Please send submission to the appropraite Regional Vice President. See the Contact page for more contact information.
Please provide the following information:
- Name of programs business
- Program inception date
- Premium for each of the last three years
- Expense detail for the last three years (e.g., commission from carrier; expense percentages paid to producers or a TPA)
- Loss detail for the last three years by line of business (e.g., actuarial material, company loss runs, spreadsheets to include: year, written premium, earned premium, paid losses and LAE, IBNR and reserves)
- Description of the program's target market (e.g., type of business, products, premium per account range, number of accounts in the program, unique exposures or coverages)
- External environmental issues effecting the program (e.g., competition, changing regulation, change in exposure, etc.)
- States or regions for writing the program
- Coverage/limits/retention desired
- Admitted or non-admitted paper
- Previous and current carriers/program administrator, including reasons for change
- Reason for looking to a new market
- Time frame for establishing a new market
- Summary of activities performed by the program administrator
- Expertise within the program administrator organization for the program
- Copies of the following materials:
- Rates
- Coverage forms
- Underwriting guidelines
- Marketing materials and plan