Filing at a Glance. General Information. Company and Contact
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- Jonathan Leonard
- 10 years ago
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1 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 State: Arkansas TOI: 17.0 Other Liability - Claims SERFF Status: Closed State Tr Num: EFT $150 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 Author: Kelli Morress Disposition Date: 06/25/2008 Date Submitted: 06/19/2008 Disposition Status: Approved Effective Date Requested (New): 07/21/2008 Effective Date (New): Effective Date Requested (Renewal): 07/21/2008 Effective Date (Renewal): State Filing Description: General Information Project Name: TELEPHONE DIRECTORY LIABILITY Project Number: gl AR 0805 telc Reference Organization: Reference Title: Filing Status Changed: 06/25/2008 State Status Changed: 06/25/2008 Corresponding Filing Tracking Number: Status of Filing in Domicile: Pending Domicile Status Comments: Reference Number: Advisory Org. Circular: Deemer Date: Filing Description: telephone directory liability rate/rule and form Company and Contact Filing Contact Information
2 Kelli Morress, Sr. State Filing Technician 49 East 4th street (513) [Phone] Cincinnati, OH (513) [FAX] Filing Company Information Great American Alliance Insurance Company CoCode: State of Domicile: Ohio 580 Walnut Street Group Code: 84 Company Type: P&C Cincinnati, OH Group Name: State ID Number: (513) ext. [Phone] FEIN Number: Great American Assurance Company CoCode: State of Domicile: Ohio 580 Walnut Street Group Code: 84 Company Type: P&C Cincinnati, OH Group Name: State ID Number: (513) ext. [Phone] FEIN Number: Great American Insurance Company CoCode: State of Domicile: Ohio 580 Walnut Street Group Code: 84 Company Type: P&C Cincinnati, OH Group Name: State ID Number: (513) ext. [Phone] FEIN Number: Great American Insurance Company of New CoCode: State of Domicile: New York York 580 Walnut Street Group Code: 84 Company Type: P&C Cincinnati, OH Group Name: State ID Number: (513) ext. [Phone] FEIN Number:
3 Filing Fees Fee Required? Yes Fee Amount: $ Retaliatory? No Fee Explanation: RATE PER GROUP = FORMS PER GROUP = Per Company: No COMPANY AMOUNT DATE PROCESSED TRANSACTION # Great American Alliance Insurance Company $ /19/2008 Great American Assurance Company $ /19/2008 Great American Insurance Company $ /19/ Great American Insurance Company of New York $ /19/2008 CHECK NUMBER CHECK AMOUNT CHECK DATE $ /13/ $ /13/2008
4 Correspondence Summary Dispositions Status Created By Created On Date Submitted Approved Edith Roberts 06/25/ /25/2008
5 Disposition Disposition Date: 06/25/2008 Effective Date (New): Effective Date (Renewal): Status: Approved Comment: Rate data does NOT apply to filing. Overall Rate Information for Multiple Company Filings Overall Percentage Rate Indicated For This Filing 0.000% Overall Percentage Rate Impact For This Filing 0.000% Effect of Rate Filing-Written Premium Change For This Program $0 Effect of Rate Filing - Number of Policyholders Affected 0
6 Item Type Item Name Item Status Public Access Supporting Document Uniform Transmittal Document-Property & Approved Yes Casualty Supporting Document COVER LETTERS Approved Yes Form telephone directory liability Approved Yes
7 Form Schedule Review Status Approved Form Name Form # Edition Date Form Type Action Action Specific Data Readability Attachment telephone cg /08 Endorseme New 0.00 CG8418EI.p directory liability nt/amendm df ent/conditi ons
8 Offices 580 Walnut Street Cincinnati, Ohio Tel: CG ABCDAdministrative (Ed ) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TELEPHONE DIRECTORY LIABILITY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART In SECTION V - DEFINITIONS, the definition of "personal and advertising injury" is changed by adding the following to the list of offenses out of which "personal and advertising injury" can arise: publication, by or for you, of a telephone directory that includes a misprint, typographical error, or omission, or that wrongfully publishes a telephone number the telephone subscriber has requested be unlisted. This endorsement does not change any other provision of the Policy. CG (Ed. 04/08) XS
9 Rate Information Rate data does NOT apply to filing.
10 Supporting Document Schedules Satisfied -Name: Comments: N/A Attachment: ARTRANSMITTAL.pdf Uniform Transmittal Document- Property & Casualty Review Status: Approved 06/25/2008 Review Status: Satisfied -Name: COVER LETTERS Approved 06/25/2008 Comments: N/A Attachment: FORMSLTR.pdf
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Filing 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
Filing 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
Filing 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,
Filing 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/
SERFF 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:
SERFF 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
SERFF 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
TOI: 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
TOI: 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
TOI: 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
SERFF 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
TOI: 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:
SERFF Tracking #: HNVX-G129898950 State Tracking #: Company Tracking #: DC150350100010
Product Name: *MPL- Miscellaneous Professional Liability Filing at a Glance Company: Product Name: State: TOI: Sub-TOI: Filing Type: The Hanover Insurance Company *MPL- Miscellaneous Professional Liability
TOI: 17.2 Other Liability-Occ Only Sub-TOI: 17.2001 Commercial General Liability
/ Filing at a Glance Company: Great American Spirit Insurance Company SERFF Tr Num: GRTA-125596599 State: Wisconsin TOI: 17.2 Other Liability-Occ Only SERFF Status: Closed State Tr Num: Sub-TOI: 17.2001
Status of Filing in Domicile: Not Filed
Filing at a Glance Company: MetLife Insurance Company of Connecticut SERFF Tr Num: METD-125969626 State: ArkansasLH TOI: A03I Individual Annuities - Deferred SERFF Status: Closed State Tr Num: 41346 Variable
TOI: 17.0 Other Liability - Claims Made/Occurrence Sub-TOI: 17.0019 Professional Errors & Omissions Liability
SERFF Tracking Number: TRVD-125802076 State: Arkansas First Filing Company: The Charter Oak Fire Insurance Company,... State Tracking Number: EFT $50 Company Tracking Number: 2008-08-0066-F TOI: 17.0 Other
TOI: 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
TOI: 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
The 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
SERFF 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
TOI: 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
SERFF 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:
SERFF 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
Filing at a Glance. General Information
Filing at a Glance Company: Freedom Life Insurance Company of America FLICA Individual SERFF Tr Num: USHG-125738978 State: ArkansasLH First Occurrence Heart Attack/Cancer TOI: H07I Individual Health -
TOI: 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:
SERFF Tracking #: MRTN-130013987 State Tracking #: Company Tracking #: CL DC008230200009
Product Name: Cover Pro Miscellaneous Professional Liability Short Renewal Application Filing at a Glance Company: Product Name: State: TOI: Sub-TOI: Filing Type: Philadelphia Indemnity Insurance Company
AR-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
SERFF 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
Closed 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
SERFF Tracking #: ZURC-128805817 State Tracking #: Company Tracking #: CW OL 35534
Product Name: Primary Health Care Liability Policy Endorsements Filing at a Glance Company: Product Name: State: TOI: Sub-TOI: Filing Type: Zurich American Insurance Company Primary Health Care Liability
Filing at a Glance. General Information
SERFF Tracking Number: ZURC-126193280 State: Wisconsin First Filing Company: American Zurich Insurance Company,... State Tracking Number: Company Tracking Number: CW-GL-28564 TOI: 17.1 Other Liability-Occ
Filing 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
Filing at a Glance. Sagicor Life Insurance Company Baltimore Life/Sagicor Assumption District of Columbia L01.000 Life - Assumption Agreement
Filing at a Glance Company: State: TOI: Sub-TOI: Filing Type: Sagicor Life Insurance Company District of Columbia L01 Life - Assumption Agreement L01.000 Life - Assumption Agreement Date Submitted: 11/12/2014
SERFF Tracking #: SHPW-128659165 State Tracking #: Company Tracking #: INS-00071 (08/11) ADWORDS 1, 6, 7, 8, 9,...
SERFF Tracking #: SHPW-128659165 State Tracking #: Company Tracking #: INS-00071 (08/11) ADWORDS 1, 6, 7, 8, Filing at a Glance Company: Security Health Plan of Wisconsin, Inc. State: TOI: Sub-TOI: Filing
Company 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
Closed Sub-TOI: L04I.500 Other Co Tr Num: PLF11AA0AR State Status: Approved-Closed
SERFF Tracking Number: MCHX-G127138026 State: Arkansas Filing Company: Primerica Life Insurance Company State Tracking Number: 48581 Company Tracking Number: PLF11AA0AR TOI: L04I Individual Life - Term
SERFF 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:
SERFF 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
TOI: LTC03I Individual Long Term Care Sub-TOI: LTC03I.003 Other Individual Long Term Care- Other
SERFF Tracking Number: NALF-126305095 State: Arkansas Filing Company: National Life Insurance Company State Tracking Number: 43512 Company Tracking Number: TOI: LTC03I Individual Long Term Care Sub-TOI:
This advertising material is new and does not replace any advertisements filed by Genworth Life Insurance Company.
SERFF Tracking Number: GEFA-125987509 State: Wisconsin Filing Company: Genworth Life Insurance Company State Tracking Number: Company Tracking Number: TOI: LTC03I Individual Long Term Care Sub-TOI: LTC03I.001
SERFF Tracking #: CUNA-128703657 State Tracking #: Company Tracking #: 2009-SPWL MEMO
Filing at a Glance Company: State: TOI: Sub-TOI: Filing Type: CMFG Life Insurance Company Arkansas L07I Individual Life - Whole L07I.111 Single Premium - Single Life Form Date Submitted: 10/09/2012 SERFF
L09I.001 Single Life Adjustable Life Flexible Premium Adjustable Life Insurance Policy Kemper Investors Life Insurance Company/0146PAL02-08
SERFF Tracking Number: MLLM-126729865 State: Arkansas Filing Company: Kemper Investors Life Insurance Company State Tracking Number: 46401 Company Tracking Number: 0146PAL02-08 TOI: L09I Individual Life
Project 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:
SERFF Tracking #: NCCI-127176855 State Tracking #: Company Tracking #: B-1423 (MJ)
SERFF Tracking #: NCCI-127176855 State Tracking #: Company Tracking #: B-1423 (MJ) State: Missouri Filing Company: NCCI TOI/Sub-TOI: 16.0 Workers Compensation/16.0004 Standard WC Product Name: B-1423 Elimination
A02I.003 Single Premium Variable Preparing To Never Need Long-term Care Seminar/I-22163
SERFF Tracking Number: AULD-126526295 State: Arkansas Filing Company: State Life Insurance Company State Tracking Number: 45159 Company Tracking Number: TOI: A02I Individual Annuities- Deferred Non- Sub-TOI:
TOI: 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
Filing at a Glance. General Information
SERFF Tracking Number: USLI-125643237 State: Arkansas Filing Company: United States Liability Insurance Company State Tracking Number: EFT $100 Company Tracking Number: PROF-MTK-08-28-R TOI: 05.0 Commercial
TOI: 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
SERFF Tracking #: MASS-130482511 State Tracking #: Company Tracking #: 2015 ANNUAL LTC REPORTS
SERFF Tracking #: MASS-130482511 State Tracking #: Company Tracking #: 2015 ANNUAL LTC REPORTS State: District of Columbia Filing Company: Massachusetts Mutual Life Insurance Company TOI/Sub-TOI: LTC06
