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Oklahoma Administrative Code (Last Updated: March 11, 2021) |
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TITLE 365. Insurance Department |
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Chapter 1. Administrative Operations |
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Subchapter 9. Description of Forms and Instructions |
SECTION 365:1-9-5. Surplus lines forms
Latest version.
- (a) Surplus lines broker quarterly summary form. The surplus lines broker quarterly summary includes forms that detail the types of coverages written, the aggregate amount of insurance issued, the gross premiums charged, and the gross return premium. Form SL-3a must be signed by the broker with an original/live signature, notarized, and filed on or before the last day of the month following the close of a calendar quarter. The specific forms are:(1) SL-3a Affidavit of a true and correct report. File in one-part.(2) SL-3b Spreadsheet to accumulate premium and tax data by the company number and company name of the surplus line carrier. File in one-part only.(3) SL-3c Affidavit of coverage. File in one-part.(4) SL-3d Affidavit for return of premiums and the credit or refund of premium taxes.(b) Surplus lines direct placement by an insured summary form. The direct placement by an insured summary includes forms that detail the types of coverages written, the aggregate amount of insurance issued, the gross premiums charged, the gross return premium, and the tax due. Form DSL-3a must be signed by the affiant, generally the individual responsible for procuring risk coverage, with an original signature, notarized and filed within thirty (30) days next succeeding the issuance of evidence of coverage. The specific forms are:(1) DSL-3a Affidavit of a true and correct report. File in one-part.(2) DSL-3b Spreadsheet to accumulate premium and tax data by the company number and company name of the surplus lines carrier. File in one part only.(3) DSL-3c Affidavit of coverage. File in one-part.(4) DSL-3d Affidavit for return of premiums and the credit or refund of premium taxes.