New York Affidavit Forms
We use both
admitted and non-admitted markets. Your Proposal or Premium Indication
will identify the insurer(s) and advice if admitted or non-admitted in each
state. Like most all jurisdictions, placements with NY eligible
non-admitted insurers require special filings. Filing forms will
accompany our proposal and terms. If you require another copy you can
access them here or on ELANY’s website at
http://www.elany.org/default.aspx. irect questions about filing procedures to your Russell Bond Broker /
If you have requested binding of NY business with a non-admitted insurer, your request to bind must include completed and signed:
1. Total Cost Form & Notice of Excess Lines Placement
2. Part C Affidavit by Producing Broker
For complete details on NY procedures pertaining to Excess and Surplus Lines placements, refer to the Excess Lines Association of NY website at ELANY.
ELANY is charged with the duty to facilitate and encourage compliance with the NY excess line law.
Click here for the Total Cost Form and New York Affidavit Part C.
irect questions about filing procedures to your Russell Bond Broker /