Form SL-1904 - WillComply-2025

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The document outlines the requirements for a Statement of Diligent Effort form (SL-1904) used by surplus lines brokers in Delaware. It mandates that the form be available for examination for five years and includes sections for detailing efforts to secure insurance from licensed insurers, reasons for any declines, and a declaration that the insured understands the implications of using an unlicensed insurer. The document emphasizes compliance with Delaware insurance laws and includes spaces for necessary signatures and contact information.

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Click ‘Get Form’ to open Form SL-1904 in the editor.
Begin by filling in the 'Submitted by' section, selecting either 'Producer' or 'SL Broker'.
Enter the Surplus Lines Insurer Name and Policy Number in the designated fields.
Provide the Insured's Name and Mailing Address, ensuring accuracy for effective communication.
Fill out the Policy Term Information, including Effective Date and Expiration Date in MM/DD/YYYY format.
Indicate the Amount of Insurance for both Casualty and Property sections.
Describe the coverage and specify the Location of Risk clearly.
List any licensed insurers that declined to insure this risk, providing their names, NAIC numbers, contact details, and reasons for declining.
Finally, ensure that you sign and date the form as required before submission.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (36 Votes)
2012	4.1 Satisfied (64 Votes)
2006	4.2 Satisfied (70 Votes)

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What is the surplus line tax in Delaware?

Surplus lines tax: 3%. Delaware does allow domestic surplus lines insurers in the state.

What is considered surplus line?

Surplus line insurance is coverage for higher risks, such as a: Home built on the side of steep bank or an extremely old home. Very expensive racehorse. Rare art or antique collection.

What is a surplus line tax?

What is Surplus Lines Tax? Surplus lines tax is a type of tax that is imposed on insurance policies that are not covered by the states admitted insurance market. This means that the insurance policy is not regulated by the states insurance department and is instead placed with a non-admitted insurance company.

What is a surplus in Delaware?

The excess, if any, at any given time, of the net assets of the corporation over the amount so determined to be capital shall be surplus. Net assets means the amount by which total assets exceed total liabilities.

How much are surplus lines taxes and fees?

Appendix A StateStatutory Citation to Insurance CodeTax Rate Applied California 1775.5 1775.1(a) 3% (+ stamping fee of 0.18%, effective Jan. 1, 2023) (monthly or annual based on prior year tax liability). Colorado 10-5-111 3% Connecticut 38(a)-743 4% (quarterly) Delaware 1925 3%101 more rows

Form SL-1904 - WillComply-2025

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