SERFF Status: Closed State Tr Num: EFT $25 Made/Occurrence
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1 Project Name/Number: GL Forms In Response To Terrorism Risk Insurance Program Reauthorization Act Of 2007/ GL-AR Filing at a Glance Company: QBE Insurance Corporation Product Name: GL Forms In Response To SERFF Tr Num: QBEC State: Arkansas Terrorism Risk Insurance Program Reauthorization Act Of 2007 TOI: 17.0 Other Liability - Claims SERFF Status: Closed State Tr Num: EFT $25 Made/Occurrence Sub-TOI: Commercial General Liability Co Tr Num: State Status: Fees verified and received Filing Type: Form Co Status: Reviewer(s): Betty Montesi, Edith Roberts, Brittany Yielding Author: Marsha Layton Disposition Date: 03/28/2008 Date Submitted: 03/25/2008 Disposition Status: Approved Effective Date Requested (New): 06/01/2008 Effective Date (New): Effective Date Requested (Renewal): 06/01/2008 Effective Date (Renewal): State Filing Description: General Information Project Name: GL Forms In Response To Terrorism Risk Insurance Program Reauthorization Act Of 2007 Project Number: GL-AR Reference Organization: ISO Reference Title: Filing Status Changed: 03/28/2008 State Status Changed: 03/28/2008 Corresponding Filing Tracking Number: Status of Filing in Domicile: Pending Domicile Status Comments: Reference Number: CL-2007-OTRL1 Advisory Org. Circular: LI-GL Deemer Date: Filing Description: QBE is a subscriber of Insurance Services Office for General Liability Forms. ISO does not file on behalf of QBE. In response to the Terrorism Risk Insurance Program Reauthorization Act Of 2007, QBE is submitting for your approval the adoption of the ISO forms filing CL-2007-OTRL1.
2 Project Name/Number: GL Forms In Response To Terrorism Risk Insurance Program Reauthorization Act Of 2007/ GL-AR We will be implementing these revisions for all policies effective on and after June 1, Company and Contact Filing Contact Information Marsha Layton, Senior Compliance Analyst 2230 Village Mall Drive (419) [Phone] Mansfield, OH (419) [FAX] Filing Company Information QBE Insurance Corporation CoCode: State of Domicile: Pennsylvania 88 Pine Street - 16th Floor Group Code: 796 Company Type: New York, NY Group Name: QBE Insurance State ID Number: Group (212) ext. [Phone] FEIN Number: Filing Fees Fee Required? Yes Fee Amount: $25.00 Retaliatory? No Fee Explanation: $25.00 Reference Forms Filing Per Company: No COMPANY AMOUNT DATE PROCESSED TRANSACTION # QBE Insurance Corporation $ /25/
3 Project Name/Number: GL Forms In Response To Terrorism Risk Insurance Program Reauthorization Act Of 2007/ GL-AR Correspondence Summary Dispositions Status Created By Created On Date Submitted Approved Edith Roberts 03/28/ /28/2008
4 Project Name/Number: Disposition GL Forms In Response To Terrorism Risk Insurance Program Reauthorization Act Of 2007/ GL-AR Disposition Date: 03/28/2008 Effective Date (New): Effective Date (Renewal): Status: Approved Comment: Rate data does NOT apply to filing.
5 Project Name/Number: GL Forms In Response To Terrorism Risk Insurance Program Reauthorization Act Of 2007/ GL-AR Item Type Item Name Item Status Public Access Supporting Document Uniform Transmittal Document-Property & Approved Yes Casualty Supporting Document Cover Letter Approved Yes
6 Project Name/Number: GL Forms In Response To Terrorism Risk Insurance Program Reauthorization Act Of 2007/ GL-AR Rate Information Rate data does NOT apply to filing.
7 Project Name/Number: GL Forms In Response To Terrorism Risk Insurance Program Reauthorization Act Of 2007/ GL-AR Supporting Document Schedules Satisfied -Name: Uniform Transmittal Document- Property & Casualty Comments: Attachment: AR GL NAIC PC Trans Doc Forms Response To TRIPRA.PDF Review Status: Approved 03/28/2008 Review Status: Satisfied -Name: Cover Letter Approved 03/28/2008 Comments: Attachment: AR GL Forms Response To Terrorism Risk Insurance Act Progr.PDF
8 Effective March 1, 2007 Property & Casualty Transmittal Document 1. Reserved for Insurance Dept. Use Only 2. Insurance Department Use only a. Date the filing is received: b. Analyst: c. Disposition: d. Date of disposition of the filing: e. Effective date of filing: New Business Renewal Business f. State Filing #: g. SERFF Filing #: h. Subject Codes 3. Group Name Group NAIC # QBE Insurance Corporation Company Name(s) Domicile NAIC # FEIN # State # QBE Insurance Corporation PA Company Tracking Number GL-AR Contact Info of Filer(s) or Corporate Officer(s) [include toll-free number] 6. Name and address Title Telephone #s FAX # Marsha Layton 2230 Village Mall Drive Suite 1 Mansfield, OH Senior Product Compliance/ Development Analyst marsha.layton@ qbeamericas.com 7. Signature of authorized filer Marsha Layton 8. Please print name of authorized filer Marsha Layton Filing information (see General Instructions for descriptions of these fields) 9. Type of Insurance (TOI) 17.0 Other Liability Occ/Claims Made 10. Sub-Type of Insurance (Sub-TOI) Commercial General Liability 11. State Specific Product code(s)(if applicable)[see State Specific Requirements] N/A 12. Company Program Title (Marketing title) MidStates Contractors 13. Filing Type [ ] Rate/Loss Cost [ ] Rules [ ] Rates/Rules [ X ] Forms [ ] Combination Rates/Rules/Forms [ ] Withdrawal[ ] Other (give description) 14. Effective Date(s) Requested New: 06/01/08 Renewal: 06/01/ Reference Filing? [ X ] Yes [ ] No 16. Reference Organization (if applicable) ISO 17. Reference Organization # & Title CL-2007-OTRL1 18. Company s Date of Filing 03/25/ Status of filing in domicile [ ] Not Filed [ X ] Pending [ ] Authorized [ ] Disapproved PC TD-1 pg 1 of 2
9 Property & Casualty Transmittal Document 20. This filing transmittal is part of Company Tracking # GL-AR 21. Filing Description [This area can be used in lieu of a cover letter or filing memorandum and is free-form text] QBE is a subscriber of Insurance Services Office for General Liability Forms. ISO does not file on behalf of QBE. In response to the Terrorism Risk Insurance Program Reauthorization Act of 2007, QBE is submitting for your approval the adoption of the ISO forms filing CL-2007-OTRL1. We will be implementing these revisions for all policies effective on and after June 1, Filing Fees (Filer must provide check # and fee amount if applicable) [If a state requires you to show how you calculated your filing fees, place that calculation below] Check #: EFT Amount: $25.00 Refer to each state s checklist for additional state specific requirements or instructions on calculating fees. ***Refer to the each state s checklist for additional state specific requirements (i.e. # of additional copies required, other state specific forms, etc.) PC TD-1 pg 2 of National Association of Insurance Commissioners
10 Effective March 1, 2007 FORM FILING SCHEDULE (This form must be provided ONLY when making a filing that includes forms) (Do not refer to the body of the filing for the forms listing, unless allowed by state.) 1. This filing transmittal is part of Company Tracking # GL-AR This filing corresponds to rate/rule filing number (Company tracking number of rate/rule filing, if applicable) Form Name /Description/Synopsis As outlined under ISO circular LI-GL & approved under ISO circular LI-GL Form # Include edition date Replacement Or withdrawn? GL-AR If replacement, give form # it replaces Previous state filing number, if required by state PC FFS National Association of Insurance Commissioners
11 March 25, 2008 Honorable Julie Benafield Bowman Commissioner of Insurance Arkansas Insurance Department 1200 West Third Street Little Rock, Arkansas QBE Insurance Corporation NAIC # ; FEIN # DIVISION SIX GENERAL LIABILITY MidStates Contractors Program Filing of QBE Forms In Response to Terrorism Risk Insurance Program Reauthorization Act of 2007 Company ID Filing No: GL-AR QBE is a subscriber of Insurance Services Office for General Liability Forms. ISO does not file on behalf of QBE. In response to the Terrorism Risk Insurance Program Reauthorization Act of 2007, QBE is submitting for your approval the adoption of the ISO forms filing CL-2007-OTRL1. We will be implementing these revisions for all policies effective on and after June 1, This filing is being submitted via SERFF. Your acknowledgement of this filing would be greatly appreciated. If you have any questions, please feel free to contact me at 2230 Village Mall Drive, Suite 1, Mansfield, OH or by phone at (419) ext. 16 or by at marsha.layton@qbeamericas.com. Sincerely, Marsha Layton Marsha Layton Senior Product Compliance/Development Analyst Enc: Filing Fee - $25.00
Date Submitted: 08/04/2008 Disposition Status: Non-Adoption Effective Date Requested (New): 10/01/2008 Effective Date (New): 10/01/2008
Filing at a Glance Companies: Athena Assurance Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, St. Paul Protective Insurance
More informationTOI: 16.0 Workers Compensation Sub-TOI: 16.0000 WC Sub-TOI Combinations
/ Filing at a Glance Company: FirstComp Insurance Company SERFF Tr Num: FICI-125830891 State: Arkansas TOI: 16.0 Workers Compensation SERFF Status: Closed State Tr Num: EFT $50 Sub-TOI: 16.0000 WC Sub-TOI
More informationFiling at a Glance. General Information
InnKeepers Liability Coverage Endorsement (Bailment Coverage) 64002 (6/08)/ Filing at a Glance Companies: American Home Assurance Company, American International South Insurance Company, AIG Casualty Company,
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SERFF Tracking Number: ARKS-125405735 State: Arkansas Filing Company: 00006 - INSURANCE SERVICES OFFICE, INC. State Tracking Number: #104612 $300 Company Tracking Number: EC 2007-OTRL1 TOI: 33.0 Other
More informationFiling at a Glance. General Information. Company and Contact
11.0 - Claims Filing at a Glance Company: 00006 - INSURANCE SERVICES OFFICE, INC. SERFF Tr Num: ARKS-125411752 State: Arkansas 11.0 - Claims SERFF Status: Closed State Tr Num: #104677 $250 11.0000 Med
More informationFiling at a Glance. General Information. Company and Contact
05.0 Commercial Multi-Peril - & Non- Sub- Filing at a Glance Company: American Modern Home Insurance Company SERFF Tr Num: AMMH-125647073 State: Arkansas 05.0 Commercial Multi-Peril - & SERFF Status: Closed
More informationTOI: 20.0 Commercial Auto SERFF Status: Closed State Tr Num: #? $50 Co Tr Num: AR-CA-010709-BHHC- State Status: Fees verified
Filing at a Glance Companies: Cypress Insurance Company, Cornhusker Casualty Company SERFF Tr Num: CORN-125933535 State: Arkansas TOI: 20.0 SERFF Status: Closed State Tr Num: #? $50 Sub-TOI: 20.0002 Garage
More informationTOI: 35.0 Interline Filings Sub-TOI: 35.0002 Commercial Interline Filings
SERFF Tracking Number: WAUS-125566396 State: Arkansas First Filing Company: Employers Insurance Company of Wausau,... State Tracking Number: EFT $50 Company Tracking Number: MSF-CW-004-08 TOI: 35.0 Interline
More informationTOI: 16.0 Workers Compensation Sub-TOI: 16.0000 WC Sub-TOI Combinations
TOI: 16.0 Sub-TOI: 16.0000 WC Sub-TOI Combinations Terrorism Risk Ins Program Reauthorization Act of 2007/ Filing at a Glance Companies: Great American Alliance Insurance Company, Great American Assurance
More informationTOI: 16.0 Workers Compensation Sub-TOI: 16.0004 Standard WC
SERFF Tracking Number: QBCL-125829164 State: Arkansas First Filing Company: Southern Guaranty Insurance Company,... State Tracking Number: EFT $50 Company Tracking Number: 010109 11202S TOI: 16.0 Workers
More informationCompany Tracking Number: P#08254 TOI: 16.0 Workers Compensation Sub-TOI: 16.0002 Employers Liability WC
SERFF Tracking Number: CMPX-125952579 State: Arkansas Filing : Companion Property & Casualty Insurance State Tracking Number: EFT $50 Tracking Number: P#08254 TOI: 16.0 Workers Compensation Sub-TOI: 16.0002
More informationFiling at a Glance. General Information. Company and Contact
Filing at a Glance Companies: Great American Alliance Insurance Company, Great American Assurance Company, Great American Insurance Company, Great American Insurance Company of New York SERFF Tr Num: GRTA-125667912
More informationFiling at a Glance. General Information
Filing at a Glance Company: Florists' Mutual Insurance Company Product Name: AR WC Item U-1397 Adoption SERFF Tr Num: FLWR-125609090 State: Arkansas 7-1-08 TOI: 16.0 Workers Compensation SERFF Status:
More informationFiling at a Glance. General Information. Company and Contact. Company: 13565 - Arkansas Mutual Insurance Company
SERFF Tracking Number: ARKS-126116216 State: Arkansas Filing Company: 13565 - Arkansas Mutual Insurance Company State Tracking Number: #1426 $25 Company Tracking Number: 2009-01 TOI: 11.2 Med Mal-Claims
More informationSERFF Tracking Number: ULCC-125284734 State: Arkansas Filing Company: Ulico Casualty Company State Tracking Number: AR-PC-07-026039
SERFF Tracking Number: ULCC-125284734 State: Arkansas Filing Company: Ulico Casualty Company State Tracking Number: AR-PC-07-026039 Company Tracking Number: UCC-2007-AR-WC-03 TOI: 16.0 Workers Compensation
More informationTOI: 04.0 Homeowners Sub-TOI: 04.0000 Homeowners Sub-TOI Combinations Revised Rule 521 Water Sewer Backup for HCIC
Project Name/Number: Homeowners Multi Peril/ Filing at a Glance Company: Hartford Casualty Insurance Company Revised Rule 521 Water Sewer SERFF Tr Num: HART-125929339 State: Arkansas Backup for HCIC TOI:
More informationSERFF Tracking Number: AGNY-125606356 State: District of Columbia National Union Fire Insurance Company of. State Tracking Number: Pittsburgh, Pa.
SERFF Tracking Number: AGNY-125606356 State: District of Columbia Filing Company: National Union Fire Insurance Company of State Tracking Number: Pittsburgh, Pa. Company Tracking Number: AIC-08-EO-05 TOI:
More informationProject Name/Number: Non-Trucking Application and Renewal Questionnaire/DISC072007AP 08 07/DISC072007RQ 08 07
Project Name/Number: /DISC072007AP 08 07/DISC072007RQ 08 07 Filing at a Glance Company: Vanliner Insurance Company Non-Trucking Application and SERFF Tr Num: VANL-125349478 State: Arkansas Renewal Questionnaire
More informationVegaStream 2 - ISO Form Changes in Arkansas
SERFF Tracking Number: VANL-125693961 State: Arkansas Filing Company: Vanliner Insurance Company State Tracking Number: EFT $50 Company Tracking Number: AR CRM FORM 0708 TOI: 26.0 Burglary & Theft Sub-TOI:
More information05.1003 Commercial Package Portion Only
TRIA Update/ Filing at a Glance Company: Florists' Mutual Insurance Company SERFF Tr Num: FLWR-125579209 State: Arkansas SERFF Status: Closed State Tr Num: EFT $50 Co Tr Num: State Status: Fees verified
More informationTOI: 01.0 Property SERFF Status: Closed State Tr Num: EFT $100 Sub-TOI: 01.0001 Commercial Property (Fire and Allied Lines)
Project Name/Number: /20080107-08 Filing at a Glance Company: American Modern Home Insurance Company SERFF Tr Num: AMMH-125583707 State: Arkansas TOI: 01.0 Property SERFF Status: Closed State Tr Num: EFT
More informationFiling at a Glance. General Information
/ Filing at a Glance Companies: American Zurich Insurance Company, American Guarantee and Liability Insurance Company, Zurich American Insurance Company of Illinois, Zurich American Insurance Company Contractor/
More informationSERFF Tracking #: ADIN-130177690 State Tracking #: Company Tracking #: AIC-DC-CG/CU-HAB/REST-FO- 1015
SERFF Tracking #: ADIN-130177690 State Tracking #: Company Tracking #: AIC-DC-CG/CU-HAB/REST-FO- 1015 Filing at a Glance Company: State: TOI: Sub-TOI: Filing Type: Admiral Indemnity Company District of
More informationSERFF Tracking Number: LMUG-125263431 State: Arkansas First Filing Company: Liberty Insurance Corporation,... State Tracking Number: AR-PC-07-025842
LC Tobacco Exclusion - LC 21 54 08 07/ Filing at a Glance Companies: Liberty Insurance Corporation, Liberty Mutual Fire Insurance Company, LM Insurance Corporation, Liberty Mutual Insurance Company, The
More informationTOI: 35.0 Interline Filings Sub-TOI: 35.0002 Commercial Interline Filings
Filing at a Glance Companies: American Home Assurance Company, AIU Insurance Company, American International South Insurance Company, AIG Casualty Company, Commerce and Industry Insurance Company, Granite
More informationTOI: 17.0 Other Liability-Occ/Claims Made Sub-TOI: 17.0001 Commercial General Liability
Care, Custody or Control- Self Storage Items- 97307 (2/08)/ Filing at a Glance Companies: American Home Assurance Company, American International South Insurance Company, AIG Casualty Company, Commerce
More informationSERFF Tracking Number: CNAC-125272315 State: Arkansas First Filing Company: Continental Casualty Company,... State Tracking Number: AR-PC-07-025885
SERFF Tracking Number: CNAC-125272315 State: Arkansas First Filing Company: Continental Casualty Company,... State Tracking Number: AR-PC-07-025885 Company Tracking Number: 07-F2181-UMB TOI: 17.0 Other
More informationTOI: 05.0 CMP Liability and Non-Liability Sub-TOI: 05.0002 Businessowners
Submission of / Filing at a Glance Company: United States Liability Insurance Company SERFF Tr Num: WESA-126058265 State: Wisconsin TOI: 05.0 CMP Liability and Non-Liability SERFF Status: Closed State
More informationFor Informational Purposes. Authors: Deborah Fisher, Joanne Disposition Date: 01/23/2012
TOI: L04I - Term Sub-TOI: L04I.103 Renewable - Single Life - Filing at a Glance Company: Household Life Insurance Company TOI: L04I - Term Sub-TOI: L04I.103 Renewable - Single Life - Filing Type: Form
More informationTOI: 09.0 Inland Marine Sub-TOI: 09.0005 Other Commercial Inland Marine Product Name: Transportation Rate Filing 2007
Project Name/Number: / Filing at a Glance Company: Maxum Casualty Insurance Company SERFF Tr Num: MXCC-125344646 State: Arkansas TOI: 09.0 Inland Marine SERFF Status: Closed State Tr Num: Sub-TOI: 09.0005
More informationFiling at a Glance. General Information
SERFF Tracking Number: MCHX-125958279 State: Arkansas Filing Company: OM Financial Life Insurance Company State Tracking Number: 41169 Company Tracking Number: OMAD 6201 (10-2008) TOI: L04I Individual
More informationTOI: 19.0 Personal Auto Sub-TOI: 19.0001 Private Passenger Auto (PPA)
/ Filing at a Glance Company: National General Insurance Company SERFF Tr Num: GMMX- State: Wisconsin G127107534 TOI: 19.0 Personal Auto SERFF Status: Closed-Filed State Tr Num: Sub-TOI: 19.0001 Private
More informationTOI: 20.0 Commercial Auto Sub-TOI: 20.0001 Business Auto
SERFF Tracking Number: PRGS-125378585 State: Arkansas Filing Company: United Financial Casualty Company State Tracking Number: EFT $50 Company Tracking Number: L061306-AR-PCA TOI: 20.0 Commercial Auto
More informationCompany Tracking Number: 00-T1 TOI: L04I Individual Life - Term Sub-TOI: L04I.003 Single Life - Single Premium
Project Name/Number: /00-T1 Filing at a Glance Company: SERFF Tr Num: GARD-126615290 State: Arkansas TOI: L04I Individual Life - Term SERFF Status: Closed-Filed- State Tr Num: 45745 Closed Sub-TOI: L04I.003
More informationTOI: MS06 Medicare Supplement - Other SERFF Status: Closed-Filed State Tr Num: Sub-TOI: MS06.000 Medicare Supplement - Co Tr Num: CIC-1000
/ Filing at a Glance Company: Conseco Insurance Company Medicare Supplement SERFF Tr Num: CNSC-126609435 State: Wisconsin Withdrawal TOI: MS06 Medicare Supplement - Other SERFF Status: Closed-Filed State
More informationSERFF Tracking #: SMPJ-129807620 State Tracking #: Company Tracking #: 14-IR-WC-9018R
Product Name: Employers Liability WC Filing at a Glance Company: Product Name: State: TOI: Sub-TOI: Filing Type: Sompo Japan Insurance Company of America Employers Liability WC District of Columbia 16.0
More informationTOI: 17.2 Other Liability - Occurrence Only SERFF Status: Closed State Tr Num: EFT $100.00
SERFF Tracking Number: SFMA-125333366 State: Arkansas Filing Company: State Tracking Number: EFT $100.00 Company Tracking Number: TOI: 17.2 Other Liability - Occurrence Only Sub-TOI: 17.2021 Personal Umbrella
More informationTOI: L07I Individual Life - Whole SERFF Status: Closed State Tr Num: 41167 Sub-TOI: L07I.101 Fixed/Indeterminate Co Tr Num:
Filing Company: Security National Insurance Company State Tracking Number: 41167 TOI: L07I Individual - Whole Sub-TOI: L07I.101 Fixed/Indeterminate Premium - Single Filing at a Glance Company: Security
More informationTOI: 20.0 Commercial Auto Sub-TOI: 20.0000 Commercial Auto Combinations
/ Filing at a Glance Company: Star Insurance Company Star-General-Auto-Composite SERFF Tr Num: MEAD-126985694 State: Wisconsin Per Unit-0111 TOI: 20.0 Commercial Auto SERFF Status: Closed-Filed State Tr
More informationTOI: 09.0 Inland Marine Sub-TOI: 09.0004 Pet Insurance Plans
Filing at a Glance Company: Central States Indemnity Co. of Omaha SERFF Tr Num: CSIN-126257827 State: Wisconsin TOI: 09.0 Inland Marine SERFF Status: Closed State Tr Num: Sub-TOI: 09.0004 Pet Insurance
More informationFiling at a Glance. General Information. Company and Contact. Company: Western-Southern Life Assurance Company
/ Filing at a Glance Company: Western-Southern Life Assurance Company Single Premium Whole Life SERFF Tr Num: WSST-125087774 State: Wisconsin 2006/Legacy Master/Schedule Page Informational/WSLAC/CH TOI:
More informationSERFF Tracking Number: PHAR-125833359 State: District of Columbia Filing Company: Pharmacists Mutual Insurance Company State Tracking Number:
SERFF Tracking Number: PHAR-125833359 State: District of Columbia Filing Company: Pharmacists Mutual Insurance Company State Tracking Number: Company Tracking Number: DC-PHL/CSP-01-09-R TOI: 11.2 Medical
More informationFiling at a Glance. The Guardian Life Insurance Company of America. Product Name: DC 3/5/14 CI Filing
SERFF Tracking #: GARD-129444557 State Tracking #: Company Tracking #: State: District of Columbia Filing Company: The Guardian Life Insurance Company of America TOI/Sub-TOI: H07G Group Health - Specified
More informationTOI: 17.2 Other Liability-Occ Only SERFF Status: Closed State Tr Num: Sub-TOI: 17.2020 Commercial Umbrella & Co Tr Num: NWIES0707
Project Name/Number: /NWES0707 Filing at a Glance Companies: American Automobile Insurance Company, Associated Indemnity Corporation, Fireman's Fund Insurance Company, National Surety Corporation, The
More informationFor Informational Purposes Sub-TOI: L08.000 Life - Other Co Tr Num: WANDA HILL State Status: Filed-Closed
Project Name/Number: / Filing at a Glance Company: United of Omaha Life Insurance Company 2009 Drop Ticket Informational SERFF Tr Num: MUTM-126496393 State: Arkansas Letter TOI: L08 Life - Other SERFF
More informationSERFF Tracking #: AMMH-130365716 State Tracking #: Company Tracking #: 20151208-05
Product Name: Filing at a Glance Company: Product Name: State: TOI: Sub-TOI: Filing Type: American Modern Home Insurance Company District of Columbia 09.0 Inland Marine 09.0004 Pet Insurance Plans Rule
More informationTOI: 17.1 Other Liability - Claims Made Only Sub-TOI: 17.1019 Professional Errors & Omissions Liability
SERFF Tracking Number: CATL-125892402 State: Arkansas Filing Company: Catlin Insurance Company, Inc. State Tracking Number: EFT $100 Company Tracking Number: 08-OL-PL003-CW-AR-R TOI: 17.1 Other Liability
More informationAR-MEDAMERICA DENIED CLAIMS, LAPSE/REPLACEMENT AND SUITABILITY REPORTS
TOI: LTC6 Long Term Care - Other Sub-TOI: LTC6. Long Term Care - Other AR-MedAmerica Denied Claims, Lapse/Replacement AR- MedAmerica Denied Claims, Lapse/Replacement /AR- MedAmerica Denied Claims, Lapse/Replacement
More informationSERFF Tracking #: SMPJ-130229500 State Tracking #: Company Tracking #: 15-I-GL-9011
SERFF Tracking #: SMPJ-130229500 State Tracking #: Company Tracking #: 15-I-GL-9011 State: District of Columbia Filing Company: Sompo Japan Insurance Company of America TOI/Sub-TOI: 17.0 Other Liability-Occ/Claims
More informationTOI: 17.1 Other Liability - Claims Made Only SERFF Status: Closed State Tr Num: EFT $100 Sub-TOI: 17.1019 Professional Errors & Omissions Liability
SERFF Tracking Number: AGNY-125416150 State: Arkansas Filing Company: Company Tracking Number: National Union Fire Insurance Company of Pittsburgh, Pa. AIC-07-EO-08 State Tracking Number: EFT $100 TOI:
More informationThe requested effective date is 7/03/08. However, AAIC prefers an earlier effective date coincident with the date of your
Filing at a Glance Company: American Alternative Insurance Corp Pet Health Policies, SERFF Tr Num: FRCS-125722242 State: Arkansas Supplemental Forms and Rating TOI: 09.0 Inland Marine SERFF Status: Closed
More informationTOI: L04I Individual Life - Term Sub-TOI: L04I.103 Renewable - Single Life - Fixed/Indeterminate Premium
/28-86 Filing at a Glance Company: National Life Insurance Company TOI: L04I Individual Life - Term Sub-TOI: L04I.103 Renewable - Single Life - Filing Type: Form Implementation Date Requested: On Approval
More informationFiling Status Changed: 12/09/2010 State Status Changed: Deemer Date: 01/07/2011
n Filing/ Filing at a Glance Companies: Great American Insurance Company, Great American Assurance Company, Great American Insurance Company of New York, Great American Alliance Insurance Company Alt Mkts
More informationSERFF Tracking #: USAA-130216478 State Tracking #: Company Tracking #: PA1520097
State: Pennsylvania First Filing Company: Garrison Property and Casualty Insurance Company,... Filing at a Glance Companies: State: TOI: Sub-TOI: Filing Type: Garrison Property and Casualty Insurance Company
More informationSERFF Tracking #: HART-129755512 State Tracking #: Company Tracking #: FN.09.076025.2015.01
SERFF Tracking #: HART-129755512 State Tracking #: Company Tracking #: FN.09.076025.2015.01 State: District of Columbia Filing Company: Hartford Casualty Insurance Company TOI/Sub-TOI: 17.2 Other Liability-Claims
More informationTOI: 11.2 Med Mal-Claims Made Only Sub-TOI: 11.2003 Chiropractic
Project Name/Number: / Filing at a Glance Company: Philadelphia Indemnity Insurance Company SERFF Tr Num: PHLX- State: Wisconsin G128466269 TOI: 11.2 Med Mal-Claims Made Only SERFF Status: Closed-Filed
More informationSERFF Tracking Number: PPIC-126954632 State: District of Columbia Filing Company: Preferred Professional Insurance Company State Tracking Number:
Project Name/Number: Rule Manual Revision/ Filing at a Glance Company: Preferred Professional Insurance Company Physicians & Surgeons SERFF Tr Num: PPIC-126954632 State: District of Columbia Professional
More informationState Status Changed: 04/28/2010 Created By: Exselsa Cartwright
Project Name/Number: SUSA/91/91 Filing at a Glance Company: S.USA Life Insurance Company, Inc. SERFF Tr Num: FRCS-126602189 State: Arkansas TOI: L07I Individual Life - Whole SERFF Status: Closed-Approved-
More informationTOI: MS06 Medicare Supplement - Other Sub-TOI: MS06.000 Medicare Supplement - Other Medicare Supplement Lead Generation Advertising
Filing at a Glance Company: Bankers Fidelity Life Insurance Company Medicare Supplement Lead SERFF Tr Num: BFLI-126281325 State: Arkansas Generation Advertising TOI: MS06 Medicare Supplement - Other SERFF
More informationClosed Sub-TOI: L08.000 Life - Other Co Tr Num: AR0911952 State Status: Approved-Closed
Comparison (Replacement) Questionnaire/ Filing at a Glance Company: USAA Life Insurance Company Comparison (Replacement) SERFF Tr Num: UNSA-126298161 State: Arkansas Questionnaire (life) TOI: L08 Life
More informationSERFF Status: Closed-Filed- State Tr Num: 43499 9/14/09 A156314 AR PRU
Project Name/Number: / Filing at a Glance Company: Pruco Life Insurance Company Group Filing 9/14/09 A156314 AR PRU TOI: A03I Individual Annuities - Deferred Variable Sub-TOI: A03I.002 Flexible Premium
More informationSERFF Tracking #: ICCI-129123690 State Tracking #: Company Tracking #: B-BTP ACC-13-P-R
Product Name: Pan-Am Blanket Group Accident Policy B-BTP-ACC-13-P Filing at a Glance Company: Pan-American Life Insurance Company Product Name: Pan-Am Blanket Group Accident Policy B-BTP-ACC-13-P State:
More informationTOI: L07I Individual Life - Whole SERFF Status: Closed State Tr Num: Sub-TOI: L07I.121 Graded Premium - Single Co Tr Num: 11778
/11778 Filing at a Glance Company: CSI Life Insurance Company Graded Death Benefit Whole SERFF Tr Num: CSIN-125750219 State: Wisconsin Life Insurance TOI: L07I Individual Life - Whole SERFF Status: Closed
More informationSERFF Tracking #: FHLA-129477086 State Tracking #: Company Tracking #: DCL6RATES
SERFF Tracking #: FHLA-129477086 State Tracking #: Company Tracking #: DCL6RATES State: District of Columbia Filing Company: Family Heritage Life Insurance Company of America TOI/Sub-TOI: Product Name:
More informationTOI: 17.2 Other Liability - Occurrence Only Sub-TOI: 17.2023 Veterinarian
SERFF Tracking Number: PHLX-125331455 State: Arkansas Filing Company: Philadelphia Indemnity Insurance Company State Tracking Number: AR-PC-07-026507 Company Tracking Number: PR AR0031102F01 TOI: 17.2
More informationSERFF Tracking #: QBEC-130012955 State Tracking #: Company Tracking #: 15-2521-AR-RATE
SERFF Tracking #: QBEC-130012955 State Tracking #: Company Tracking #: 15-2521-AR-RATE State: Arkansas Filing Company: QBE Insurance Corporation TOI/Sub-TOI: 04.0 Homeowners/04.0000 Homeowners Sub-TOI
More informationProject Number: SVF PX Date Approved in Domicile: 02/09/2010
Project Name/Number: / Filing at a Glance Company: Transamerica Financial Life Insurance Company SERFF Tr Num: AEGN-127173488 State: Arkansas TOI: A03G Group Annuities - Deferred Variable SERFF Status:
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SERFF Tracking Number: QBEC-125626574 State: Arkansas Filing Company: Praetorian Insurance Company State Tracking Number: EFT $50 Company Tracking Number: 08-111-002-ML-AR TOI: 01.0 Property Sub-TOI: 01.0001
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More informationSTATE OF NEVADA. December 5, 2011
BRIAN SANDOVAL Governor STATE OF NEVADA TERRY JOHNSON Director SCOTT J. KIPPER Commissioner DEPARTMENT OF BUSINESS AND INDUSTRY DIVISION OF INSURANCE 1818 East College Pkwy., Suite 103 Carson City, Nevada
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