Surplus Lines Agency Affiliation Form - Nebraska

Surplus Lines Agency Affiliation Form is a legal document that was released by the Nebraska Department of Insurance - a government authority operating within Nebraska.

FAQ

Q: What is the Surplus Lines Agency Affiliation Form?
A: The Surplus Lines Agency Affiliation Form is a document used in Nebraska to establish a relationship between a surplus lines agency and an insurer.

Q: What is a surplus lines agency?
A: A surplus lines agency is a licensed entity that specializes in providing insurance coverage for risks that are not available from the standard insurance market.

Q: What is the purpose of the Surplus Lines Agency Affiliation Form?
A: The purpose of the form is to ensure that surplus lines agencies are properly affiliated with authorized insurers and to facilitate the regulation and oversight of surplus lines insurance.

Q: Who needs to fill out the Surplus Lines Agency Affiliation Form?
A: Surplus lines agencies operating in Nebraska need to fill out this form.

Q: When should the Surplus Lines Agency Affiliation Form be submitted?
A: The form should be submitted to the Nebraska Department of Insurance within 30 days of entering into an agency agreement with an insurer.

Q: Is the Surplus Lines Agency Affiliation Form renewable?
A: No, the form does not require renewal. However, changes to the affiliation should be reported to the Nebraska Department of Insurance.

Q: What happens if the Surplus Lines Agency Affiliation Form is not filed?
A: Failure to file the form can result in penalties and may jeopardize the ability of the surplus lines agency to transact insurance business in Nebraska.