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Submission Requirements

Special Marketing Group Submission Information Requirements
Information required to finalize a captive program quote.
  1. Single Parent or Group Captive Information
    1. Name and address of Insured
    2. History of captive and/or group
      1. Purpose of formation
      2. Description of operations
      3. Number of years in existence
    3. Prior and current structure – including lines of coverage, retention, limits, excess carriers, service companies
    4. Marketing Strategy
      1. Target Accounts
      2. Projected Growth
      3. Competition
    5. Risk Partners

  2. Program Information
    1. Detailed account of exposures (past and present)
    2. Number of members
    3. Average amount/member size
    4. Desired coverage by line of business
    5. Rating information by line of business

  3. Policy Forms
    1. Current policy forms
    2. Copies of all endorsements
    3. Pending changes (if applicable)

  4. Underwriting Administration
    1. Staff experience
    2. Underwriting guide and procedures
    3. Rating structure
    4. Breakdown of the premium dollar-expense components

  5. Loss Information
    1. Currently valued loss information for past 5 complete years, plus the most recent year
    2. Hard copy loss runs for all years
    3. Detailed description of all large losses excess of $50,000
    4. Summary of Group data by line
    5. Triangulated data (if available)

  6. Claims Administration and Management
    1. TPA or Staff experience (including resumes of claims personnel)
    2. Procedures, authority levels
    3. Large loss strategy
    4. Corporate philosophy of insured
    5. Copy of claims service agreement

  7. Actuarial Reports (if available)
    1. IBNR and loss reserve analysis
    2. Ultimate loss projections, by line
    3. Rate analysis and funding requirements

  8. Financials
    1. Audited financial statements (2 years)
      1. Captive
      2. Individual captive
    2. Investment strategy
    3. Dividend policy of the group
    4. Description of state of domicile taxes, assessments, and fees

  9. Loss Control
    1. Programs and guidelines
    2. Safety manual
    3. Copy of a specific report or survey
    4. Copy of service agreement

  10. Captive Entity Documents
    1. Incorporation documents
    2. By-laws
    3. Offering memorandum
Core Submission Information Requirements
Information required to obtain a deductible, excess of Self-Insured-Retention or reinsurance quote.
  1. Account Information
    1. Name and address of Insured
    2. Description of operations
    3. Number of years in existence
    4. Prior and current structure – including lines of coverage, retention, limits, excess carriers, service companies
    5. Marketing Strategy
    6. Competition

  2. Program Information
    1. Detailed account of exposures (5 years past and present)
    2. Projected Growth
    3. Desired coverages by line of business
    4. Rating information by line of business

  3. Coverage Requirements
    1. Current policy forms
    2. Copies of all specialty endorsements
    3. Pending changes (if applicable)

  4. Loss Information
    1. Currently valued loss information for at least the past 5 years, excluding the most recent year
    2. Hard copy loss runs for current period
    3. Detailed description of all large losses excess of $50,000
    4. Summary of Data by line
    5. Triangulated data or Actuarial Report if available

  5. Claims Administration And Management
    1. TPA or Staff experience (including resumes of claims personnel)
    2. Procedures & authority levels
    3. Large loss settlement strategy
    4. Copy of claims service agreement

  6. Financials
    1. Audited financial statements (2 Years)
    2. Most Recent 10Q or quarterly statement

  7. Loss Control
    1. Programs and guidelines
    2. Safety manual
    3. Copies of a specific reports or surveys

  8. Actuarial Reports
    1. Ultimate loss projections
    2. Loss review (funding analysis)



 
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