This is a legal form that was released by the Ohio Department of Insurance - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is INS4024 Surplus Lines Statement?
A: INS4024 Surplus Lines Statement is a form used in Ohio to report excess and surplus lines insurance transactions.
Q: Who needs to file INS4024 Surplus Lines Statement?
A: Insurance agencies licensed to conduct excess and surplus lines business in Ohio need to file the INS4024 Surplus Lines Statement.
Q: What information should be included in INS4024 Surplus Lines Statement?
A: INS4024 Surplus Lines Statement should include information about the insured, coverage details, policy premium, and surplus lines broker information.
Q: When should INS4024 Surplus Lines Statement be filed?
A: INS4024 Surplus Lines Statement should be filed within 90 days after the end of the quarter in which the transaction occurred.
Form Details:
Download a fillable version of Form INS4024 by clicking the link below or browse more documents and templates provided by the Ohio Department of Insurance.