The Delaware SL Form is a document required for surplus lines insurance in Delaware. This form must be signed by the licensed producing agent and submitted to the licensed surplus lines broker. It ensures compliance with state regulations and must be retained for examination by the commissioner for five years after coverage issuance.
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The Delaware Surplus Lines (SL) form is a crucial document in the realm of insurance, particularly for those navigating the complexities of obtaining coverage from non-licensed insurers. This form serves several key purposes, ensuring that both agents and brokers adhere to state regulations while providing necessary protections for insured parties. It must be signed by the licensed producing agent and forwarded to the licensed surplus lines broker, or alternatively, signed and retained by the surplus lines broker as part of their records. Importantly, the form must remain available for examination by the Commissioner for a period of five years following the issuance of the related coverage. The SL form requires detailed information, including the policy number, the name of the surplus lines insurer, and the insured's information, along with a declaration of diligent effort to secure coverage from licensed insurers. If such coverage cannot be obtained, the form outlines the reasons for seeking coverage from non-licensed companies, emphasizing that this step is not taken lightly. Additionally, it mandates that the insured is fully informed about the implications of choosing a non-licensed insurer, including the absence of protections typically offered by the Delaware Insurance Guaranty Association. Thus, the Delaware SL form plays a pivotal role in maintaining transparency and accountability within the insurance market, ensuring that all parties are aware of their rights and responsibilities.
When filling out the Delaware SL form, it is essential to follow certain guidelines to ensure accuracy and compliance. Here are nine important dos and don'ts:
Adhering to these guidelines is crucial for a smooth process and to avoid potential legal issues. Take the time to review the form carefully before submission.
THIS FORM MUST SIGNED BY THE LICENSED PRODUCING AGENT AND FORWARDED TO THE LICENSED SURPLUS LINES BROKER OR SIGNED AND RETAINED BY THE SL BROKER
RETAIN AS PART OF SURPLUS LINES BROKER RECORDS
THIS FORM MUST BE OPEN TO EXAMINATION BY THE COMMISSIONER AT ALL TIMES FOR 5 YEARS AFTER ISSUANCE OF THE COVERAGE TO WHICH IT RELATES. (18 DEL. C., §1915)
Submitted by: (select one)
DELAWARE INSURANCE DEPARTMENT
PRODUCER
SURPLUS LINES
SL BROKER
STATEMENT OF DILIGENT EFFORT
Form SL-1904
v.06-2
DO NOT SUBMIT THIS FORM TO THE INSURANCE DEPARTMENT
POLICY NUMBER
SURPLUS LINES INSURER NAME
NAIC #
INSURED'S NAME AND MAILING ADDRESS:
POLICY TERM INFORMATION
Name:
Effective Date
Expiration Date
Address:
MM/DD/YYYY Format
AMOUNT OF INSURANCE
Property
$
Casualty
LOCATION OF RISK
DESCRIPTION OF COVERAGE:
I declare under the penalties provided by law that I have made a diligent effort to procure the insurance coverage described above from licensed insurers which are authorized to transact the class of insurance involved and which accept, in the usual course of business, insurance on risks of the same class as the risk described above. Having been unable to secure such coverage, I have resorted to coverage with companies not licensed to operate in the State of Delaware and which are not under the jurisdiction of the Insurance Department of the State of Delaware.
Furthermore, this insurance was not exported for the purpose of securing lower rates than would be accepted by an authorized insurer or because of the terms of the contract.
Among the licensed insurers declining to insure this risk or declining to increase the amount of insurance on this risk, are the following:
1.Name & NAIC # of Insurer: Name & Telephone # of Contact:
Reason for Declining:
2.Name & NAIC # of Insurer: Name & Telephone # of Contact: Reason for Declining:
3.Name & NAIC # of Insurer: Name & Telephone # of Contact: Reason for Declining:
I further attest that I have explained to the insured that the insurance described herein is being placed with an insurance company not authorized to do business in Delaware. The insured understands that the insurance company is not a member of the Delaware Insurance Guaranty Association and that Chapter 42 of the Delaware Insurance Code is not applicable to claimants or insureds of said company. As required in 18 Del. C., §1909, I have delivered to the insured evidence of the insurance upon which has been stamped:
“This insurance contract is issued pursuant to the Delaware Insurance Laws by an insurer neither licensed by nor under the jurisdiction of the Delaware Insurance Department.”
I declare that I have the insurance coverage here described was procured pursuant to Chapter 19 of Title 18, the Delaware Insurance Code, and that the information contained in this submission is true.
Name of Producer/ SL
DE Lic # of
Agency
(Type or print name of Agency)
DE Lic #
Broker
Individual
(Type or print name of Individual)
Producer/ SL Broker
Signature
Sign Here
Date:
Blank SL-1904-06
Direct any questions to: Ann.Fletcher@state.de.us
The Delaware Surplus Lines (SL) form shares similarities with the Non-Admitted Insurance Application, which is used in many states. Both documents require the applicant to demonstrate that they have made a diligent effort to secure coverage from licensed insurers. In the case of the Non-Admitted Insurance Application, the applicant must also provide a list of insurers who declined to provide coverage, similar to the requirements outlined in the Delaware SL form. This ensures transparency and accountability in the insurance procurement process.
Another document akin to the Delaware SL form is the Surplus Lines Declaration Form. This form is often used to declare that insurance coverage has been placed with a non-admitted insurer after exhausting all options with admitted carriers. Like the Delaware SL form, it requires detailed information about the risk, the coverage sought, and the reasons for resorting to a non-admitted insurer. Both forms aim to protect consumers by ensuring they understand the implications of using non-admitted insurance.
The Excess and Surplus Lines Insurance Application is also similar to the Delaware SL form. This application serves a similar purpose in documenting efforts made to secure coverage from licensed insurers. It requires the applicant to outline the reasons for seeking coverage from an excess and surplus lines carrier. Both documents emphasize the importance of due diligence in the insurance procurement process, aiming to ensure that applicants are making informed decisions.
The Certificate of Insurance for Surplus Lines is another document that parallels the Delaware SL form. This certificate provides evidence that insurance coverage has been obtained through a surplus lines broker. Similar to the Delaware SL form, it includes disclosures about the non-admitted status of the insurer and the lack of protection from state guaranty funds. This ensures that all parties involved are aware of the risks associated with non-admitted insurance.
The Application for Surplus Lines Coverage is yet another document that resembles the Delaware SL form. This application requires the producer to provide details about the risk and the efforts made to obtain coverage from licensed insurers. Both documents serve as a formal record of the diligence exercised in seeking coverage, reinforcing the importance of transparency in the insurance process.
The Surplus Lines Broker Affidavit is comparable to the Delaware SL form as well. This affidavit is a sworn statement by the surplus lines broker affirming that they have complied with all statutory requirements in placing coverage with a non-admitted insurer. Similar to the Delaware SL form, it aims to protect consumers by ensuring that brokers adhere to regulations while securing necessary insurance coverage.
The Notice to Insured for Non-Admitted Insurance is another document that aligns with the Delaware SL form. This notice informs the insured about the non-admitted status of their insurer and the potential risks involved. It is similar to the Delaware SL form in that it requires the broker to explain the implications of using a non-admitted insurer, ensuring that the insured is fully informed before proceeding with coverage.
Understanding the various forms related to insurance, such as the Delaware SL Form, is essential for both brokers and insureds to navigate the complexities of coverage. These documents ensure clarity and communication throughout the process, similar to the necessary documentation provided in child support cases. For those in Texas, securing the appropriate form is crucial, and you can find more information through All Texas Forms to assist in managing child support obligations effectively.
Finally, the Statement of Diligent Effort Form is closely related to the Delaware SL form. This statement outlines the efforts made to obtain coverage from licensed insurers and is often required in conjunction with surplus lines applications. Like the Delaware SL form, it emphasizes the necessity of documenting the due diligence performed in seeking insurance, ensuring that the process remains transparent and accountable.
Incomplete Information: Failing to fill out all required fields can lead to delays or rejection of the form. Ensure that every section, including the policy number and insured's name, is complete and accurate.
Incorrect Format: The dates must be entered in the specified MM/DD/YYYY format. Using an incorrect date format can result in processing errors.
Neglecting Diligent Effort Documentation: Not providing a thorough list of licensed insurers that declined to cover the risk can undermine the validity of the submission. Each insurer’s name, contact information, and reason for declining should be clearly documented.
Failure to Inform the Insured: It is crucial to explain to the insured that the coverage is being placed with an unlicensed insurer. Not doing so can lead to misunderstandings about the insurance's validity and the lack of protections under Delaware law.
Signature Issues: The form must be signed by the licensed producing agent. If the signature is missing or incorrect, the submission will not be considered valid. Always double-check that the signature is present and matches the name printed on the form.
When dealing with the Delaware Surplus Lines (SL) form, several other documents and forms may be required to ensure compliance with state regulations. Each of these documents serves a specific purpose in the process of obtaining surplus lines insurance. Below is a list of commonly used forms that accompany the Delaware SL form.
Each of these documents plays a crucial role in the surplus lines insurance process, ensuring that all parties are informed and compliant with Delaware's insurance regulations. Proper management of these forms will help facilitate a smoother transaction and protect the interests of both the insured and the broker.
Completing the Delaware SL form requires careful attention to detail. This document must be signed by the licensed producing agent and forwarded to the licensed surplus lines broker. Alternatively, it can be signed and retained by the surplus lines broker as part of their records. The form must be available for examination by the Commissioner for five years after the issuance of the coverage it relates to.
After completing the form, ensure that all information is accurate and legible. Retain a copy for your records, as it may be required for future reference or compliance checks.
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