Why Should I Buy E&O Insurance from

Size: px
Start display at page:

Download "Why Should I Buy E&O Insurance from"

Transcription

1 Why Should I Buy E&O Insurance from Senior Market Sales, Inc. Who is Eligible for this Program? Agents Affiliated with Senior Market Sales, Inc. EXCELLENT COVERAGE! Four Coverage Options Available Reduced Deductible for Products sold through Senior Market Sales, Inc. Limits of Liability: Each Claim/ Aggregate Each Agent OR Each Claim/ Aggregate Each Agent Deductible (applies to damages and defense): $ 250 Products provided through Senior Market Sales, Inc. $1,500 All Other Covered Products & Services Coverage Includes the Solicitation, Sale or Servicing of: Group and Individual Accident and Health Medicare Supplement Medicare Advantage (including Part D) Long Term Care *Life Insurance (other than variable life insurance products) *Annuities (other than variable) *Fixed life and fixed annuities are covered under the Basic Plus coverage level EASY ENROLLMENT! Online Enrollment Available 24/7 Sponsored by: Senior Market Sales, Inc. SrMktSalesFFFlr v1 Also Covered: Providing advice, consultation and administration of the above products, whether or not a fee is charged Financial Planner Activities (related to covered products) Supervision, management and training of an agent by a general agent $50,000 of coverage to pay for Damages or Claim Expenses resulting from a violation of a Privacy Regulation (includes HIPAA) ($5,000 deductible applies) What If I Have Questions? Call our Customer Care Department: (800) Monday through Friday 7:00 a.m. to 5:00 p.m. PST Brown & Brown of California, Inc. dba CalSurance Associates California License # 0B02587 Please review the attached program materials. A specimen policy is available at Page 1 of 6

2 Agents Affiliated with Senior Market Sales, Inc. Agent s E&O Program Outline of Coverage Policy Period: September 1, 2011 to September 1, 2012 Insurer: Aspen Specialty Insurance Company (a member of The Aspen Group) A Non-Admitted Carrier Rated A (Excellent) XV, by A.M. Best Company The information obtained from A.M. Best dated October 6, 2010 is not in any way Brown & Brown of California, Inc. s warranty or guaranty of the financial stability of the Insurer and the information is current only as of the date of the publication. Policy Number: LRA7C Risk Purchasing Group Membership: By applying for this insurance, Agents are applying for membership in the Financial Sales Professionals Risk Purchasing Group, a group formed and operating pursuant to the Liability Risk Retention Act of 1986 (15 USC 3901 et seq.). There is no additional charge for membership. Limit of Liability: Each Claim Aggregate OR Each Claim Aggregate Deductible (Damages and Defense): $250 Products sold through Senior Market Sales, Inc. $1,500 All other Covered Products Retroactive Date: The inception date of the Agent s first claims-made life insurance agents professional liability policy from which coverage has been maintained in force without interruption. Insured: 1) Agents Affiliated with Senior Market Sales, Inc. who have enrolled in the program and paid their premiums. 2) An entity owned and controlled by an Agent, arising solely from the performance of Professional Services provided by the Agent; 3) An employee acting in his or her capacity as such on behalf of an Agent, arising solely from the performance of Professional Services by the Agent; 4) The legal heir, executor, administrator or legal representative of an Agent in the event of such Agent s death, incapacity or bankruptcy; 5) The lawful spouse or domestic partner of any individual which qualifies as an Insured under Sub-sections 1., 3., or 4., above, for a Claim arising solely out of spousal or domestic partner status, and not out of any alleged independent wrongful acts, of such individual; or 6) The Sponsoring Company, but only for its vicarious liability for the covered acts of an Agent. Coverage: The Insurer shall pay on behalf of the Insured all sums in excess of the deductible which the Insured shall be legally obligated to pay as Damages resulting from Claims first made for any actual or alleged negligent act, error or omission solely while performing Professional Services for others, including Personal Injury. Professional Services: The solicitation, sale or servicing of: a) Individual or group accident or health insurance, Medicare Supplement, Medicare Advantage (including Medicare Part D), disability insurance, and senior dental insurance; b) Final expense and guaranteed final expense; c) Long term care insurance; d) Fixed life insurance and fixed annuities (covered under Basic Plus coverage option); or e) Providing financial planning services solely in connection with the products sold in Sub-sections a. d. Note: Level A includes products listed above when sold through sponsor only; Level B includes products listed above regardless of whether they are sold through the sponsor. Coverage Extensions: Disciplinary Proceedings Subpoena Compliance Privacy Breach Mediation/Deductible Credit Reimbursement of Expenses Pre-Claims Assistance Crisis Management Public Relations E-Discovery Error and Educational Instruction Extended Reporting Period: If, during the Policy Period, the Sponsoring Company terminates an Agent s contract, the insurance for such Insured shall continue until the end of this Policy Period. If, during the Policy Period, an Agent retires or becomes disabled or deceased, the Agent or its legal representative may elect to purchase an Extended Reporting Period - 3 years: 200% of last annual premium - 5 years: 300% of last annual premium - Unlimited: 400% of last annual premium Claims Administrator: Lancer Claims Services 681 S. Parker St. #300 Orange, CA (800) Program Administration: Brown & Brown of California, Inc. dba CalSurance Associates California License #0B02587 Please review the attached program materials. A complete copy of the specimen policy is available by calling or by visiting SMS_EXCL_ v7 Brown & Brown of California, Inc. dba CalSurance Associates California License # 0B02587 Page 2 of 6

3 EXCLUSIONS This Policy does not apply to any Claim based upon, arising out of, directly or indirectly, or in any way involving A. Any dishonest, fraudulent, criminal, malicious or purposeful act, error or omission committed by or at the direction of an Insured; however, notwithstanding the foregoing, the Insured shall be afforded a defense, if these allegations arise out of Wrongful Acts otherwise covered under this Policy, until the allegations are subsequently proven by a final adjudication or if the Insured admits such allegation. In such event, the Insured shall reimburse the Insurer for all Claims Expenses incurred by the Insurer. B. Any Claim brought or maintained, directly or indirectly, by or on behalf of any: 1) Insured; however this Exclusion shall not apply to any alleged Wrongful Termination; 2) Insurer or Broker-Dealer; 3) Insurance agent or broker; 4) Entity that is not a client of an Insured; however, this Exclusion shall not apply to any Claim brought by an entity who is an alleged beneficiary, heir, executor or administrator of a deceased client of an Insured; 5) Any entity which an Insured owns, operates, controls or manages; or 6) Any governmental or quasi-governmental entity, or Self- Regulatory Organization including, but not limited to, any state or federal insurance or securities commission or agency, or the Financial Industry Regulatory Authority or the Securities and Exchange Commission,; however, this Exclusion shall not apply to a Claim brought by or on behalf of such entity in its capacity as a client of an Insured or to the extent it is inconsistent with Section II.A.EXTENSIONS OF COVERAGE. C. Any fact, circumstance, or situation which has been the subject of any written notice given under any insurance policy issued by any insurer, including any policy of which this Policy is a renewal or replacement. D. Any Claim, demand, suit, litigation or other proceeding against any Insured which was pending on or existed prior to the inception of the Policy Period, or the same or substantially the same facts, circumstances or allegations which are the subject or the basis for such Claim, demand, suit, litigation or other proceeding. E. Any Wrongful Act or Interrelated Wrongful Acts first occurring before the applicable Retroactive Date, even if the Wrongful Act or Interrelated Wrongful Acts continue after the Retroactive Date. F. Any services as, or which may only be performed by, an accountant, actuary, lawyer, real estate agent/broker, property/casualty insurance agent, or third-party claims administrator. G. Any placement of a client s coverage or funds directly or indirectly with any entity which is not licensed to conduct business in the state or jurisdiction with authority to regulate such business; however, this Exclusion shall not apply to the placement of a client s coverage or funds directly or indirectly with an eligible surplus lines insurer in the state or jurisdiction with authority to regulate such business. H. Any ownership, formation, sale, servicing, operation, or administration of any insurance company, health maintenance organization, preferred provider organization, captive, risk retention group, self-insurance group/program, or purchasing group. I. Any sale, servicing, or administration of, or advice or planning with respect to, any Multiple Employer Welfare Arrangement. J. Any pension, profit sharing, health/welfare or other employee benefit plan, insurance plan or trust, sponsored by an Insured as an employer. K. Any financial inability or refusal to pay, insolvency, receivership, bankruptcy, or liquidation of any entity in which an Insured has placed or recommended to be placed, coverage or the funds of a client; however, this Exclusion shall not apply to any insurer that was rated A- or better by A.M. Best at the time of the Insured s acts. L. An Insured s inability or refusal to pay or collect premium, claim or tax monies. M. Any liability of others assumed by an Insured under any contract or agreement, unless such liability would have attached to an Insured even in the absence of such an agreement; or any guarantees or warranties. N. Any gaining of any personal profit or advantage to which an Insured is not legally entitled, or any disputes involving an Insured s fees, charges, entitlements, or other compensation. O. Any commingling or use of client funds or accounts. P. Any willful violation of the rules or regulations of the Financial Industry Regulatory Authority, Securities and Exchange Commission, Securities Act of 1933, Securities Exchange Act of 1934, Investment Company Act of 1940, or the Investment Advisors Act of 1940 and any amendments thereto, or of any state securities statute or state regulatory agency. Q. Any Security(ies). R. Any insurance or financial product owned in whole or in part by an Insured. S. Any structured settlements. T. Any bodily injury, sickness, disease, emotional distress, mental anguish, outrage, humiliation or death; or injury to or destruction of any tangible property, including loss of use thereof. U. Any discrimination, harassment, or misconduct by an Insured because of race, creed, color, age, gender, sex, sexual preference or orientation, national origin, religion, disability, handicap, marital status, or any other class protected under federal, state, local or other law; or by an employee, former employee, or job applicant, of an Insured in their capacity as such. V. Any infringement of copyright; plagiarism, piracy or misappropriation of ideas; or infringement of title, slogan, trademark, trade name, trade dress, service mark or service name; or any patent or trade secret; or any unfair competition, deceptive advertising, anticompetitive acts, restraint of trade, price fixing, or antitrust. W. 1) Promissory notes, issuer callable Certificates of Deposits, or step-up or step down Certificates of Deposits; 2) Viatical or life settlements, reverse mortgages, or any similar transaction in which the present value of a conditional contract is exchanged or sold; or 3) Tangible personal property, including but not limited to, any precious metals, gemstones, stamps, sports or other cards, antiques, jewelry, coins or other collectibles; however, this Exclusion shall not apply to gold or silver. SMS_EXCL_ v1 Brown & Brown of California, Inc. dba CalSurance Associates California License # 0B02587 Page 3 of 6

4 Enrollment Form Claims Made & Reported Errors & Omissions Coverage Policy Period: September 1, 2011 to September 1, 2012 By purchasing this insurance, agents become members of the Financial Sales Professionals Purchasing Group, a group formed and operating pursuant to the Liability Risk Retention Act of 1986 (15 USC 3901 et seq.). There is no additional charge for membership. Instructions... ALL sections must be completed. Incomplete forms will take additional time to process. Please allow up to ten (10) business days for processing. Return this form along with payment to: Brown & Brown of California, Inc. dba CalSurance Associates, P.O. Box 7048, Orange, CA Coverage Questions...Call Brown & Brown of California, Inc. dba CalSurance Associates* at (800) or at info@calsurance.com Certificates of Insurance...Go on-line: - Certirficate Reprinting - Sponsoring Group - Senior Market Sales, Inc. Section 1 - Your Information (Please Print Clearly) First Name Street Address City - - Contact Phone Number Fax Number - - Last Name Mailing Address (if different than street address) State Zip Code Section 2- Effective Date and Amount Due Effective Date of Coverage - - NOTICE: Effective date of coverage cannot be prior to your date of contract with the sponsor and cannot be backdated to a prior month. Limit of Liability: (Select One) Coverage Level*: (Select One) Products Covered*: (Select One) per Claim / Aggregate per Claim / Aggregate Level A: (Products sold through Senior Market Sales, Inc.) Level B: (Products sold through all companies) Basic: (A&H, FInal Expense, and Long Term Care) Basic Plus: (Also includes fixed life and fixed annuities) Midterm Enrollment Factors Calculate Total Amount Calculate Due: Total Amount Due: Effective Month Factor $ September $ Total Annual Premium of Selected Coverage Option October Premium for Selected Options November (See X Premium Chart) December Surplus Lines Factor (from Chart) X January X February Surplus Lines Factor (See Enclosed Chart) Midterm Enrollment Factor (from Chart at left) March $35.00 April Admin Fee $35.00 May Admin Fee June = July Total = Amount Due August Total Amount Due *Please refer to the Outline of Coverage for coverage level details. Birthdate - - Section 3 - Payment Check or Money Order: Check made payable to Brown & Brown of California, Inc. dba CalSurance Associates for the total amount due. Other payment options including installments by credit card or ACH (Debit to Checking) are available online at: Section 4 - Notices and Warranties NOTICE: I must be a currently affiliated with Senior Market Sales, Inc. to be eligible for this program. Otherwise, I will not be considered an Insured under this program and no claims made against me will be covered. I warrant that I am currently contracted with Senior Market Sales, Inc. NOTICE: This is a claims made and reported policy. If I have knowledge of any claim or incident that could give rise to a claim under the proposed policy and any claim or action arises therefrom, it is excluded from coverage for which this form applies. A potential gap in coverage may occur if I elect an effective date that is not continuous with my prior expiration date, and may result in the denial of a claim. I warrant that I have no knowledge of any pending claim or incident that could give rise to a claim under the proposed policy. I acknowledge that the specimen policy and program materials have been delivered to me via and I have reviewed these documents prior to enrolling in the program. I warrant and represent that the above statements are true and that I have not suppressed or misstated any material facts and I agree that this application shall be the basis of the contract with the company issuing the policy. It is understood that completion of this application does not bind the company to issue or the applicant to purchase the insurance. I have read the above notices and warranties and agree. Signature (Required) Today s Date SrMktSalesApp v8 Brown & Brown of California, Inc. dba CalSurance Associates * California License # 0B02587 Page 4 of 6

5 Premium Chart E&O Program For Agents Affiliated with Senior Market Sales, Inc. Program Effective September 1, 2011 to September 1, 2012 Limit of Liability (per Claim/ Aggregate Effective Month Level A Products of Senior Market Sales, Inc. Only Level B Products of Senior Market Sales, Inc. & Other Companies Basic (Accident & Health, Final Expense and Long Term Care) Basic Plus (Also includes Fixed Life and Fixed Annuities) Basic (Accident & Health, Final Expense and Long Term Care) Basic Plus (Also includes Fixed Life and Fixed Annuities) September, 2011 $350 $415 $405 $475 $400 $465 $455 $525 October, 2011 $322 $381 $372 $437 $368 $427 $418 $482 November, 2011 $292 $346 $338 $396 $334 $388 $380 $438 December, 2011 $263 $312 $305 $357 $301 $350 $342 $395 January, 2012 $234 $277 $270 $317 $267 $310 $304 $350 February, 2012 $204 $242 $236 $276 $233 $271 $265 $306 March, 2012 $177 $210 $205 $240 $202 $235 $230 $265 April, 2012 $147 $174 $170 $200 $168 $195 $191 $220 May, 2012 $118 $140 $137 $161 $135 $157 $154 $177 June, 2012 $ 89 $105 $ 103 $120 $101 $118 $ 115 $133 July, 2012 $ 60 $ 71 $ 69 $ 81 $ 68 $ 80 $ 78 $ 90 August, 2012 $ 30 $ 36 $ 35 $ 41 $ 34 $ 40 $ 39 $ 45 Above rates do not include state surplus lines tax or the non-refundable $35 administrative fee. SrMarketSalesMarix v6 Brown & Brown of California, Inc. dba CalSurance Associates California License # 0B02587 Page 5 of 6

6 Premium Tax Chart Surplus Lines and Stamping Fees Worksheet - As of January 2011 State Surplus Lines Multiplier~ State Surplus Lines Multiplier~ Alabama Nebraska Alaska Nevada * Arizona New Hampshire Arkansas New Jersey California New Mexico Colorado New York Connecticut North Carolina DC North Dakota Delaware Ohio Florida Oklahoma Georgia Oregon Hawaii Pennsylvania ** Idaho * Puerto Rico Illinois ^ Rhode Island Indiana South Carolina Iowa South Dakota Kansas Tennessee Kentucky Municipal/County Tax Texas Louisiana Utah Maine Vermont Maryland Virginia Massachusetts Washington Michigan Washington, DC Minnesota West Virginia Mississippi Wisconsin Missouri Wyoming Montana * States with an * are states that DO NOT return stamping fees in the case of cancellation. 2. Illinois ^ requires premium tax and stamping fee be rounded to nearest whole dollar. 3. Kentucky+ also has Municipal/County tax which varies by location. Contact CalSurance at to determine correct tax. 4. Surplus Lines Multipliers~ are inclusive of the state specific Surplus Lines tax, stamping fees, surcharges, and Municipal/County taxes. SrMktSalsSL v2 Brown & Brown of California, Inc. dba CalSurance Associates California License # 0B02587 Page 6 of 6

TIME TO ENROLL ENROLL ONLINE IN 5 MINUTES OR LESS

TIME TO ENROLL ENROLL ONLINE IN 5 MINUTES OR LESS TIME TO ENROLL ENROLL ONLINE IN 5 MINUTES OR LESS Group Sponsored Errors & Omissions Program Designed Exclusively for Agents Affiliated with Senior Market Sales Enroll Today at: It s time to enroll in

More information

Agents Affiliated with Senior Market Sales, Inc. Agent s E&O Program Outline of Coverage

Agents Affiliated with Senior Market Sales, Inc. Agent s E&O Program Outline of Coverage Page 1 of 6 Policy Period: September 1, 2012 to September 1, 2013 Insurer: Aspen American Insurance Company and Aspen Specialty Insurance Company (New York Agents Only) Members of The Aspen Group Aspen

More information

PROFESSIONAL LIABILITY INSURANCE IN MINUTES!!

PROFESSIONAL LIABILITY INSURANCE IN MINUTES!! PROFESSIONAL LIABILITY INSURANCE IN MINUTES!! Group Sponsored Errors & Omissions Program Designed Exclusively for Agents Affiliated with Senior Market Sales Enroll Today at: www.calsurance.com/sms123 It

More information

Why Should I Buy E&O Insurance from Senior Market Sales, Inc.?

Why Should I Buy E&O Insurance from Senior Market Sales, Inc.? Why Should I Buy E&O Insurance from Senior Market Sales, Inc.? EXCELLENT COVERAGE! Four Coverage Options Available Reduced Deductible for Products sold through Senior Market Sales, Inc. GREAT PRICE! Rates

More information

Enroll Online Today at: M-F 7:00 AM - 5:00 PM PST 681 S. Parker St., Suite 300 Orange, CA 92868

Enroll Online Today at: M-F 7:00 AM - 5:00 PM PST 681 S. Parker St., Suite 300 Orange, CA 92868 888-848-4955 M-F 7:00 AM - 5:00 PM PST 681 S. Parker St., Suite 300 Orange, CA 92868 Welcome to the Group Sponsored Errors & Omissions Program designed exclusively for to obtain professional liability

More information

Policy Period: January 1, 2018 to January 1, 2019

Policy Period: January 1, 2018 to January 1, 2019 AmeriLife ENROLLMENT PREMIUM TABLE Policy Period: January 1, 2018 to January 1, 2019 LEVEL Limit Each Claim/ Annual Aggregate Rate Level A $1,000,000/$1,000,000 $456.00 Level A $1,000,000/$2,000,000 $497.00

More information

CalSurance. Section 3 - Effective Date and Limit Options. Section 1 - Your Information (Please Print Clearly) Section 4 - Payment

CalSurance. Section 3 - Effective Date and Limit Options. Section 1 - Your Information (Please Print Clearly) Section 4 - Payment Mid-Term Enrollment Form Claims Made & Reported Errors & Omissions Policy Period: August 1, 2014 to August 1, 2015 R CalSurance By purchasing this insurance, agents become members of the Financial Sales

More information

Western Catholic Union

Western Catholic Union Errors & Omissions Program for the Agents of Western Catholic Union Competitive Rates Starting at $521 Per Year Coverage for the Sale and Servicing of Life, A&H, Disability, Variable products and Employee

More information

National Agents Alliance Outline of Coverage

National Agents Alliance Outline of Coverage Page 1 of 5 Policy Period: September 1, 2017 to September 1, 2018 Insurer: Arch Insurance Company (A Member of Arch Insurance Group) 2017 A.M. Best s: A+ (Superior): XV National Agents Alliance Outline

More information

E O. Cutler & Associates. CalSurance. Take 5 minutes, Go Online & Enroll Today!

E O. Cutler & Associates. CalSurance. Take 5 minutes, Go Online & Enroll Today! E O Spend More of Your Time Growing Your Business and Less Time Dealing with E&O Insurance: Fast, easy-to-obtain coverage through online enrollment or one-page enrollment form; no multi-page application

More information

EPIC Marketing Group

EPIC Marketing Group EPIC Marketing Group Time To Renew! Group Sponsored Errors & Omissions Program Designed Exclusively for Agents Licensed through the IMOs of Epic Marketing Group, LLC Adams Life Brokerage AMZ Bay Planning

More information

Kentucky , ,349 55,446 95,337 91,006 2,427 1, ,349, ,306,236 5,176,360 2,867,000 1,462

Kentucky , ,349 55,446 95,337 91,006 2,427 1, ,349, ,306,236 5,176,360 2,867,000 1,462 TABLE B MEMBERSHIP AND BENEFIT OPERATIONS OF STATE-ADMINISTERED EMPLOYEE RETIREMENT SYSTEMS, LAST MONTH OF FISCAL YEAR: MARCH 2003 Beneficiaries receiving periodic benefit payments Periodic benefit payments

More information

Here are just a few of the features of this top-rated E&O Program:

Here are just a few of the features of this top-rated E&O Program: 800-745-7189 M-F 7:00 AM - 5:00 PM PST 681 S. Parker St., Suite 300 Orange, CA 92868 Welcome to the Group Sponsored Errors & Omissions Program designed exclusively for The Society of Financial Services

More information

Income from U.S. Government Obligations

Income from U.S. Government Obligations Baird s ----------------------------------------------------------------------------------------------------------------------------- --------------- Enclosed is the 2017 Tax Form for your account with

More information

State Individual Income Taxes: Personal Exemptions/Credits, 2011

State Individual Income Taxes: Personal Exemptions/Credits, 2011 Individual Income Taxes: Personal Exemptions/s, 2011 Elderly Handicapped Blind Deaf Disabled FEDERAL Exemption $3,700 $7,400 $3,700 $7,400 $0 $3,700 $0 $0 $0 $0 Alabama Exemption $1,500 $3,000 $1,500 $3,000

More information

AIG Benefit Solutions Producer Licensing and Appointment Requirements by State

AIG Benefit Solutions Producer Licensing and Appointment Requirements by State 3600 Route 66, Mail Stop 4J, Neptune, NJ 07754 AIG Benefit Solutions Producer Licensing and Appointment Requirements by State As an industry leader in the group insurance benefits market, AIG is firmly

More information

Checkpoint Payroll Sources All Payroll Sources

Checkpoint Payroll Sources All Payroll Sources Checkpoint Payroll Sources All Payroll Sources Alabama Alaska Announcements Arizona Arkansas California Colorado Connecticut Source Foreign Account Tax Compliance Act ( FATCA ) Under Chapter 4 of the Code

More information

Annual Costs Cost of Care. Home Health Care

Annual Costs Cost of Care. Home Health Care 2017 Cost of Care Home Health Care USA National $18,304 $47,934 $114,400 3% $18,304 $49,192 $125,748 3% Alaska $33,176 $59,488 $73,216 1% $36,608 $63,492 $73,216 2% Alabama $29,744 $38,553 $52,624 1% $29,744

More information

Ability-to-Repay Statutes

Ability-to-Repay Statutes Ability-to-Repay Statutes FEDERAL ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA STATUTE Truth in Lending, Regulation Z Consumer Credit Secure and Fair Enforcement for Bankers, Brokers, and Loan Originators

More information

COLLECTION AGENCY ERRORS & OMISSIONS APPLICATION

COLLECTION AGENCY ERRORS & OMISSIONS APPLICATION Kinsale Insurance Company P. O. Box 17008 Richmond, VA 23226 (804) 289-1300 www.kinsaleins.com COLLECTION AGENCY ERRORS & OMISSIONS APPLICATION APPLICANT S INFORMATION 1. Legal name of the business who

More information

MISCELLANEOUS PROFESSIONAL LIABILITY APPLICATION

MISCELLANEOUS PROFESSIONAL LIABILITY APPLICATION MISCELLANEOUS PROFESSIONAL LIABILITY APPLICATION CLAIMS MADE AND REPORTED FORM ALL QUESTIONS MUST BE ANSWERED IN FULL. APPLICATION MUST BE SIGNED AND DATED BY THE PRINCIPAL, OFFICER OR PARTNER Applicant

More information

Union Members in New York and New Jersey 2018

Union Members in New York and New Jersey 2018 For Release: Friday, March 29, 2019 19-528-NEW NEW YORK NEW JERSEY INFORMATION OFFICE: New York City, N.Y. Technical information: (646) 264-3600 BLSinfoNY@bls.gov www.bls.gov/regions/new-york-new-jersey

More information

State Income Tax Tables

State Income Tax Tables ALABAMA 1 st $1,000... 2% Next 5,000... 4% Over 6,000... 5% ALASKA... 0% ARIZONA 1 1 st $10,000... 2.87% Next 15,000... 3.2% Next 25,000... 3.74% Next 100,000... 4.72% Over 150,000... 5.04% ARKANSAS 1

More information

Motor Vehicle Sales/Use, Tax Reciprocity and Rate Chart-2005

Motor Vehicle Sales/Use, Tax Reciprocity and Rate Chart-2005 The following is a Motor Vehicle Sales/Use Tax Reciprocity and Rate Chart which you may find helpful in determining the Sales/Use Tax liability of your customers who either purchase vehicles outside of

More information

Federal Rates and Limits

Federal Rates and Limits Federal s and Limits FICA Social Security (OASDI) Base $118,500 Medicare (HI) Base No Limit Social Security (OASDI) Percentage 6.20% Medicare (HI) Percentage Maximum Employee Social Security (OASDI) Withholding

More information

Termination Final Pay Requirements

Termination Final Pay Requirements State Involuntary Termination Voluntary Resignation Vacation Payout Requirement Alabama No specific regulations currently exist. No specific regulations currently exist. if the employer s policy provides

More information

The table below reflects state minimum wages in effect for 2014, as well as future increases. State Wage Tied to Federal Minimum Wage *

The table below reflects state minimum wages in effect for 2014, as well as future increases. State Wage Tied to Federal Minimum Wage * State Minimum Wages The table below reflects state minimum wages in effect for 2014, as well as future increases. Summary: As of Jan. 1, 2014, 21 states and D.C. have minimum wages above the federal minimum

More information

Required Training Completion Date. Asset Protection Reciprocity

Required Training Completion Date. Asset Protection Reciprocity Completion Alabama Alaska Arizona Arkansas California State Certification: must complete initial 16 hours (8 hrs of general LTC CE and 8 hrs of classroom-only CE specifically on the CA for LTC prior to

More information

Employee Leasing/Temporary Employment Agency Application

Employee Leasing/Temporary Employment Agency Application Employee Leasing/Temporary Employment Agency Application All questions must be answered in full. Application must be signed and dated by the applicant. Applicant s Name Agent Applicant Mailing Address

More information

Sales Tax Return Filing Thresholds by State

Sales Tax Return Filing Thresholds by State Thanks to R&M Consulting for assistance in putting this together Sales Tax Return Filing Thresholds by State State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Filing Thresholds

More information

Pay Frequency and Final Pay Provisions

Pay Frequency and Final Pay Provisions Pay Frequency and Final Pay Provisions State Pay Frequency Minimum Final Pay Resign Final Pay Terminated Alabama Bi-weekly or semi-monthly No Provision No Provision Alaska Semi-monthly or monthly Next

More information

TA X FACTS NORTHERN FUNDS 2O17

TA X FACTS NORTHERN FUNDS 2O17 TA X FACTS 2O17 Northern Funds Tax Facts provides specific information about your Northern Funds investment income and capital gain distributions for 2017. If you have any questions about how to apply

More information

ATHENE Performance Elite Series of Fixed Index Annuities

ATHENE Performance Elite Series of Fixed Index Annuities Rates Effective August 8, 05 ATHE Performance Elite Series of Fixed Index Annuities State Availability Alabama Alaska Arizona Arkansas Product Montana Nebraska Nevada New Hampshire California PE New Jersey

More information

Aetna Individual Direct Pay Commissions Schedule

Aetna Individual Direct Pay Commissions Schedule Aetna Individual Direct Pay Commissions Schedule Cards Issued Broker Rate Broker Tier Per Year 1st Yr 2nd Yr 3+ Yrs Levels 11-Jan 4.00% 4.00% 3.00% Bronze 24-Dec 6.00% 4.00% 3.00% Silver 25-49 8.00% 4.00%

More information

Overview of Sales Tax Exemptions for Agricultural Producers in the United States

Overview of Sales Tax Exemptions for Agricultural Producers in the United States Overview of Sales Tax Exemptions for Agricultural Producers in the United States Dr. Wayne P. Miller Tyler R. Knapp November 2017 Draft Not for publication or quotation The University of Arkansas System

More information

The Costs and Benefits of Half a Loaf: The Economic Effects of Recent Regulation of Debit Card Interchange Fees. Robert J. Shapiro

The Costs and Benefits of Half a Loaf: The Economic Effects of Recent Regulation of Debit Card Interchange Fees. Robert J. Shapiro The Costs and Benefits of Half a Loaf: The Economic Effects of Recent Regulation of Debit Card Interchange Fees Robert J. Shapiro October 1, 2013 The Costs and Benefits of Half a Loaf: The Economic Effects

More information

NOTICE TO MEMBERS CANADIAN DERIVATIVES CORPORATION CANADIENNE DE. Trading by U.S. Residents

NOTICE TO MEMBERS CANADIAN DERIVATIVES CORPORATION CANADIENNE DE. Trading by U.S. Residents NOTICE TO MEMBERS CANADIAN DERIVATIVES CORPORATION CANADIENNE DE CLEARING CORPORATION COMPENSATION DE PRODUITS DÉRIVÉS NOTICE TO MEMBERS No. 2002-013 January 28, 2002 Trading by U.S. Residents This is

More information

Madison National Life Insurance Company, Inc. P.O. BOX 2865 CLINTON, IA Telephone: Extension 2410 Fax:

Madison National Life Insurance Company, Inc. P.O. BOX 2865 CLINTON, IA Telephone: Extension 2410 Fax: EMPLOYEE S STATEMENT OF CLAIM FOR BENEFITS As your disability insurer we are committed to assisting you in a return to health and to productive employment. Please complete the following form as thoroughly

More information

PAY STATEMENT REQUIREMENTS

PAY STATEMENT REQUIREMENTS PAY MENT 2017 PAY MENT Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia No generally applicable wage payment law for private employers. Rate

More information

Federal Registry. NMLS Federal Registry Quarterly Report Quarter I

Federal Registry. NMLS Federal Registry Quarterly Report Quarter I Federal Registry NMLS Federal Registry Quarterly Report 2012 Quarter I Updated June 6, 2012 Conference of State Bank Supervisors 1129 20 th Street, NW, 9 th Floor Washington, D.C. 20036-4307 NMLS Federal

More information

Insured s Name: Policy Number: Claim Number: Caregiver s Name: (PLEASE PRINT) Tasks Performed. Location In2. Location Out2. Shift Charge.

Insured s Name: Policy Number: Claim Number: Caregiver s Name: (PLEASE PRINT) Tasks Performed. Location In2. Location Out2. Shift Charge. BST Invoice for Independent Health Care Providers Mail Address: Fax Number: Phone Number: Visit Us Online: Genworth Life & Annuity Insurance Company, Genworth Life Insurance Company, Genworth Life Insurance

More information

The Effect of the Federal Cigarette Tax Increase on State Revenue

The Effect of the Federal Cigarette Tax Increase on State Revenue FISCAL April 2009 No. 166 FACT The Effect of the Federal Cigarette Tax Increase on State Revenue By Patrick Fleenor Today the federal cigarette tax will rise from 39 cents to $1.01 per pack. The proceeds

More information

MISCELLANEOUS PROFESSIONAL LIABILITY APPLICATION

MISCELLANEOUS PROFESSIONAL LIABILITY APPLICATION MISCELLANEOUS PROFESSIONAL LIABILITY APPLICATION CLAIMS MADE AND REPORTED FORM ALL QUESTIONS MUST BE ANSWERED IN FULL. APPLICATION MUST BE SIGNED AND DATED BY THE PRINCIPAL, OFFICER OR PARTNER APPLICANT

More information

Impacts of Prepayment Penalties and Balloon Loans on Foreclosure Starts, in Selected States: Supplemental Tables

Impacts of Prepayment Penalties and Balloon Loans on Foreclosure Starts, in Selected States: Supplemental Tables THE UNIVERSITY NORTH CAROLINA at CHAPEL HILL T H E F R A N K H A W K I N S K E N A N I N S T I T U T E DR. MICHAEL A. STEGMAN, DIRECTOR T 919-962-8201 OF PRIVATE ENTERPRISE CENTER FOR COMMUNITY CAPITALISM

More information

Undocumented Immigrants are:

Undocumented Immigrants are: Immigrants are: Current vs. Full Legal Status for All Immigrants Appendix 1: Detailed State and Local Tax Contributions of Total Immigrant Population Current vs. Full Legal Status for All Immigrants

More information

Mapping the geography of retirement savings

Mapping the geography of retirement savings of savings A comparative analysis of retirement savings data by state based on information gathered from over 60,000 individuals who have used the VoyaCompareMe online tool. Mapping the geography of retirement

More information

Fingerprint, Biographical Affidavit and Third-Party Verification Reports Requirements

Fingerprint, Biographical Affidavit and Third-Party Verification Reports Requirements Updates to the State Specific Information Fingerprint, Biographical Affidavit and Third-Party Verification Reports Requirements State Requirements For Licensure Requirements After Licensure (Non-Domestic)

More information

d e n t a l p l a n f o r g r o u p s o f 2 t h r o u g h 9 e m p l o y e e s Dental Cents REV. 12/18

d e n t a l p l a n f o r g r o u p s o f 2 t h r o u g h 9 e m p l o y e e s Dental Cents REV. 12/18 a lifetime of commitment a commonsense d e n t a l p l a n f o r g r o u p s o f 2 t h r o u g h 9 e m p l o y e e s RATE INFORMATION Dental Cents 95076 REV. 12/18 Standard Industry Code (SIC) Factors

More information

HOSPITAL INDEMNITY CLAIM FORM

HOSPITAL INDEMNITY CLAIM FORM HOSPITAL INDEMNITY CLAIM FORM Please read the important information below: r Please be sure your policy number(s) is/are written on the claim form. r The claim form must be completed and signed by the

More information

MEDICAID BUY-IN PROGRAMS

MEDICAID BUY-IN PROGRAMS MEDICAID BUY-IN PROGRAMS Under federal law, states have the option of creating Medicaid buy-in programs that enable employed individuals with disabilities who make more than what is allowed under Section

More information

DFA INVESTMENT DIMENSIONS GROUP INC. DIMENSIONAL INVESTMENT GROUP INC. Institutional Class Shares January 2018

DFA INVESTMENT DIMENSIONS GROUP INC. DIMENSIONAL INVESTMENT GROUP INC. Institutional Class Shares January 2018 DFA INVESTMENT DIMENSIONS GROUP INC. DIMENSIONAL INVESTMENT GROUP INC. Institutional Class Shares January 2018 Supplementary Tax Information 2017 The following supplementary information may be useful in

More information

(In effect as of January 1, 2006*) TABLE 17. OFFSET PROVISIONS IN STATE WORKERS' COMPENSATION LAWS

(In effect as of January 1, 2006*) TABLE 17. OFFSET PROVISIONS IN STATE WORKERS' COMPENSATION LAWS (In effect as of January 1, 2006*) TABLE 17. OFFSET PROVISIONS IN STATE WORKERS' COMPENSATION LAWS ALASKA Section 23.30.224--When public employees receive total disability compensation, compensation is

More information

Nation s Uninsured Rate for Children Drops to Another Historic Low in 2016

Nation s Uninsured Rate for Children Drops to Another Historic Low in 2016 Nation s Rate for Children Drops to Another Historic Low in 2016 by Joan Alker and Olivia Pham The number of uninsured children nationwide dropped to another historic low in 2016 with approximately 250,000

More information

Understanding Oregon s Throwback Rule for Apportioning Corporate Income

Understanding Oregon s Throwback Rule for Apportioning Corporate Income Understanding Oregon s Throwback Rule for Apportioning Corporate Income Senate Interim Committee on Finance and Revenue January 12, 2018 2 Apportioning Corporate Income Apportionment is a method of dividing

More information

Q Homeowner Confidence Survey Results. May 20, 2010

Q Homeowner Confidence Survey Results. May 20, 2010 Q1 2010 Homeowner Confidence Survey Results May 20, 2010 The Zillow Homeowner Confidence Survey is fielded quarterly to determine the confidence level of American homeowners when it comes to the value

More information

EBRI Databook on Employee Benefits Chapter 6: Employment-Based Retirement Plan Participation

EBRI Databook on Employee Benefits Chapter 6: Employment-Based Retirement Plan Participation EBRI Databook on Employee Benefits Chapter 6: Employment-Based Retirement Plan Participation UPDATED July 2014 This chapter looks at the percentage of American workers who work for an employer who sponsors

More information

Recourse for Employees Misclassified as Independent Contractors Department for Professional Employees, AFL-CIO

Recourse for Employees Misclassified as Independent Contractors Department for Professional Employees, AFL-CIO Recourse for Employees Misclassified as Independent Contractors Department for Professional Employees, AFL-CIO State Relevant Agency Contact Information Online Resources Online Filing Alabama Department

More information

Income Payment Information Change Request

Income Payment Information Change Request Income Payment Information Change Request Use this form to designate payees, update your tax withholding election, and/or set up an Electronic Fund Transfer. If you have not previously provided payee information,

More information

J.P. Morgan Funds 2018 Distribution Notice

J.P. Morgan Funds 2018 Distribution Notice J.P. Morgan Funds 2018 Distribution Notice To assist you in preparing your 2018 Tax returns, we re pleased to provide this distribution notice for your J.P.Morgan Fund investment. If you are unclear about

More information

Residual Income Requirements

Residual Income Requirements Residual Income Requirements ytzhxrnmwlzh Ch. 4, 9-e: Item 44, Balance Available for Family Support (04/10/09) Enter the appropriate residual income amount from the following tables in the guideline box.

More information

Fingerprint and Biographical Affidavit Requirements

Fingerprint and Biographical Affidavit Requirements Updates to the State-Specific Information Fingerprint and Biographical Affidavit Requirements State Requirements For Licensure Requirements After Licensure (Non-Domestic) Alabama NAIC biographical affidavit

More information

Note: Form 4506-T begins on the next page. Kansas City and Austin Fax Numbers for Filing Form 4506-T Have Changed The fax numbers for filing Form 4506-T with the IRS center in Kansas City and Austin have

More information

# of Credit Unions As of March 31, 2011

# of Credit Unions As of March 31, 2011 # of Credit Unions # of Credit Unins # of Credit Unions As of March 31, 2011 8,600 8,400 8,200 8,000 8,478 8,215 7,800 7,909 7,600 7,400 7,651 7,442 7,200 7,000 6,800 # of Credit Unions -Trend By Asset-Based

More information

State Corporate Income Tax Collections Decline Sharply

State Corporate Income Tax Collections Decline Sharply Corporate Income Tax Collections Decline Sharply Nicholas W. Jenny and Donald J. Boyd The Rockefeller Institute Fiscal News: Vol. 1, No. 3 July 26, 2001 According to a report from the Congressional Budget

More information

IMPORTANT TAX INFORMATION

IMPORTANT TAX INFORMATION IMPORTANT TAX INFORMATION The following information about your enclosed 1099-DIV from s should be used when preparing your 2017 tax return. Form 1099-DIV reports dividends, exempt-interest dividends, capital

More information

Summary of Benefits. Express Scripts Medicare. Value Choice S5660 & S5983. January 1, 2016 December 31, 2016

Summary of Benefits. Express Scripts Medicare. Value Choice S5660 & S5983. January 1, 2016 December 31, 2016 Express Scripts Medicare Value Choice (a Medicare prescription drug plan (PDP) offered by Medco Containment Life Insurance Company and Medco Containment Insurance Company of New York (for members located

More information

SECTION 109 HOST STATE LOAN-TO-DEPOSIT RATIOS. The Board of Governors of the Federal Reserve System, the Federal Deposit Insurance

SECTION 109 HOST STATE LOAN-TO-DEPOSIT RATIOS. The Board of Governors of the Federal Reserve System, the Federal Deposit Insurance SECTION 109 HOST STATE LOAN-TO-DEPOSIT RATIOS The Board of Governors of the Federal Reserve System, the Federal Deposit Insurance Corporation, and the Office of the Comptroller of the Currency (the agencies)

More information

IFI RPG Master Policy Program(s) Surplus Lines Disclosure Notices to the Insured

IFI RPG Master Policy Program(s) Surplus Lines Disclosure Notices to the Insured IFI RPG Master Policy Program(s) Surplus Lines Disclosure Notices to the Insured State Alabama Alaska Arizona Arkansas* California* Disclosure This contract is registered and delivered as a surplus line

More information

10 yrs. The benefit is capped at 80% of FAS. An elected official may. 2% (first 10 yrs.); or 2.25% (second 10 yrs.); or 2.5% over 20 yrs.

10 yrs. The benefit is capped at 80% of FAS. An elected official may. 2% (first 10 yrs.); or 2.25% (second 10 yrs.); or 2.5% over 20 yrs. Table 3.13 STATE LEGISLATIVE RETIREMENT BENEFITS Alabama... Alaska... Age 60 with 10 yrs. Employee 6.75% 2% (first 10 yrs.); or 2.25% (second 10 yrs.); or 2.5% over 20 yrs. x average salary over 5 highest

More information

LAW FIRM PROFESSIONAL LIABILITY APPLICATION

LAW FIRM PROFESSIONAL LIABILITY APPLICATION LAW FIRM PROFESSIONAL LIABILITY APPLICATION APPLICANT S INFORMATION 1. Legal name of the business who is the primary applicant and will be the first named insured listed on the policy: 2. Please list all

More information

If you have any other questions, please feel free to call us at MEDICARE ( ). Sincerely,

If you have any other questions, please feel free to call us at MEDICARE ( ). Sincerely, Thank you for your recent request for the Patient s Request for Medical Payment form (CMS 1490S). Enclosed is the form, instructions for completing it, and where to return the form for processing. Please

More information

2012 RUN Powered by ADP Tax Changes

2012 RUN Powered by ADP Tax Changes 2012 RUN Powered by ADP Tax Changes Dear Valued ADP Client, Beginning with your first payroll with checks dated in 2012, you and your employees may notice changes in your paychecks due to updated 2012

More information

Hired and Non-Owned Liability Supplemental Application All questions must be answered in full. Application must be signed and dated by the applicant.

Hired and Non-Owned Liability Supplemental Application All questions must be answered in full. Application must be signed and dated by the applicant. Agency Name: Address: Contact Name: Phone: Fax: Email: Applicant s Name Hired and Non-Owned Liability Supplemental Application All questions must be answered in full. Application must be signed and dated

More information

Crane And Rigging Supplemental Application

Crane And Rigging Supplemental Application > Crane And Rigging Supplemental Application TO BE USED WITH COMMERCIAL GENERAL LIABILITY APPLICATION (ACORD 125) All

More information

Interest Table 01/04/2010

Interest Table 01/04/2010 The following table provides information on the interest charged by each of the 50 states and its territories: FOR THE UNITED S AND TERRITORIES Alabama Alaska Arizona Arkansas California Colorado Connecticut

More information

ACCOUNTANTS PROFESSIONAL LIABILITY INSURANCE APPLICATION

ACCOUNTANTS PROFESSIONAL LIABILITY INSURANCE APPLICATION Kinsale Insurance Company P. O. Box 17008 Richmond, VA 23226 (804) 289-1300 www.kinsaleins.com ACCOUNTANTS PROFESSIONAL LIABILITY INSURANCE APPLICATION APPLICANT S INFORMATION 1. Legal name of the business

More information

ADDITIONAL REQUIRED TRAINING before proceeding. Annuity Carrier Specific Product Training

ADDITIONAL REQUIRED TRAINING before proceeding. Annuity Carrier Specific Product Training Lincoln Financial REQUIRED CARRIER SPECIFIC TRAINING (CST) INSTRUCTIONS Annuity Carrier Specific Product Training and state mandated NAIC Annuity Training (see STATE ANNUITY SUITABILITY TRAINING REQUIREMENT

More information

S T A T E INSURANCE COVERAGE AND PRACTICE SYMPOSIUM DECEMBER 7 8, 2017 NEW YORK, NY. DRI Will Submit Credit For You To Your State Agency

S T A T E INSURANCE COVERAGE AND PRACTICE SYMPOSIUM DECEMBER 7 8, 2017 NEW YORK, NY. DRI Will Submit Credit For You To Your State Agency A d j u s t e r C r e d i t C E I n f o r m a t i o n INSURANCE COVERAGE AND PRACTICE SYMPOSIUM DECEMBER 7 8, 2017 NEW YORK, NY Delaware Pending Georgia Pending Louisiana Pending Mississippi 12.00 New

More information

State Tax Treatment of Social Security, Pension Income

State Tax Treatment of Social Security, Pension Income State Tax Treatment of Social Security, Pension Income The following chart Provides a general overview of how states treat income from Social Security and pensions for the 2016 tax year unless otherwise

More information

MARIJUANA SUPPLEMENTAL APPLICATION

MARIJUANA SUPPLEMENTAL APPLICATION MARIJUANA SUPPLEMENTAL APPLICATION COMPLETE IN ADDITION TO ACORD APPLICATIONS. ATTACH ADDITIONAL SHEETS AS NECESSARY. ANSWER ALL QUESTIONS. If not applicable, indicate N/A. GENERAL INFORMATION 1) Named

More information

Security Guard / Patrol Application

Security Guard / Patrol Application Applicant s Name Security Guard / Patrol Application All questions must be answered in full. Application must be signed and dated by the applicant. Agent Applicant Mailing Address Applicant s Phone Number

More information

Exhibit 57A. Approved Attorney Fees and Title Expenses

Exhibit 57A. Approved Attorney Fees and Title Expenses Exhibit 57A Approved Attorney Fees and Title Expenses Written pre-approval from Freddie Mac is required before incurring any expense in excess of any of the below amounts. See Sections 9701.11 and 9701.15

More information

MORTGAGE LENDER LICENSE APPLICATION PACKET

MORTGAGE LENDER LICENSE APPLICATION PACKET (503) 378-4140 Fax: (503) 947-7862 TTY: (503) 378-4100 MORTGAGE LENDER LICENSE APPLICATION PACKET Please read instructions before completing application. CONTENTS: Application instructions Application

More information

S T A T E TURNING THE TABLES ON PLAINTIFFS IN TRUCKING LITIGATION APRIL 26 27, 2018 CHICAGO, IL. DRI Will Submit Credit For You To Your State Agency

S T A T E TURNING THE TABLES ON PLAINTIFFS IN TRUCKING LITIGATION APRIL 26 27, 2018 CHICAGO, IL. DRI Will Submit Credit For You To Your State Agency A d j u s t e r C r e d i t C E I n f o r m a t i o n TURNING THE TABLES ON PLAINTIFFS IN TRUCKING LITIGATION APRIL 26 27, 2018 CHICAGO, IL Delaware Georgia Louisiana Mississippi New Hampshire North Carolina

More information

Pedicab Companies. Commercial General Liability Application

Pedicab Companies. Commercial General Liability Application Pedicab Companies Commercial General Liability Application All questions must be answered in full. Application must be signed and dated by the applicant. Applicant s Name Agent Applicant Mailing Address

More information

A d j u s t e r C r e d i t C E I n f o r m a t i o n S T A T E. DRI Will Submit Credit For You To Your State Agency. (hours ethics included)

A d j u s t e r C r e d i t C E I n f o r m a t i o n S T A T E. DRI Will Submit Credit For You To Your State Agency. (hours ethics included) A d j u s t e r C r e d i t C E I n f o r m a t i o n INSURANCE COVERAGE AND CLAIMS INSTITUTE APRIL 3 5, 2019 CHICAGO, IL Delaware Georgia Louisiana Mississippi New Hampshire North Carolina (hours ethics

More information

FHA Manual Underwriting Exceeding 31% / 43% DTI Eligibility Quick Reference

FHA Manual Underwriting Exceeding 31% / 43% DTI Eligibility Quick Reference Credit Score/ Compensating Factor(s)* No Compensating Factor One Compensating Factor Two Compensating Factors No Discretionary Debt Maximum DTI 31% / 43% 37% / 47% 40% / 50% 40% / 40% *Acceptable compensating

More information

Machinery, Equipment And Rigging Supplemental Application

Machinery, Equipment And Rigging Supplemental Application Machinery, Equipment And Rigging Supplemental Application TO BE USED WITH COMMERCIAL GENERAL LIABILITY APPLICATION (ACORD 125) All questions must be answered in full. Application must be signed and dated

More information

EVENT PARTY OR WEDDING PLANNER SUPPLEMENTAL APPLICATION

EVENT PARTY OR WEDDING PLANNER SUPPLEMENTAL APPLICATION EVENT PARTY OR WEDDING PLANNER SUPPLEMENTAL APPLICATION Applicant s Name TO BE USED WITH COMMERCIAL GENERAL LIABILITY APPLICATION (ACORD 125) All questions must be answered in full. Application must be

More information

INSURANCE AGENTS AND BROKERS ERRORS & OMISSIONS APPLICATION

INSURANCE AGENTS AND BROKERS ERRORS & OMISSIONS APPLICATION Kinsale Insurance Company 6802 Paragon Place, Suite 120 Richmond, VA 23230 (804) 289-1300 INSURANCE AGENTS AND BROKERS ERRORS & OMISSIONS APPLICATION APPLICANT S INFORMATION: 1. Legal name of the agency

More information

PIPELINE CONSTRUCTION SUPPLEMENTAL APPLICATION

PIPELINE CONSTRUCTION SUPPLEMENTAL APPLICATION Kinsale Insurance Company P. O. Box 17008 Richmond, VA 23226 (804) 289-1300 www.kinsaleins.com NAMED INSURED S INFORMATION PIPELINE CONSTRUCTION SUPPLEMENTAL APPLICATION COMPLETE IN ADDITION TO ACORD APPLICATIONS.

More information

Mutual Fund Tax Information

Mutual Fund Tax Information 2008 Mutual Fund Tax Information We have provided this information as a service to our shareholders. Thornburg Investment Management cannot and does not give tax or accounting advice. If you have further

More information

A d j u s t e r C r e d i t C E I n f o r m a t i o n S T A T E. DRI Will Submit Credit For You To Your State Agency. (hours ethics included)

A d j u s t e r C r e d i t C E I n f o r m a t i o n S T A T E. DRI Will Submit Credit For You To Your State Agency. (hours ethics included) A d j u s t e r C r e d i t C E I n f o r m a t i o n NURSING HOME/ALF LITIGATION SEPTEMBER 13 14, 2018 NEW ORLEANS, LA Delaware Georgia Louisiana Mississippi New Hampshire North Carolina (hours ethics

More information

STANDARD MANUALS EXEMPTIONS

STANDARD MANUALS EXEMPTIONS STANDARD MANUALS EXEMPTIONS The manual exemptions permits a security to be distributed in a particular state without being registered if the company issuing the security has a listing for that security

More information

Year-End Tax Tables Applicable to Form 1099-DIV Page 2 Qualified Dividend Income

Year-End Tax Tables Applicable to Form 1099-DIV Page 2 Qualified Dividend Income Year-End Tax Tables This document contains general information to assist you in completing your 2016 tax returns. You should consult your tax advisor to determine the appropriate use of these tables. This

More information

GUARANTEE TRUST LIFE INSURANCE COMPANY Credit Claim Service Center P.O. Box 1145 Glenview, IL Phone: Fax:

GUARANTEE TRUST LIFE INSURANCE COMPANY Credit Claim Service Center P.O. Box 1145 Glenview, IL Phone: Fax: Initial Credit Disability Claim Form GUARANTEE TRUST LIFE INSURANCE COMPANY Credit Claim Service Center P.O. Box 1145 Glenview, IL 60025 Phone: 800-592-0629 Fax: 847-460-2962 Office Hours: Monday thru

More information

Mutual Fund Tax Information

Mutual Fund Tax Information Mutual Fund Tax Information We have provided this information as a service to our shareholders. Thornburg Investment Management cannot and does not give tax or accounting advice. If you have further questions

More information

Q309 NATIONAL DELINQUENCY SURVEY FROM THE MORTGAGE BANKERS ASSOCIATION. Data as of September 30, 2009

Q309 NATIONAL DELINQUENCY SURVEY FROM THE MORTGAGE BANKERS ASSOCIATION. Data as of September 30, 2009 NATIONAL DELINQUENCY SURVEY FROM THE MORTGAGE BANKERS ASSOCIATION Q309 Data as of September 30, 2009 2009 Mortgage Bankers Association (MBA). All rights reserved, except as explicitly granted. Data are

More information

# of Credit Unions As of September 30, 2011

# of Credit Unions As of September 30, 2011 # of Credit Unions # of Credit Unions # of Credit Unions As of September 30, 2011 8,400 8,200 8,000 7,800 7,600 7,400 7,200 8,332 8,065 7,794 7,556 7,325 7,000 6,800 9,000 8,000 7,000 6,000 5,000 4,000

More information

By: Adelle Simmons and Laura Skopec ASPE

By: Adelle Simmons and Laura Skopec ASPE ASPE RESEARCH BRIEF 47 MILLION WOMEN WILL HAVE GUARANTEED ACCESS TO WOMEN S PREVENTIVE SERVICES WITH ZERO COST-SHARING UNDER THE AFFORDABLE CARE ACT By: Adelle Simmons and Laura Skopec ASPE The Affordable

More information