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Click ‘Get Form’ to open the LIC-050 Surplus Line and or Special in the editor.
Begin by entering the Business Entity Name and License Number in the designated fields. Ensure that these details match your official documents.
Fill in the Mailing Address accurately, as this will be used for correspondence with the California Department of Insurance.
Select the appropriate Endorsement Type from the list provided. Remember, you can only enter one endorsement type per line unless it’s SL/SP.
Input the Endorsee’s Social Security Number and Name as shown on their license. This information is mandatory for processing.
Specify the Effective Date of Endorsement for each entry you make. This is crucial for record keeping.
Complete any additional endorsements by repeating steps 4 to 6 as necessary, up to ten endorsements.
Finally, ensure that an authorized representative signs and dates the form, providing their title and email address.

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Versions	Form popularity	Fillable & printable
2023	4.8 Satisfied (27 Votes)
2021	4.7 Satisfied (101 Votes)
2015	4.1 Satisfied (61 Votes)

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What does excess and surplus mean in insurance?

Simply put, Excess Surplus lines (ES) is a specialty market that insures things standard carriers wont cover. The difficult or high-risk exposures in which ES carriers specialize may range from a mobile home or a day care center to a multinational oil company.

What is the maximum amount of surplus lines a broker can charge for obtaining surplus lines coverage?

Effective October 1, 2022, a qualified surplus lines broker to charge a reasonable policy fee on a policy issued by a surplus lines insurer to an exempt commercial policyholder; a reasonable policy fee not exceeding $200 on each personal lines policy issued by a surplus lines insurers, and a reasonable policy fee not

How much is a surplus line license in California?

License filing: - two year term: $1,296, the fee for a surplus line broker business entity license.

What is a surplus line insurance?

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.