.34.170 .
(b) In addition to the information required by AS 21.34.080 (a), the report of surplus lines transaction shall include the following minimum information in a format approved by the director:
(1) the policy term and the date coverage was bound;
(2) a complete description of the subject and location of the risk;
(3) identification of the type of coverage for the risk identified in (2) of this subsection by the code for each type of policy as listed below:
(A) fire (Code 01);
(B) allied lines (Code 02);
(C) farmowners multiple peril (Code 03);
(D) homeowners multiple peril (Code 04);
(E) commercial multiple peril (Code 05);
(F) ocean marine (Code 08);
(G) medical malpractice (Code 11);
(H) earthquake (Code 12);
(I) excess workers' compensation or employer's liability (Code 16);
(J) liquor liability (Code 17.1);
(K) day care liability (Code 17.2);
(L) pollution liability (Code 17.3);
(M) legal professional liability (Code 17.4);
(N) architects' and engineers' professional liability (Code 17.5);
(O) other professional liability (Code 17.6);
(P) other liability (Code 17.7);
(Q) private passenger auto liability (Code 19.2);
(R) commercial auto liability (Code 19.4);
(S) private passenger auto physical damage (Code 21.1);
(T) commercial auto physical damage (Code 21.2);
(U) commercial aircraft (all perils) (Code 22.1);
(V) personal aircraft (all perils) (Code 22.2);
(W) fidelity (Code 23);
(X) surety (Code 24);
(Y) glass (Code 25);
(Z) burglary and theft (Code 26);
(AA) boiler and machinery (Code 27);
(BB) all other placements - identify the type (Code 31);
(4) the gross premiums charged for each coverage identified in (3) of this subsection;
(5) the name of and National Association of Insurance Commissioners (NAIC) group and company number for each insurer for each premium identified in (4) of this subsection; a number shall be obtained from the division if the NAIC has not assigned one;
(6) the name and Alaska firm license number of the producing broker;
(7) the name and Alaska firm license number of the surplus lines broker.
(c) Each report of a surplus lines transaction must be signed before a notary public by every surplus lines broker involved in the placement of coverage.
History: Eff. 8/28/91, Register 119; am 10/21/92, Register 124
Authority: AS 21.06.090
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Last modified 7/05/2006