Alaska Division of Insurance

State of Alaska

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> Company > Surplus Lines Premium Report Forms

	Adobe Acrobat	MS Word	MS Excel
Reporting Instructions for Surplus Lines Brokers	Click here
Monthly Premium Report Summary	08-1238.pdf	08-1238.doc
Multi-State Allocation Form	08-211.pdf	08-211.doc
Statement of Exempt Premiums	08-1238a.pdf	08-1238a.doc
Report of Surplus Lines Transaction	08-1237.pdf	08-1237.doc
Producing Broker's Surplus Lines Affidavit of Due Diligence	08-1236.pdf	08-1236.doc
Quarterly Tax Forms	08-209.pdf	08-209.doc
Annual Premium Tax Report	08-200SL.pdf		08-200SL.xls
Useful Links
Eligible Surplus Lines Insurers
Surplus Lines Placement List
Surplus Lines Amended Monthly Reporting Requirements
Line Codes for Surplus Lines Transaction Reports
Broker Fees and the Appointment of Insurance Producers as Brokers The effective date for the purpose of excluding from taxes the wholesaler fees (providing they are properly disclosed per the bulletin) begins the first quarter 2005.
Regulation Changes Effective July 25, 2008

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	General Division of Insurance Information
	Public Records Request Form (This form is now writable in pdf format)
	Consumer Information
	Frequently Asked Questions
	Agent (Producer) Licensing
	Company, Surplus Lines Forms and Information
	Statutes, Regulations, Bulletins, Exams, Orders
	Purchasing Groups and Risk Retention Groups
	Rates and Forms
	Medicare Part D - Prescription Drug Coverage
	Senior Benefits Program
	Related Links


	Premera Blue Cross Proposed Conversion Transaction
	Hearings and Meetings
	Proposed Regulations
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	What's New this Month!


	Alaska Insurance Consumer Guide
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	Filing a Consumer Complaint
	Reporting Fraud
	Insurance Company Query
	Search Division of Insurance Producer License Database
	ACH Signup: Avoid Penalties on Premium Tax Payments
	Medicare Part D - Prescription Drug Coverage