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III140 i IIIIII i 0III III III IIII III III IIIIIII IIII <br />5. Foreign insurers should be licensed by a state in the United States <br />and you may contact that state's department of insurance to obtain <br />more information about that insurer. You can find a link to each <br />state from this NAIC internet website: <br />https:Hnaic.org/state_web_map.htm. <br />6. For non -United States (alien) insurers, the insurer should be <br />licensed by a country outside of the United States and should be on <br />the NAIC'S International Insurers Department (IID) listing of <br />approved nonadmitted non -United States insurers. Ask your agent, <br />broker, or "surplus line" broker to obtain more information about <br />that insurer. <br />7. California maintains a "List of Approved Surplus Line Insurers <br />(LASLI) ." Ask your agent or broker if the insurer is on that list, <br />or view that list at the internet web site of the California <br />Department of Insurance: <br />www.insurance.ca.gov/01.-consumers/120-company/07-lasli/la <br />HYPERLINK. <br />8. If you, as the applicant, <br />have purchased be <br />existing coverage wc, <br />days or because you <br />two business days, <br />form and a request <br />became effective, yo <br />within five days of i <br />required that the insurance policy you <br />effective immediately, either because <br />going to lapse within two business <br />were required to have coverage within <br />A you did not receive this disclosure <br />or your signature until after coverage <br />have the right to cancel this policy <br />kceiving this disclosure. If you cancel <br />coverage, the premium will be prorated and any broker's fee <br />charged for this insurance will be returned to you <br />PN CA 05 0120 <br />02020X.L. America, Inc. All Rights Reserved. <br />May not be copied without permission. <br />Risk M madDhisian <br />n+�\@'< REVIEWED & APPROVEDBY: <br />-�_r- Risk Management Specialist <br />