2005 North Carolina Code - General Statutes § 58-21-35. Duty to file reports and retain affidavits.

§ 58‑21‑35.  Duty to file reports and retain affidavits.

(a)       Within 30 days after the placing of any surplus lines insurance, the surplus lines licensee shall file with the Commissioner a report in a format prescribed by the Commissioner regarding the insurance and including the following information:

(1)       The name of the insured.

(2)       The identity of the insurer or insurers.

(3)       A description of the subject and location of the risk.

(4)       The amount of premium charged for the insurance.

(5)       The amount of premium tax for the insurance.

(6)       The policy period.

(7)       The policy number.

(8)       The name, address, telephone number, facsimile telephone number, and electronic mail address of the licensee, as applicable.

(9)       Any other relevant information the Commissioner may reasonably require.

(b)       The licensee shall complete and retain an affidavit as to the efforts to place the coverage with admitted insurers and the results of the efforts, in accordance with G.S. 58‑21‑15. The report and affidavit required by this section and the quarterly report required by G.S. 58‑21‑80 shall be completed on a standardized form or forms prescribed by the Commissioner and are not public records under G.S. 132‑1 or G.S. 58‑2‑100. (1985, c. 688, s. 1; 1987, c. 864, s. 35; 1993 (Reg. Sess., 1994), c. 678, s. 16; 1999‑219, s. 6.1.)