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Special Marketing Group Submission Information Requirements
Information required to finalize a captive program quote.
- Single Parent or Group Captive Information
- Name and address of Insured
- History of captive and/or group
- Purpose of formation
- Description of operations
- Number of years in existence
- Prior and current structure – including lines of coverage, retention,
limits, excess carriers, service companies
- Marketing Strategy
- Target Accounts
- Projected Growth
- Competition
- Risk Partners
- Program Information
- Detailed account of exposures (past and present)
- Number of members
- Average amount/member size
- Desired coverage by line of business
- Rating information by line of business
- Policy Forms
- Current policy forms
- Copies of all endorsements
- Pending changes (if applicable)
- Underwriting Administration
- Staff experience
- Underwriting guide and procedures
- Rating structure
- Breakdown of the premium dollar-expense components
- Loss Information
- Currently valued loss information for past 5 complete years, plus the most recent year
- Hard copy loss runs for all years
- Detailed description of all large losses excess of $50,000
- Summary of Group data by line
- Triangulated data (if available)
- Claims Administration and Management
- TPA or Staff experience (including resumes of claims personnel)
- Procedures, authority levels
- Large loss strategy
- Corporate philosophy of insured
- Copy of claims service agreement
- Actuarial Reports (if available)
- IBNR and loss reserve analysis
- Ultimate loss projections, by line
- Rate analysis and funding requirements
- Financials
- Audited financial statements (2 years)
- Captive
- Individual captive
- Investment strategy
- Dividend policy of the group
- Description of state of domicile taxes, assessments, and fees
- Loss Control
- Programs and guidelines
- Safety manual
- Copy of a specific report or survey
- Copy of service agreement
- Captive Entity Documents
- Incorporation documents
- By-laws
- Offering memorandum
Core Submission Information Requirements
Information required to obtain a deductible, excess of Self-Insured-Retention or reinsurance quote.
- Account Information
- Name and address of Insured
- Description of operations
- Number of years in existence
- Prior and current structure – including lines of coverage, retention, limits, excess carriers, service companies
- Marketing Strategy
- Competition
- Program Information
- Detailed account of exposures (5 years past and present)
- Projected Growth
- Desired coverages by line of business
- Rating information by line of business
- Coverage Requirements
- Current policy forms
- Copies of all specialty endorsements
- Pending changes (if applicable)
- Loss Information
- Currently valued loss information for at least the past 5 years, excluding the most recent year
- Hard copy loss runs for current period
- Detailed description of all large losses excess of $50,000
- Summary of Data by line
- Triangulated data or Actuarial Report if available
- Claims Administration And Management
- TPA or Staff experience (including resumes of claims personnel)
- Procedures & authority levels
- Large loss settlement strategy
- Copy of claims service agreement
- Financials
- Audited financial statements (2 Years)
- Most Recent 10Q or quarterly statement
- Loss Control
- Programs and guidelines
- Safety manual
- Copies of a specific reports or surveys
- Actuarial Reports
- Ultimate loss projections
- Loss review (funding analysis)
Copies of specific reports or surveys
To submit a submission online click here.
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