| 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 |
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| Line(s) of | Filing | Line(s) of | Filing | |
| Business | Code(s) | Insurance | Code(s) | |
Name Change Endorsement Guidelines |
AOI
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All life, accident and health products |
AOI.000
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| 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 REVIEWSTANDARDS 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)" |
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| 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). |
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| 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, “Name Change Endorsement”. | |
| COMPANY REQUIREMENTS | |||
| Financial Requirements for Domestic Companies | Name change endorsements cannot be approved for domestic companies until the Financial/Corporate Unit has finalized the name change transaction. | ||
| Financial Requirements for Foreign Companies | Article VI of the Illinois Insurance |
Name change endorsements cannot be approved for foreign companies until all requirements of the Illinois Insurance Code have been filed with the Financial/Corporate 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. | |
| Certification signed by officer of the company | 215 ILCS 5/143 | Each filing should include a statement signed by an officer of the company certifying that the only change being made to the previously approved forms is the company name, address, etc. This procedure avoids filing all previously approved forms with the new name. | |
| Identification of filing | 215 ILCS 5/143 | Please indicate in the state and company tracking numbers that the filing is a name change for ease of tracking purposes. |