Laserfiche WebLink
LCp <br /> N DI <br /> p n <br /> W <br /> aEnll <br /> 5. FOREIGN INSURER SHOULD BE LICENSED BY A STATE IN THE UNITED STATES <br /> AND YOU MAY CONTACT THAT STATE'S DEPARTMENT OF INSURANCE TO <br /> OBTAIN MORE INFORMATION ABOUT THAT INSURER. YOU CAN FIND A <br /> LINK TO EACH STATE FROM THIS NAIC INTERNET WEBISTE: <br /> https://content.naic.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 <br /> BE ON THE NAIC'S INTERNATIONAL INSURERS DEPARTMENT (IID) LISTING <br /> OF APPROVED NONADMITTED NON-UNITED STATES INSURERS. ASK YOUR <br /> AGENT, BROKER OR "SURPLUS LINE" BROKER TO OBTAIN MORE <br /> INFORMATION ABOUT THAT INSURER. <br /> 7. IF YOU, AS THE APPLICANT, REQUIRED THAT THE INSURANCE POLICY YOU <br /> HAVE PURCHASED BE EFFECTIVE IMMEDIATELY, EITHER BECAUSE EXISTING <br /> COVERAGE WAS GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR <br /> BECAUSE YOU WERE REQUIRED TO HAVE COVERAGE WITHIN TWO <br /> BUSINESS DAYS, AND YOU DID NOT RECEIVE THIS DISCLOSURE FORM AND <br /> A REQUEST FOR YOUR SIGNATURE UNTIL AFTER COVERAGE BECAME <br /> EFFECTIVE, YOU HAVE THE RIGHT TO CANCEL THIS POLICY WITHIN FIVE <br /> DAYS OF RECEIVING THIS DISCLOSURE. <br /> IF YOU CANCEL COVERAGE THE PREMIUM WILL BE <br /> PRORATED AND ANY BROKER'S FEE CHARGED FOR THIS INSURANCE WILL BE <br /> RETURNED TO YOU. <br /> AE BDE 91998 MU 07 24 Page 2 of 6 <br />