Report of Direct Placement or Self-procured Insurance is a legal document that was released by the Mississippi Department of Insurance - a government authority operating within Mississippi.
Q: What is a Report of Direct Placement or Self-procured Insurance?
A: A Report of Direct Placement or Self-procured Insurance is a report that must be submitted to the state of Mississippi for insurance policies that are obtained directly from an insurer, without the use of an insurance agent or broker.
Q: Who is required to submit a Report of Direct Placement or Self-procured Insurance?
A: Any person or entity in Mississippi who obtains insurance policies directly from an insurer, without the use of an insurance agent or broker, is required to submit a Report of Direct Placement or Self-procured Insurance.
Q: What information is required in the Report of Direct Placement or Self-procured Insurance?
A: The report must include information about the insured, the insurer, the policy details, and the premiums paid.
Q: When is the Report of Direct Placement or Self-procured Insurance due?
A: The report must be submitted within 30 days after the policy is obtained.
Q: Are there any penalties for not submitting the Report of Direct Placement or Self-procured Insurance?
A: Failure to submit the report or providing false information may result in penalties, including fines or revocation of the insurance policy.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Mississippi Department of Insurance.