The fb88 Bureau of Insurance provides on this page all of the information necessary to apply for Surplus Lines eligibility, complete annual reporting requirements or change the status of eligibility (redomestication, name change, merger, etc).  If you have questions or are unable to find what you are looking for, please visit our contact usÌý±è²¹²µ±ð.

Application Information

• Eligibility Information (PDF)
• U.S. Domiciled Insurers Application Checklist (PDF)Ìý´Ç°ùÌýU.S. Domiciled Insurers Application Checklist (DOC)
• U.S. Domiciled Insurers Application (PDF)Ìý´Ç°ùÌýU.S. Domiciled Insurers Application (DOC)
• Non U.S. (ALIEN) Surplus Lines Insurers Checklist/Application (PDF)  or Non U.S. (ALIEN) Surplus Lines Insurers Checklist/Application (DOC)

Listing of Eligible Surplus Lines Insurers

• Instructions to Create List of fb88 Eligible Surplus Lines Insurers

Service of Process

An Agent for receiving Service of Process is required to be appointed by US domiciled surplus lines insurers and non-US domiciled (alien) insurers and must be a fb88 resident agent.

• Service of Process (PDF)Ìý´Ç°ùÌýService of Process (DOC)
• Agent for Service of Process List (PDF)

Medical Malpractice Insurers - RMAP Instructions

• Rural Medical Access Program (RMAP) - Assessments on Medical Malpractice Premiums.

Information for Port of Entry

An alien insurer that has been authorized by the superintendent to use the State as its port of entry for the transaction of business in the United States is considered a domestic insurer to the extent provided in the statute. A rule has also been established that provides additional information.

• Rule 860 (DOC)

Premium Taxes - Surplus Lines Brokers/Producers

fb88 Revenue Services is the state agency responsible for the processing of premium tax returns and related information for Surplus Lines premium reporting, as well as self-procured taxes.

• Insurance Premium Tax

Status Change Forms (Name Changes, Mergers, Redomestications, etc.)

• Address Changes
  • Paper Form (PDF)Ìý´Ç°ùÌýPaper Form (DOC)
  •  - Change your address and/or contact information ON-LINE (fb88 Only)
  •  - Under ‘Corporate Amendment Forms’, scroll to Form 14.  Can be mailed, emailed, or filed electronically through UCAA Electronic application.

Annual Data Reporting Requirements

• Annual Statement Filing Instructions
• fb88 Bureau of Insurance Annual Data Reporting - (Required Reports are Fraud and Abuse and Liquor Liability)

Requesting Confidential Treatment of Documents

• Instructions for requesting confidential treatment of documents

Statutory Requirements

•  - Eligible Surplus Lines Insurers
• - Appoint an agent to receive service of legal process   
• Bulletin 378 (PDF) - Changes to the Nonadmitted Insurance Laws
• Bulletin 457 (PDF) - Placement of Insurance in Surplus Lines Market
•  - Rural Medical Access Program (RMAP)
• Rule Chapter 630 (DOC) - Rural Medical Access Program (RMAP)

The documents on this page are also available in hard copy by contacting the Bureau.