Report of Direct Placement or Self-procured Insurance - Mississippi

Report of Direct Placement or Self-procured Insurance - Mississippi

Report of Direct Placement or Self-procured Insurance is a legal document that was released by the Mississippi Department of Insurance - a government authority operating within Mississippi.

FAQ

Q: What is a Report of Direct Placement or Self-procured Insurance?A: A Report of Direct Placement or Self-procured Insurance is a report that must be submitted to the state of Mississippi for insurance policies that are obtained directly from an insurer, without the use of an insurance agent or broker.

Q: Who is required to submit a Report of Direct Placement or Self-procured Insurance?A: Any person or entity in Mississippi who obtains insurance policies directly from an insurer, without the use of an insurance agent or broker, is required to submit a Report of Direct Placement or Self-procured Insurance.

Q: What information is required in the Report of Direct Placement or Self-procured Insurance?A: The report must include information about the insured, the insurer, the policy details, and the premiums paid.

Q: When is the Report of Direct Placement or Self-procured Insurance due?A: The report must be submitted within 30 days after the policy is obtained.

Q: Are there any penalties for not submitting the Report of Direct Placement or Self-procured Insurance?A: Failure to submit the report or providing false information may result in penalties, including fines or revocation of the insurance policy.

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Form Details:

  • Released on January 14, 2008;
  • The latest edition currently provided by the Mississippi Department of Insurance;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Mississippi Department of Insurance.

Download Report of Direct Placement or Self-procured Insurance - Mississippi

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