"Reinsurance Intermediary Power of Attorney (Nonresident Corporation)" - Connecticut

Reinsurance Intermediary Power of Attorney (Nonresident Corporation) is a legal document that was released by the Connecticut Insurance Department - a government authority operating within Connecticut.

Form Details:

  • Released on September 1, 2009;
  • The latest edition currently provided by the Connecticut Insurance Department;
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Download "Reinsurance Intermediary Power of Attorney (Nonresident Corporation)" - Connecticut

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STATE OF CONNECTICUT – INSURANCE DEPARTMENT
Non – Resident Corporation
Reinsurance Intermediary
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That the __________________________________________________________________________, a
(Name of Corporation)
Corporation organized under the laws of ___________________________and with its principal place of business at
(State)
____________________________________________________________________________________________
(Street & Number)
(City)
(State)
desiring to transact the business of a Reinsurance Intermediary in the State of Connecticut in conformity with the
laws thereof, does hereby make, constitute and appoint the Insurance Commissioner of said State or their successor
in office, his/her true and lawful attorney in and for the State of Connecticut, on whom all process of law, whether
mesne or final, against said ______________________________________________________________________,
(Name of Corporation)
may be served in any action or proceeding against said Corporation in the State of Connecticut, subject to and in
accordance with all the provisions of the laws of the State of Connecticut now in force, and other such laws as may
hereafter be enacted in relation thereto. And the said attorney is hereby duly authorized and empowered, as the
agent of said Corporation, to receive and accept service of process in all cases as provided by the laws of the State
of Connecticut, and such service shall be deemed personal service on said Corporation, and shall be of the same
legal force and validity as if served on said Corporation; and said Corporation hereby waives all claims of error by
reason of such service. This appointment shall continue in force so long as the said Corporation remains a licensed
Reinsurance Intermediary and until the Statute of Limitations has run against any and all claims that may exist
against said Corporation because of its having done business under said license.
IN WITNESS WHEREOF, The said Corporation, in accordance with a resolution of its Board of Directors duly
passed on the _______ day of ______________, 20___ (a certified copy of which is hereto attached) has to these
presents affixed its corporate seal and caused the same to be subscribed and attested by its President and Secretary
this _______ day of __________, 20___.
_________________________________________ L.S.
Signature of President
_________________________________________
Name of Person Signing
_________________________________________ L.S.
Signature of Secretary
__________________________________________
Name of Person Signing
CID Stock # 1207-28
Page 1 of 2
(PANonResCorp_ReinsInterm – Rev 09/01/2009)
STATE OF CONNECTICUT – INSURANCE DEPARTMENT
Non – Resident Corporation
Reinsurance Intermediary
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That the __________________________________________________________________________, a
(Name of Corporation)
Corporation organized under the laws of ___________________________and with its principal place of business at
(State)
____________________________________________________________________________________________
(Street & Number)
(City)
(State)
desiring to transact the business of a Reinsurance Intermediary in the State of Connecticut in conformity with the
laws thereof, does hereby make, constitute and appoint the Insurance Commissioner of said State or their successor
in office, his/her true and lawful attorney in and for the State of Connecticut, on whom all process of law, whether
mesne or final, against said ______________________________________________________________________,
(Name of Corporation)
may be served in any action or proceeding against said Corporation in the State of Connecticut, subject to and in
accordance with all the provisions of the laws of the State of Connecticut now in force, and other such laws as may
hereafter be enacted in relation thereto. And the said attorney is hereby duly authorized and empowered, as the
agent of said Corporation, to receive and accept service of process in all cases as provided by the laws of the State
of Connecticut, and such service shall be deemed personal service on said Corporation, and shall be of the same
legal force and validity as if served on said Corporation; and said Corporation hereby waives all claims of error by
reason of such service. This appointment shall continue in force so long as the said Corporation remains a licensed
Reinsurance Intermediary and until the Statute of Limitations has run against any and all claims that may exist
against said Corporation because of its having done business under said license.
IN WITNESS WHEREOF, The said Corporation, in accordance with a resolution of its Board of Directors duly
passed on the _______ day of ______________, 20___ (a certified copy of which is hereto attached) has to these
presents affixed its corporate seal and caused the same to be subscribed and attested by its President and Secretary
this _______ day of __________, 20___.
_________________________________________ L.S.
Signature of President
_________________________________________
Name of Person Signing
_________________________________________ L.S.
Signature of Secretary
__________________________________________
Name of Person Signing
CID Stock # 1207-28
Page 1 of 2
(PANonResCorp_ReinsInterm – Rev 09/01/2009)
STATE OF CONNECTICUT – INSURANCE DEPARTMENT
Non – Resident Corporation
Reinsurance Intermediary
POWER OF ATTORNEY
Certified copy of a Resolution duly passed by the board of Directors of the
________________________________________________________ on the ____________ day of _____________, 20_____.
(Name of Corporation)
At a meeting of the Board of Directors of the _________________________________________________________
(Name of Corporation)
held on the ________ day of ___________, 20___, a quorum being present, the following resolution was passed by said Board:
RESOLVED, That this Corporation, desiring to transact the business of a Reinsurance Intermediary in the State of
Connecticut in conformity with the laws thereof, hereby appoints the Insurance Commissioner of the State of Connecticut, or
their successor in office, its true and lawful attorney in and for the State of Connecticut, on whom all process of law, whether
mesne or final, against said Corporation may be served in any action or proceeding against said Corporation in the State of
Connecticut, subject to and in accordance with all the provisions of the laws of the State of Connecticut now in force, and other
such laws as may hereafter be enacted in relation thereto. And the said attorney is hereby duly authorized and empowered, as
the agent of said Corporation, to receive and accept services of process in all cases as provided by the laws of the State of
Connecticut, and such service shall be deemed personal service on said Corporation, and shall be of the same legal force and
validity as if served on said Corporation, and said Corporation hereby waives all claims of error by reason of such service. This
appointment shall continue in force so long as the said Corporation remains a licensed Reinsurance Intermediary and until the
Statute of Limitations has run against any and all claims that may exist against them because of its having done business under
said license.
And the President and Secretary are hereby authorized to execute in the name of the Corporation, and under its
corporate seal, a Certification of Authority or Power of Attorney to the said Insurance Commissioner, in conformity with this
Resolution and the laws of said State.
I hereby certify that the above is a true copy of the vote of
the Resolution of the Directors of said Corporation authorizing
the appointment of an Attorney for the State of Connecticut.
_______________________________________________L.S.
Secretary
STATE OF __________________________
SS:
COUNTY OF ________________________
On this __________ day of ________________, 20_____, before me, a Notary Public/Commissioner of the Superior
Court for the State of _________________________ duly appointed to take acknowledgement of Deeds and other instruments,
personally appeared __________________________________ President and _______________________________________
Secretary of the _____________________________________________________________ (who are personally known to me)
(Name of Corporation)
and severally acknowledged the execution of the foregoing instrument by them subscribed; and being duly sworn, each for
themselves deposes and says, that they are respectively the officers of the Corporation aforesaid and that the seal affixed to said
instrument is the corporate seal of said Corporation and that the said corporate seal and the signatures as such officers were
duly affixed and subscribed to the said instrument by the authority and direction of said Corporation.
_____________________________________________________
Notary Public/Commissioner of the Superior Court
My Commission Expires:_________________________________
CID Stock # 1207-28
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(PANonResCorp_ReinsInterm – Rev 09/01/2009)
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