Building the Relationship Between the Wholesaler and Retailer

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Presentation transcript:

Building the Relationship Between the Wholesaler and Retailer

Flow of Business from Insured to Nonadmitted Insurer Retail Agent Surplus Line Broker/ Wholesaler Nonadmitted Insurer

Benefits They Bring To Each Other Benefits to Retailers Access to a wide range of markets Source for financially sound insurers Ability to place distressed, unique, or high capacity risks Knowledgeable in high risk admitted lines/products Provides expertise in specialty and traditional risks Benefits to Surplus Line Brokers/Wholesalers Access to a wide range of customers Brings business to the non-admitted market Assists with adherence to surplus line regulations Depends on retailers to provide detailed information about clients

Regulatory Requirements Surplus line brokers are regulated under Chapter 6 of the California Insurance Code: California Insurance Code Chapter 6 Before coverage can be placed with a non-admitted insurer, a diligent search must be performed. The Diligent Search Report (SL2 form) is an affidavit attesting to the fact that a diligent search of the admitted market was performed and, at minimum, three admitted carriers who are authorized to write the risk declined the risk.

Delegation of Responsibilities Responsibilities of Retailer The person signing the SL-2 form must have performed the diligent search or supervised the unlicensed person who conducted the search. If the retailer performed the search, the retailer should sign the form confirming the accuracy of the content. Responsibilities of Wholesaler Under the Code, surplus line brokers are ultimately responsible for the accuracy of all forms they submit to the SLA, including those submitted to them by the retail producer. Therefore, it is crucial that the forms are completed accurately and in a timely manner. Retail producers and surplus line brokers must work together to ensure that regulatory requirements are met.

Consequences of Missing/Inaccurate Information If the forms are incomplete, missing, or inaccurate: Surplus line broker will be tagged, or notified of the violation, and allowed a specified number of days to correct the problem. Surplus line broker will be reported to the Investigation Division of the California Department of Insurance, if an adequate response is not received in a specified time period.

Top Tagged Violations for 2016 Most tags, besides those issued for lateness, result from issues in Sections 6 and 7 of the Diligent Search Report (SL2 form). In 2016, there were 17,763 tags related to those two sections. The following three slides provide some helpful hints on how to correctly complete sections 6 and 7 of the SL2 form.

Helpful Hints: SL2 Section 6-Describe How You Searched the Admitted Market Section 6(A): Enter a description of how the diligent search was performed. Describe your efforts to place this risk with admitted insurers. Do not enter “See 7(B)”; description of search efforts must be provided. Captive agents* are still required to ensure a diligent search of the admitted market was performed Search must be performed for all new and renewal policies: Even if insured wants to remain with the nonadmitted insurer, the statute requires that a diligent search be performed Section 6(B): Only enter the first and last name of person who performed the diligent search if other than person named on line 1. *Captive agents can still perform the diligent search by researching through the internet, discussing the market with wholesalers and other agents, or years of knowledge from industry experience. In our experience, the captive agent would skip section 7(B) because they did not submit an application to three admitted insurers and complete section 8(A) and 8(B) or 8(A) and 8(C).

Helpful Hints: SL2 Section 7-Identify the 3 Admitted Insurers, Contact Info, When and Why If you checked the YES on 7(A), proceed to 7(B). If you checked the NO , skip to 8(A). Enter full name of admitted company name or NAIC number in the first block so the SLA can identify the exact admitted insurer contacted. The admitted insurer must be authorized in California for the type of risk being placed. https://interactive.web.insurance.ca.gov/webuser/ncdw_alpha_co_line$.startup An insurer listed on the AM Best Guide does not automatically mean it is an admitted insurer in California for that coverage. Enter the first and last name of the company representative and their phone number, or the insurer’s website address in the second block. The company representative’s email address is not acceptable.

Helpful Hints: SL 2 Section 7-Identify Three Admitted Insurers, Contact Info, When & Why (Continued) If you entered the name of the company representative on the second block, check if the representative is an Employee (E) or Agent (A) in the third block. If you entered the insurer’s website address, skip this step. Enter the month/year of declination in the fourth block. A current search should be performed within one year from the policy effective date. Enter one of four declination codes on the fifth block. 1-Company capacity reached, 2-Underwriting reason, 3-Refused to state, 4-Other