Filing Status Changed: 12/09/2010 State Status Changed: Deemer Date: 01/07/2011
|
|
- Shona Carr
- 8 years ago
- Views:
Transcription
1 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 Excess Farm SERFF Tr Num: GACX- State: Wisconsin Employers' Liability Exclusio G TOI: 17.1 Other Liability-Occ Only SERFF Status: Closed-Filed State Tr Num: Sub-TOI: Commercial Umbrella and Co Tr Num: State Status: Excess Filing Type: Form Reviewer(s): Shasta Hoffhein Author: SPI GAICSPI Disposition Date: 12/09/2010 Date Submitted: 12/09/2010 Disposition Status: Filed Effective Date Requested (New): 03/10/2011 Effective Date (New): Effective Date Requested (Renewal): 03/10/2011 Effective Date (Renewal): General Information Project Name: n Status of Filing in Domicile: Pending Filing Project Number: Domicile Status Comments: Reference Organization: Reference Number: Reference Title: Advisory Org. Circular: Filing Status Changed: 12/09/2010 State Status Changed: Deemer Date: 01/07/2011 Created By: SPI GAICSPI Submitted By: SPI GAICSPI Corresponding Filing Tracking Number: Filing Description: The Great American Insurance Group wishes to place on file the following new form for our Commercial Excess Liability Program: GAI (Ed. 12/10) - Farm Employers' Liability Exclusion The purpose of this optional endorsement is to exclude Farm Employers' Liability when the Excess Liability Coverage form is written over a policy that utilizes ISO's Farm Employers' Liability and Farm Employees' Medical Payments Insurance to provide sub-limited farm employer's liability coverage.
2 n Filing/ This endorsement does not have any premium impact. Company and Contact Filing Contact Information Sharon Geiger, Sr. Product Analyst 49 East 4th Street [Phone] Cincinnati, OH [FAX] Filing Company Information Great American Insurance Company CoCode: State of Domicile: Ohio 580 Walnut Street Group Code: 84 Company Type: Cincinnati, OH Group Name: Great American State ID Number: Insurance Group (513) ext. [Phone] FEIN Number: Great American Assurance Company CoCode: State of Domicile: Ohio 580 Walnut Street Group Code: 84 Company Type: Cincinnati, OH Group Name: Great American State ID Number: Insurance Group (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: Cincinnati, OH Group Name: Great American State ID Number: Insurance Group (513) ext. [Phone] FEIN Number: Great American Alliance Insurance Company CoCode: State of Domicile: Ohio 580 Walnut Street Group Code: 84 Company Type: Cincinnati, OH Group Name: Great American State ID Number: Insurance Group (513) ext. [Phone] FEIN Number: Filing Fees
3 n Filing/ Fee Required? Retaliatory? Fee Explanation: Per Company: No No No
4 Correspondence Summary n Filing/ Dispositions Status Created By Created On Date Submitted Filed Shasta Hoffhein 12/09/ /09/2010
5 Disposition n Filing/ Disposition Date: 12/09/2010 Effective Date (New): Effective Date (Renewal): Status: Filed Comment: Used with form filings that are subject to file & use under s (1)(c) and (1m) Wis. Stat. Effective July 1st, 2008, changes in insurance law exempted certain policy forms from receiving prior approval before use. This filing may be used 30 days after receipt by OCI. USE DATE:01/07/2011 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 n Filing/ Schedule Schedule Item Schedule Item Status Public Access Supporting Document Appraisal or Arbitration Provision Filed Yes Supporting Document Certification of Compliance Filed Yes Supporting Document Explanatory Memo Filed Yes Form FARM EMPLOYERS LIABILITY EXCLUSION Filed Yes
7 Form Schedule n Filing/ Schedule Form Name Form # Edition Form Type Action Action Specific Readability Attachment Item Status Date Data Filed FARM GAI (Ed. Endorseme New GAI 66 12/09/2010 EMPLOYERS LIABILITY EXCLUSION 12/10) XS nt/amendm ent/conditi ons 97_ Farm Employers Liability Exclusion.P DF
8 Administrative Offices 580 Walnut Street Cincinnati, Ohio Tel: GAI (Ed 12 10) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance under the following: EXCESS LIABILITY COVERAGE FORM FARM EMPLOYERS LIABILITY EXCLUSION The following exclusion is added to Section IV. EXCLUSIONS: Any liability, including, but not limited to, settlements, judgments, costs, charges, expenses, costs of investigations, or the fees of attorneys, experts, or consultants: 1. for which coverage is afforded by any of the underlying insurance pursuant to a FARM EMPLOYERS LIABILITY AND FARM EMPLOYEES MEDICAL PAYMENTS INSURANCE endorsement; 2. because of bodily injury to: a. an employee of any Insured, arising out of and in the course of: or (1) employment by any Insured; or (2) performing duties related to the conduct of any Insured s business; b. the spouse, child, parent, brother or sister of that employee, as a consequence of paragraph 2.a. above. This exclusion applies whether the Insured may be liable as an employer or in any other capacity and to any obligation to share damages with or repay someone else who must pay damages because of the injury. This endorsement does not change any other provision of the policy. GAI (Ed. 12/10) XS
9 Rate Information n Filing/ Rate data does NOT apply to filing.
10 n Filing/ Supporting Document Schedules Item Status: Status Date: Bypassed - Item: Appraisal or Arbitration Provision Filed 12/09/2010 Bypass Reason: N/A Comments: Item Status: Status Date: Satisfied - Item: Certification of Compliance Filed 12/09/2010 Comments: Attachment: WI - CERTIFICATE OF COMPLIANCE.PDF Item Status: Status Date: Satisfied - Item: Explanatory Memo Filed 12/09/2010 Comments: Attachment: Explanatory Memo.PDF
11 Ins 6.05 Appendix A CERTIFICATE OF COMPLIANCE I, Tony C. Pedoto, CPCU, AIC, AIAF, (name), an officer of Great American Insurance Company (See Attached) (company name), hereby certify that I have authority to bind and obligate the company by filing this (these) form(s). I further certify that, to the best of my information, knowledge and belief: 1. The accompanying form(s) as identified by the attached listing comply(ies) with all applicable provisions of the Wisconsin Statutes and with all applicable administrative rules of the Commissioner of Insurance; 2. The form(s) does (do) not contain any inconsistent, ambiguous, or misleading clauses; 3. The form(s) does (do) not contain specification or conditions that unreasonably or deceptively limit the risk purported to be assumed in the general coverage of the policy form(s); 4. The only variations from a form currently on file with the commissioner of insurance and the only unconventional policy provisions are clearly marked or otherwise indicated pages of the attached form(s) or in an attachment; and 5. The attached form(s) is (are) in final printed format or typed facsimile and is (are) as will be offered for issuance or delivery in Wisconsin after approval by the Commissioner of Insurance, except for hypothetical data and other appropriate variable material. (signature) Divisional Vice President (title) 12/9/10 (date) Individual responsible for this filing: Name: Sharon A. Geiger Title: Sr. Product Analyst Address: 49 East 4th Street Cincinnati OH Phone Number: Date: 12/9/10 Register, March, 2008, No. 627 INS02291
12 Additional Companies Company Name(s) Great American Assurance Company Great American Insurance Company of New York Great American Alliance Insurance Company Register, March, 2008, No. 627 INS02291
13 Great American Insurance Company Great American Alliance Insurance Company Great American Assurance Company Great American Insurance Company of New York Commercial Excess Liability Coverage Form Filing Explanatory Memorandum COMMERCIAL EXCESS LIABILITY PROGRAM (GAI /97) GAI (Ed. 12/10) XS Farm Employers Liability Exclusion The purpose of this optional endorsement is to exclude Farm Employers Liability when the Excess Liability Coverage form is written over a policy that utilizes ISO s FL Farm Employers Liability and Farm Employees Medical Payments Insurance to provide sub-limited farm employer s liability coverage. This endorsement does not have any premium impact.
TOI: 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 informationSERFF 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
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: 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 informationFiling 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
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 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 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 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 informationA02.1I.002 Flexible Premium Variable and Variable
Sub- / Filing at a Glance Company: Horace Mann Life Insurance Company SERFF Tr Num: HRCN-125425359 State: Wisconsin SERFF Status: Closed State Tr Num: Sub- Co Tr Num: State Status: Filing Type: Form Co
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 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 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 informationHow To File A Tax Return In Arkansas
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 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 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 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: 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 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 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 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 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 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 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 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 informationA02.1I.002 Flexible Premium Variable and Variable
/ Filing at a Glance Company: Annuity Investors Life Insurance Company SERFF Tr Num: GRAX- State: Arkansas G128501742 SERFF Status: Closed-Approved- State Tr Num: Closed Co Tr Num: State Status: Approved-Closed
More informationSERFF 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
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 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 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,
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 informationStatus 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
More informationDate 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 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: 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: 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 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 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: 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
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 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 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 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 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 informationWe respectfully submit the above Rider for your review and approval. It is new and does not replace any like forms previously filed with your state.
Filing at a Glance Company: Fidelity Security Life Insurance Company Refractive Surgery {and Loss of SERFF Tr Num: FDLT-125073215 State: Wisconsin Sight} Benefit Rider TOI: H20G Group Health - Vision SERFF
More informationSERFF 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
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 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 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 informationFiling at a Glance. General Information. Company and Contact
SERFF Tracking Number: USPH-6RKSLB602/00-00/00-00/00 State: Wisconsin Filing Company: American Family Mutual Insurance Company State Tracking Number: Company Tracking Number: TOI: MS06 Medicare Supplement
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 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 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 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 informationTOI: 35.0 Interline Filings Sub-TOI: 35.0002 Commercial Interline Filings
SERFF Tracking Number: SEPX-126145911 State: Wisconsin Filing Company: Sentry Insurance a Mutual Company State Tracking Number: Company Tracking Number: ML WI0949601F01 TOI: 35.0 Interline Filings Sub-TOI:
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: A10 Annuities - Other Sub-TOI: A10.000 Annuities - Other
Filing : Tracking Number: / Filing at a Glance : SERFF Tr Num: AMEQ-125641337 State: ArkansasLH TOI: A10 Annuities - Other SERFF Status: Closed State Tr Num: 38928 Sub-TOI: A10.000 Annuities - Other Co
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 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 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 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: 24.0 Surety SERFF Status: Closed-Filed State Tr Num: Status of Filing in Domicile: Authorized
SERFF Tracking Number: CNNA-127693651 State: Wisconsin First Filing Company: The Cincinnati Casualty Company,... State Tracking Number: Company Tracking Number: CQ-MISC-11-B4521-WI TOI: 24.0 Surety Sub-TOI:
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 informationA02.1G.002 Flexible Premium Variable and Variable Maximum Anniversary Value Optional / Return of Purchase Payment Death Benefit
Filing at a Glance Company: AIG SunAmerica Life Assurance Company Maximum Anniversary Value SERFF Tr Num: SALA-125758141 State: ArkansasLH Optional / Return of Purchase Payment Death Benefit SERFF Status:
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 informationA02I.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:
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 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. Filing Type: Date Submitted: 01/04/2016. State Tr Num: State Status: Co Tr Num: Implementation Date Requested: On Approval
Product Name: MEMBERS Wealth Protector Whole Life Filing at a Glance Company: Product Name: State: TOI: Sub-TOI: Filing Type: CMFG Life Insurance Company MEMBERS Wealth Protector Whole Life District of
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 informationSERFF Status: Closed State Tr Num: EFT $25 Made/Occurrence
Project Name/Number: GL Forms In Response To Terrorism Risk Insurance Program Reauthorization Act Of 2007/08-091-001-GL-AR Filing at a Glance Company: QBE Insurance Corporation Product Name: GL Forms In
More informationTOI: 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
More informationSERFF Tracking #: MASS-129194940 State Tracking #: Company Tracking #: 2013 RADIUS STUDENT DISCOUNT
SERFF Tracking #: MASS-129194940 State Tracking #: Company Tracking #: 2013 RADIUS STUDENT DISCOUNT State: District of Columbia Filing Company: Massachusetts Mutual Life Insurance Company TOI/Sub-TOI:
More informationFiling 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 -
More informationThis 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
More informationSERFF 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
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 informationTOI: LTC06 Long Term Care - Other Sub-TOI: LTC06.000 Long Term Care - Other
/ Filing at a Glance Company: John Hancock Life Insurance Company (U.S.A.) SERFF Tr Num: MNLE-126559929 State: Wisconsin TOI: LTC06 Long Term Care - Other SERFF Status: Closed-Filed State Tr Num: Sub-TOI:
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 informationFiling at a Glance. General Information
MS05G Group - Standard Sub- Filing at a Glance Company: UnitedHealthcare Insurance Company SERFF Tr Num: UHLC-126138844 State: ArkansasLH MS05G Group - SERFF Status: Closed State Tr Num: 42298 Standard
More informationTOI: L08 Life - Other Sub-TOI: L08.000 Life - Other AR Replacement Face page filing/ar 2010 RPL
SERFF Tracking Number: FNWW-126312498 State: Arkansas Filing Company: State Tracking Number: 43552 Company Tracking Number: AR 2010 RPL TOI: L08 Life - Other Sub-TOI: L08.000 Life - Other Product Name:
More informationTOI: VS01 Viatical Settlements Sub-TOI: VS01.000 Viatical Settlements Product Name:
Project Name/Number: Broker report revised/020 Filing at a Glance Company: Crump Life Insurance Services, Inc SERFF Tr Num: MI-127848599 State: Arkansas TOI: VS01 Viatical Settlements SERFF Status: Closed-Filed-
More informationSERFF Tracking #: MEAM-128778084 State Tracking #: Company Tracking #: DC FC ACTUARIAL ADDENDUM_DISCOUNTS
SERFF Tracking #: MEAM-128778084 State Tracking #: Company Tracking #: DC FC ACTUARIAL ADDENDUM_DISCOUNTS State: District of Columbia Filing Company: MedAmerica Insurance Company TOI/Sub-TOI: LTC06 Long
More informationFiling 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
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 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:
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 informationA05I.000 Annuities - Immediate Non-variable Variable Access Account Payout Life Annuities
Filing at a Glance Company: Access Account Payout Life SERFF Tr Num: TCRE-125874453 State: ArkansasLH Annuities SERFF Status: Closed State Tr Num: 40688 A05I.000 Annuities - Immediate Nonvariable Co Tr
More informationCompany: 5 Star Life Insurance Company Product Name: Individual Life - Term SERFF Tr Num: FIVE-126096912 State: Arkansas
TOI: L04I Sub-TOI: L04I.500 Other Filing at a Glance Company: 5 Star Life Insurance Company SERFF Tr Num: FIVE-126096912 State: Arkansas TOI: L04I SERFF Status: Closed-Approved- State Tr Num: 42009 Closed
More informationClosed 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
More informationWEST VIRGINIA OFFICE OF THE INSURANCE COMMISSIONER Workers Compensation Insurance Review Standards Checklist
Workers Compensation REVIEW REQUIREMENTS REFERENCE COMMENTS FORMS Applications REFERENCE COMMENTS Fee, filing 33-6-34 The Filing Fee is $50.00 per Form filing and applies on a per company basis. Submission,
More informationSERFF Tracking #: DDPA-129574186 State Tracking #: Company Tracking #: DIC, O15HCR GRP PPO DC, RATES
SERFF Tracking #: DDPA-129574186 State Tracking #: Company Tracking #: DIC, O15HCR GRP PPO DC, RATES State: District of Columbia Filing Company: Dentegra Insurance Company TOI/Sub-TOI: Product Name: H10G
More informationTOI: LTC03I Individual Long Term Care SERFF Status: Closed-Filed State Tr Num: 50253. Authors: Julie Maclin, Joan Disposition Date: 11/14/2011
Filing at a Glance Company: Transamerica Life Insurance Company SERFF Tr Num: AEGJ-127820390 State: Arkansas TOI: LTC03I Individual Long Term Care SERFF Status: Closed-Filed State Tr Num: 50253 Sub-TOI:
More informationTOI: LTC06 Long Term Care - Other Sub-TOI: LTC06.000 Long Term Care - Other
Project Name/Number: / Filing at a Glance Company: John Hancock Life Insurance Company (U.S.A.) SERFF Tr Num: MNLE-126553946 State: Arkansas TOI: LTC06 Long Term Care - Other SERFF Status: Closed-Filed
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
More informationSERFF Tracking #: MUTM-130516859 State Tracking #: Company Tracking #: KELLY KRUMWIED
SERFF Tracking #: MUTM-130516859 State Tracking #: Company Tracking #: KELLY KRUMWIED State: District of Columbia Filing Company: Mutual of Omaha Insurance Company TOI/Sub-TOI: MS08I Individual Medicare
More informationTOI: L08 Life - Other Sub-TOI: L08.000 Life - Other
SERFF Tracking Number: AMGN-126032695 State: Arkansas Filing Company: AIG Life Insurance Company State Tracking Number: 41647 Company Tracking Number: LIFE U/W QUESTIONNAIRES TOI: L08 Life - Other Sub-TOI:
More informationSERFF Tracking #: MALF-128641392 State Tracking #: Company Tracking #: 12 SSA CE-D
SERFF Tracking #: MALF-128641392 State Tracking #: Company Tracking #: 12 SSA CE-D State: Arkansas Filing Company: John Hancock Life Insurance Company (U.S.A.) TOI/Sub-TOI: A05I Individual Annuities- Immediate
More informationState Tracking Number:
SERFF Tracking Number: GARD-126259680 State: Wisconsin Filing Company: Company Tracking Number: The Guardian Life Insurance Company of America State Tracking Number: TOI: H11I Individual Health - Disability
More informationSERFF 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
More information