What is an affidavit for placing surplus lines insurance?

Definition & Meaning of Affidavit for Surplus Lines Insurance

An affidavit for placing surplus lines insurance is a formal, sworn statement that serves as a critical document in the insurance process. This affidavit is typically prepared by an insurance broker and sometimes includes the insured party. Its primary function is to confirm that the broker has conducted a thorough search for coverage within the admitted market—meaning licensed insurers—but was unable to find suitable options. As a result, the affidavit justifies the placement of insurance with a non-admitted or surplus lines insurer. This process is essential for compliance with state regulations and ensures that all parties are aware of the associated risks.

The affidavit must clearly state that:

  • The risk was declined by licensed insurers.
  • The surplus lines policy is intended to cover amounts that could not be placed in the admitted market.
  • The insured has been informed that the surplus lines insurer is not part of the state's guarantee fund.
  • The placement adheres to relevant state laws.

Key Elements of the Affidavit

Several essential components must be included in an affidavit for placing surplus lines insurance to ensure it meets legal standards and fulfills its purpose:

  • Diligent Search Documentation: The affidavit must provide evidence that the broker attempted to secure coverage from admitted carriers and was unsuccessful.
  • Insured's Awareness: It should confirm that the insured understands the implications of using a surplus lines insurer, particularly regarding the lack of state-backed guarantees.
  • Tax and Fee Records: The affidavit serves as a record for the state to track surplus lines taxes and fees that may be applicable.
  • Sworn Statement: The document must be signed in the presence of a notary, affirming that all information provided is accurate and truthful.

Who Typically Uses the Affidavit

The affidavit for placing surplus lines insurance is primarily utilized by insurance brokers and agents, as they are responsible for securing coverage for their clients. Additionally, the insured parties—businesses or individuals seeking insurance coverage—may also be involved in the process. Specific scenarios where this affidavit is essential include:

  • Businesses in high-risk industries that require coverage not offered by standard insurers.
  • Individuals seeking unique or specialized coverage that is unavailable in the admitted market.
  • Insurance brokers working with clients who need to document their search for coverage.

Steps to Complete the Affidavit

Completing an affidavit for placing surplus lines insurance involves several key steps to ensure accuracy and compliance:

  • Step One: Conduct a diligent search for coverage among admitted insurers. Document all efforts made to secure coverage.
  • Step Two: Draft the affidavit, including all necessary elements, such as the details of the search and the acknowledgment of risks.
  • Step Three: Review the affidavit with the insured to ensure they understand the implications of using a surplus lines insurer.
  • Step Four: Sign the affidavit in the presence of a notary public to validate the document.
  • Step Five: Submit the affidavit to the appropriate state insurance department or designated office.

Legal Use of the Affidavit

The legal use of the affidavit for placing surplus lines insurance is governed by state regulations, which may vary significantly across the United States. Generally, the affidavit must be filed with the state insurance commissioner or a designated office, such as the Florida Surplus Lines Service Office (FSLSO). Compliance with these regulations is crucial to avoid penalties and ensure that the insurance placement is valid.

Key legal considerations include:

  • Understanding state-specific filing deadlines, which can vary by jurisdiction.
  • Ensuring all information in the affidavit is accurate and truthful to avoid legal repercussions.
  • Being aware of any additional documentation that may be required by the state.

Examples of Using the Affidavit

Practical examples of when an affidavit for placing surplus lines insurance is used can illustrate its importance:

  • A construction company seeking coverage for a unique project that standard insurers refuse to underwrite due to high risk.
  • An individual requiring specialized health insurance that is not available through traditional channels, necessitating a surplus lines policy.
  • A broker representing a client in a niche market, such as cyber liability insurance, where admitted insurers are not providing adequate options.

State-Specific Rules for the Affidavit

Each state has its own set of rules governing the use of affidavits for placing surplus lines insurance. Understanding these variations is crucial for compliance:

  • Some states may require additional disclosures or specific forms to be included with the affidavit.
  • Filing deadlines can differ; some states may require quarterly submissions, while others may have different timelines.
  • Regulations may dictate how the affidavit must be structured or what information must be included.

Filing Deadlines and Important Dates

Filing deadlines for the affidavit can vary by state, but there are common timelines that brokers and insured parties should be aware of:

  • Typically, the affidavit must be filed within a specific number of days after the surplus lines coverage is placed, often within 45 days.
  • Some states require quarterly filings, necessitating careful tracking of policy placements and deadlines.
  • Staying informed about any changes in state regulations can help ensure timely compliance.
By signNow's Team
By signNow's Team
December 30, 2025
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