ACORD Forms Notification Service May 2018 Bulletin
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1 ACORD Forms Notification Service May 2018 Bulletin ACORD P&C and Life/Annuity/Health Form Changes and Additions The following pages include both a list of new and recently revised ACORD forms and an Explanation of the Changes made. In 2013, we made an enhancement to our filing and forms release processes. Whenever possible, new and revised ACORD forms will be made available one to six months in advance of the form effective date. In these instances, companies will have this additional time to implement the forms into their systems before the current versions are replaced. Both the current versions and the revised future effective date versions will be found on the Forms Portal page at The effective date included on the footer of all forms will match the date the form must be used in all jurisdictions in order to ensure compliance with our filings. Also on the ACORD website, ACORD s Forms Index and Related Forms are available for download. The Related Forms document lists Parent forms and their children (the forms that may or should be attached to the Parent form). This file will be updated any time new ACORD forms are added to the current library. Copies of the forms referenced in this announcement can be downloaded in the formats you need at To download forms, you will need to sign-in as an ACORD member with your user name and password. If you need assistance, a sample of a form, or are an agent / broker who would like to join ACORD, please call Member Services at (800) , Option 2 or us at memberservices@acord.org. If you do not wish to receive this notification, please send an to memberservices@acord.org requesting that we unsubscribe you to this Forms Notification Service. ACORD Forms Notification
2 Forms Release Form Number REVISIONS Replaces Title For Use on or after: Regulatory Change P&C Countrywide P&C State Specific ACORD 50 TX (2018/09) 2015/05 TEXAS LIABILITY INSURANCE CARD 2018/09 X ACORD 50 AZ (2018/08) ACORD 67 NJ (2018/06) ACORD 68 NJ (2018/06) ACORD 50 LA (2018/10) 2012/08 ARIZONA INSURANCE IDENTIFICATION CARD 2010/08 NEW JERSEY INSURANCE UNDERWRITING ASSOCIATION, DWELLING FIRE APPLICATION 2010/05 NEW JERSEY INSURANCE UNDERWRITING ASSOCIATION, COMMERCIAL FIRE APPLICATION 2008/03 LOUISIANA AUTO INSURANCE IDENTIFICATION CARD 2018/08 X 2018/ / /10 X ACORD 64 NY (2018/06) NEW 2018/06 NEW YORK AUTO SUPPLEMENT - SUPPLEMENTARY UNINSURED/UNDERINSURED MOTORISTS INSURANCE 6/16/2018 X P&C-Countrywide
3 P&C - State Specific None Life & Annuity WITHDRAWN P&C- Countrywide P&C- State Specific Life & Annuity FORM ENHANCEMENTS ACORD 160 (2016/09) ACORD 220 FL (2012/12) ACORD 137 NH (2018/05) Business Owners Section At Page 4, text for valuation is centered in cell. The text for Form Number was re-aligned. Citizens Property Insurance Corporation Commercial- Residential Wind Only Elabels added NEW HAMPSHIRE COMMERCIAL AUTO Elabels added
4 MAY 2018 EXPLANATION OF CHANGES P&C FORMS New Forms Country Wide State Specific 1. ACORD 50 TX (2018/09) TEXAS LIABILITY INSURANCE CARD 1. On the front of the card, in the agency section, the Zip Code field was expanded to permit zip code plus the dash and four digits. 2. On the back of the card, in the English version, a required notice starting with the words Importante was added to the card along with a field for the company phone number was added to the card to be compliant with the applicable regulation. 3. Revises Copyright dates to 2018 and date of Form. 2. ACORD 50 AZ (2018/08) ARIZONA INSURANCE IDENTIFICATION CARD 1. In order to comply with Ariz. Rev. Stat. Ann , ACORD has deleted the NAIC field and added a field for Arizona Department of Transportation or ADOT. This ADOT number is not the NAIC number. 2. Revises Copyright dates to 2018 and date of Form. 3. ACORD 67 NJ (2018/06) NEW JERSEY INSURANCE UNDERWRITING ASSOCIATION, DWELLING FIRE APPLICATION 1. Changed the mailing address for the New Jersey Insurance Underwriting Association to 570 Broad Street and changed the Zip Code due to the move of New Jersey Insurance Underwriting Association. 2. Revises Copyright dates to 2018 and date of Form. ACORD Explanation of Changes
5 4. ACORD 68 NJ (2018/06) NEW JERSEY INSURANCE UNDERWRITING ASSOCIATION, COMMERCIAL FIRE APPLICATION 1. Changed the mailing address for the New Jersey Insurance Underwriting Association to 570 Broad Street and changed the Zip Code due to the move of New Jersey Insurance Underwriting Association. 2. Revises Copyright dates to 2018 and date of Form. 5. ACORD 50 LA (2018/10) LOUISIANA AUTO INSURANCE IDENTIFICATION CARD 1. On the front of the card, in the first paragraph, the paragraph starting with An Insurer. has been bolded, pursuant to regulations. 2. Here on in the sentence starting with An insurer has been replaced with hereon. 3. The back of the card: the paragraphs are bolded pursuant regulations. 4. New Edition date added to the card and copyright date. 6. ACORD 64 NY (2018/06) NEW YORK AUTO SUPPLEMENT SUPPLEMENTARY UNINSURED/UNDERINSURED MOTORISTS INSURANCE New York State Department of Financial Services issued an Emergency Eight Amendment to 11 NYCRR 60-2 and changes were required to be made to the form released under last month s release. The Emergency Amendment dated May 10, 2018 required a replacement of the Form released under the April 2018 Forms Notification. The form has been modified and already released on the ACORD portal. Effective Date is June 16, Treat as new form. ACORD Explanation of Changes
6 Form Enhancements 1. ACORD 160 (2016/09) Business Owners Section No changes were made to the static form. At Page 4, text for the valuation is now centered in cell. Additionally, the fillable field for the text under Form Number on Page 4 was re-aligned. 2. ACORD 220 FL (2012/12) Citizens Property Insurance Corporation Commercial-Residential Wind Only On page 1, New ELabels were added to (15) Roof Covering, Bldg Type II and III, 5+units, Level A and corrections were to the ELabel explanations for 14689: Level B FBC Equivalent for Building Type II and for FBC Equivalent for Type I Buildings. 3. ACORD 137 NH (2018/05) NEW HAMPSHIRE COMMERCIAL AUTO 1. An Elabel correction to Medical Payments symbol 9 was added on page Note: Agency field was not replaced by Producer as indicated in the prior Explanation of Changes. These are not new form editions. The static text of the forms have not changed. Withdrawn Countrywide State Specific Withdrawn LIFE & ANNUITY ACORD Explanation of Changes
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