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Contact Person: Illinois Division of Insurance 320 West Washington Street
Cindy Colonius Review Requirements Checklist Springfield, IL 62767-0001
217-782-4572    
Cindy.Colonius@Illinois.gov

Effective 1/01/08

Line(s) of   Line(s) of  
Business   Insurance  

Merger Endorsement Guidelines

 

All life, accident and health products

  
Click here for interactive version of this document to be down loaded and submitted with this filing

Word Document - Alteration of this document will result in rejection of the filing
Illinois Insurance Code Link Illinois Compiled Statutes Online
Illinois Administrative Code Link Administrative Regulations Online
Product Coding Matrix Product Coding Matrix
REVIEW REQUIREMENTS REFERENCE

DESCRIPTION OF REVIEW

STANDARDS REQUIREMENTS

 LOCATION OF STANDARD IN FILING
    NOTE: These brief summaries do not include all requirements of all laws, regulations, bulletins, or requirements, so review actual law, regulation, bulletin, or requirement for details to ensure that forms are fully compliant before filing with the Department of Insurance.  
FORM FILING REQUIREMENTS  REFERENCE DESCRIPTION OF REVIEW STANDARDS REQUIREMENTS LOCATION OF STANDARD IN FILING
Uniform Transmittal Document (Etrans) 50 IL Adm. Code 916 Form filings must now be submitted either by SERFF or CD-ROM. Please visit the Division's web site for the Universal Transmittal Document (Etrans) by clicking this link.
Scroll down to "Universal Transmittal Document Software (Etrans)"		  
Cover Letter and Letter of Submission

50 IL Adm. Code 916.40 (b)

 

Letters of submission must generally describe the intent and use of the form being filed and, if applicable, how it will be used with any previously approved form(s).		  
REQUIRED GENERAL PROVISIONS      
Unique Form Number 50 IL Adm. Code 916.40 b) A unique form number must be on each form in the lower left hand corner.  
Letter of Submission 50 IL Adm. Code 916.40 b) The filing must contain a letter of submission giving a detailed description of the purpose of the policy form and the proposed effective date of the name change.  
Name of the Company 215 ILCS 5/143 The new company name and home office address must appear on the form.  
Proper Descriptive Title 215 ILCS 5/143 The endorsement must have the descriptive title, “Merger Endorsement”.  
COMPANY REQUIREMENTS      
Financial Requirements for Domestic, Foreign or Companies

Article X of the Insurance Code

215 ILCS 5/117

 

Merger endorsements cannot be approved for domestic companies until the Financial/Corporate Unit has finalized the merger transaction.

Those endorsements cannot be approved for foreign or alien companies until copies of the agreement and certificate of merger are filed with that same Unit.		  
GENERAL INFORMATION      
Separate filings for each line of insurance 50 IL Adm. Code 916 The endorsement must be filed and approved for each line of insurance affected by the name change.  
Identification of filing 215 ILCS 5/143 Please indicate in the state and company tracking numbers that the filing is a merger endorsement filing for ease of tracking purposes.