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I-File Introductory User Guide - Florida Office of Insurance Regulation
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1. FAIR FAST PROFESSIONAL 2712794 Welcome to the Industry Portal NK Welcome to the Florida Office of Insurance Regulation Industry Portal The Industry Portal is a convenient single Se l 1 an point of entry to access the Filing Assembly and Submission System online Rate Collection Systems Quarterly j a OIR 2008 Filing and Submission Reports and other related content 1 Compliance Symposium Pick a Category P amp C RCS Training and User Manual Form amp Rate Filing Assembly and Submission Regulatory Electronic Filing System REFS Financial Related Filings Common Tasks 9 y 9 gs O Set up an account Data Reporting Filing workbench QUASR Click here for FAQ s and Manual What is the Industry Portal Office of Insurance Regulation Website Professional Liability Claims an I Portal account gives you access to each of MEM Etc dii culum ciii applications Update Contact Information amp iApply Online Company Admissions 200 East Gaines Street Tallahassee FL 32399 850 413 3140 EIU the bottom of the page e FILE Account Tasks e Update your account e View your account Set Up An Account This page allows you to setup a new Industry Portal account Please fill in the following fields and click Create Account at the bottom
2. OIR 1507 Cover Letter 6 25 2004 08 23 Complete L amp H Universal Standardized Data Letter I Forms Checklist 6 25 2004 08 30 Complete 6 25 2004 08 30 Complete filing information Forms ta be Reviewed 6 25 2004 08 30 Certification Statement Valuation Standards Certification Statement Manfarfeitura Standards 6f25 2004 08 28 6 25 2004 08 28 You will need to use the Filing Supplementary Information Supplementary Documentation 6 25 2004 08 28 D c thi l 0 i E ye unu TAS Search option to view and or iling m aa tS Lie M a e p den retrieve any documents contained in your filings gu M AAA M MuR a EN al M AL ee EM e mpm Log on to the Industry Portal Please enter your user name and password to log on to the Industry Common Tasks cue Portal Click submit to continue e Set up an account p
3. OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Search Logout 2 M Filing Component List Work Unit Humber v08 417681 Common Tasks Name 5 Purpose Rate amp Rule Start a new filing Product CMP Divisible Pkg Residential Excludes Condo Assns e Start Data Reporting edit filing details Submit a filing Listed below are all the components required to submit this filing To view a component click an its name Your changes are automatically saved To review the current details of your filing click Review this Filing Component Last Updated Status Company Data 4 16 2008 16 56 Complete Other Places Cover Letter 4 16 2008 16 58 Complete Filing workbench DIR 582 4 16 2008 16 42 Incomplete e Review submitted tilings e Addto a submitted filing Universal Standardized Data Letter el k th Explanatone Memorandum 4 16 2008 16 42 Incomplete MOS Interrogatories 4716 2008 16 42 Incomplete next Manual Pages 4 16 2008 16 42 Incomplete component 1n Additional Rules Information 4 16 2008 16 42 Incomplete the list tO 18 81 1790 4 16 2008 16 42 Incomplete Supplementary Information Optional continue Supplementary Documentation OFFICE OF INSURANCE REGULATION P amp C Universal Data Letter Filing v 05 200735 Rate amp Rule CMP Divisible Pkg Residential Excludes Condo Assns Common Tasks Start a new fil
4. filing on behalf of the compan 2 referenced herein further that the information contained in related trarummibtels and the Filing ix true complete comect and to the beat of my hnesladgs m ramplianecs applicable Florida lang and administrative nier inchuding applzabla readability etandards Hace sam coskey Tibe sra Printable version Return to Component List 69 ER k fh wr oF am me Wa a me E m of n 4 a uL Jj Em _ OFFICE OF INSURANCE REGULATION Help Contact Us Account Filing Assembly Submission System p DS Welcome to the Filing Assembly Submission System FASS Here you JV ve alr vauy gt UDINATLCA build and maintain filings required by the Office To start a new filing click Start a new filing To work on an existing filing click Work on an in progress filing To review a filing already submitted to the Office Start Data Reporting click Review submitted filings 1j ms Start a new filing Submit a filing Choose a Task Review submitted filings Add to a submitted filing Other Places 1 On the next screen under Common Tasks select to a submitted filing Home Help Common Tasks Start a new filing
5. Additional Rules Information 4 16 2008 16 42 Incomplete DOIR B1 1780 4 16 2008 16 42 Incomplete continue Supplementary Information Optional 4 16 2008 16 42 Supplementary Documentation Review his Filing RetuntoWerkbench OFFICE OF INSURANCE REGULATION Filing Search Logout Home Help Contact Us Account File Upload Work Unit Number w05 202887 Common Tasks Name Purpose Rate amp Rule Start a new filing Product CMP Divisible Pkg Residential Excludes Condo Assns Submit a filing Below 15 list of files you have uploaded far this item You may upload or mare files e Review submitted filings to satisfy this requirement e Addto a submitted filing Date Uploaded i pina E There are no documents currently uploaded for the Cover Letter Other Places e Filing workbench Now you need to upload a Cover Letter Click Add File to search your computer for the necessary document Click Done to return to your Filing Component list 4 OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Search Logout File C Task Work Unit Number W05 200735 ommon Tasks ce PO Purpose Rate amp Rule Start a new filing Product CMP Divisible Pkg gt Residential Excludes Condo Assns Submit a filing Select the file you wish to include with this filing component To
6. Consultants Authority Letter 4 17 2008 09 54 4 17 2008 09 K At this point you DOT Expense Supplement Calculation af Company Loss Cost Multiplier may either submit your filing or continue adding information Review this Filing Return to Workbench Submit Filing 2 The Office of Insurance Regulation Thank you for posting your documents Your documents will now be verified as being compatible with the I File zu stern and virus free You will be notified of the verification results shortly If there are any technical problems with your uploaded documents your submission will not be accepted and will be returned to your workbench for correction If your uploaded documents are verified you will be notified that your submission has been assigned an GIR fila log tracking number and forw arded far formal review If this posting is in response to a request for clarification from the Office please note the date requirement for your response In this case your filing is being held in suspense pending your response Yet in order to allow the Office sufficient time to analyze your response please respond by the date indicated in the clarification letter you received The failure of your response reaching the Office by this date requirement may result in the filing s DISAPPROVAL pursuant to applicable provisions of Florida Statue If uou have any concerns of the timeliness of your posting please do not hesitate
7. G4 E5 Sh wv la Address http www FldFs Edit View Favorites Tools Help Enter a dumber Status Roll Frame Company Name FEIN Date Filed rox file log gt 1 05 12300 APPROVED INC 592742907 10 11 2005 Forms number z 05 12501 APPROVED COMPA 060732738 in ii 2005 Forms Florida Department of Financial Services 3 05 12302 APPROVED Pe 532236254 10 11 2005 Rates other I File Workflow System y Forms amp Rates Search Page 4 05 12303 WITHDRAWHM eius BASEN TNA MSS Jas eter e n teer criteria tO i aitans s 5 0512304 APPROVED aec tae ae 741625348 10 11 2005 Forms 6 05 12305 Pending no Luc s 381843471 10 11 2005 Both retrieve File Log 05 123 TERET MUTUAL LIFE 7 05 12308 ACKNOWLEDGED 2390509570 10 11 2005 Rates Company Name INSUR BLUE CROSS amp BLUE SHIELD OF FEIN ac a 05 12507 APPR OWED FL 592015694 10 11 2005 Both filings Filing Date From 7 of 9 05 12308 APPROVED Jb E AQ Filing Date To 10 05 12309 APPROVED Er eene ELS Form 11 05 12310 APPROVED HEALTH OPTIONS INC 592403696 10 11 2005 Both 12 05 12311 APPROVED HEALTH OPTIONS INC 592403696 10 11 2005 Both METROPOLITAN LIFE INSURANCE Then Filing Type Forms Only i3 05 12312 Pending CO 135581829 10 11 2005 Both Rates Only click id 05 12213 INCOMPLETE eee Lira M
8. of Insurance Residentia Excludirg Condo Assn Troduct CMP Divisible kg Eesidertial Ezcludes Conds Assns Component List COMMERC AL RATE RULE FILING Date Created 12 13 2005 02 57 21 PM Your account information is listed below for future reference Your user name is Sam CoskeyGldfs ccm You selected vzur password at registration If you did nat authorize this registration scmeone has mistakenly registered using your e mail address Wa regret inconvenienca Plezse forward tais e mail to anc write cancel i the subject line Once you ve verified your choices you then have the option of giving your filing a name and or a password You will also receive an email at this time containing the same information After you click Done you will be taken to your Filing Workbench to upload documents and provide further information on your filing 34 ArLORIDA OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Search Logout need to comp ete a list of Below is list of your filings that have not yet been submitted Choose the you wish Common Tasks to work on by clicking on its Work Unit Number Start a new filin re i Choose a filing to work on Submit a filing e Review submitted filings Work Unit Number Filing Product Mame Type Date Created File Log Number Purpose
9. edit filing details 12 15 2005 13 48 Complete 12 15 2005 14 50 Explanatone Memorandum 12 15 2005 14 51 Supplementary Information Optional 12 13 2005 14 57 inea Supplementary Documentation Review this Filing At any point in the process you have the option to review your filing Click Review this Filing to view and or print the information you ve provided for your filing 68 Review Filing Filing Details ND Wark Unit Sumber win5 200735 Vrintan F CIA 4 Filing Fate amp Rule Product CMP Duile Pkg f Raxidenbal Exdudai Condo Aiini S NT x x Y Cr nd Dad VU zi J j J S Filing Harz Company Contact Information 125 MID a MAUREEN aay LLL ampany E Mail F dEs aid Es eam ANS I 1036610103615 LISI Company Dete Contact Hames Mr sam c coskey Enntack Tre Ems ZURICH AMERICA professional Designation Contact E mail Filing Originati General Information Company E Mails cane Company Filing iumber Rate Rule Filings Suite Rnoem F How Business Effective Date Is this filing being submitted by a Ratings Organization P O Dox Mailing Addresa Business Effective Date 15 this Annual Rate Certification In accordance with Section 627 0045 Florida Statutes igs Dep
10. Start Data Reporting Submit a filing Review submitted filings Addto a submitted filing Other Places Filing workbench Contact Us Account Filing Search Logout Add to a Submitted Filing This 15 list of all filings that you have submitted that can be amended To add to filing click on its File Log Number NOTE Filings are only available to amend ance the Office has assigned a File Lag Number You will receive an email message when the File Log Number is assigned Choose a filing to amend File Log Number Date Submitted Submission ID Work Unit Humber 0403564 5 12 2004 10 30 02 AM 25903 WO4 100602 0406050 6 18 2004 09 59 27 AM 86243 WO4 101002 0403719 6 25 2004 08 28 12 AM 86405 Ww 4 10112862 0720 6 25 2004 08 30 50 AM 6404 Ww 4 i011i263 o5 00402 6 7 2005 04 45 23 PM 35355 Ww 4 i 01482 0403756 26687 W04 101507 0403765 36783 Ww 4 i018622 043779 36903 WO4 101783 04 05760 56904 Ww 4 101784 a i4 2004 03 11 10 PM 04 09 37 PM 10 5 2004 04 14 23 PM 10 5 2004 04 22 26 PM Add to a Submitted Filings This filing has been opened You can now add new files and update components WO5 19507868 scis 10 22 21 AM 04 05720 Submit a filing Review submitted filings e Addto a submitted filing Other Places
11. Open 43 WLORIDA OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Search Logout D E File Upload Work Unit Humber Ww05 202887 Common Tasks Purpose Rate amp Rule Start a new filing Product CMP Divisible Pkg Residential Excludes Condo Assns Submit a filing Select the file vau wish to include with this filing component To choose a file click e Review submitted filings Browse Navigate to the location of the file an your computer and click Open After you have selected the file you wish to upload click Upload If you da not wish to upload any e Add submitted filing files click Cancel Files must be less than ten Megabytes 10 000 Kilobytes and 1000 pages in size Other Places Please select the file you wish to upload as your Cover Letter Title Cover Letter File to upload HACower Letter doc Filing workbench View the File to upload window to verify that you ve attached the correct document Then click Upload Transferred Bytes Total bytes Transferred Percentage OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Search Logout LCS P FILE m Work Unit Number Common Tasks T MM Purpose e Start a new filing Product File Upload WOS 2OOF 35 CMP 12 Rate amp Rule CME Di
12. Select th Line of Business Please select line of business for this filing You gre currently authorized to submit a Common Tasks filing far all the lines of business that are bold You fay choose to create a filing for one rrentl of the unauthorized lines but you will not be able go submit your filing until you have the 1 UTTCNUY e Start a new filing Office s authorization una view lew V e Submit a filing Click Next to continue vou to create vour filino but vou e Review submitted filings yet VA MW J RR RAARA m m e v7 6 J Z 3 Select Line af Business not be al od t Allied Lines Flood amp Time Element 020 auc E a Nt Auta Warranty 106 until the application 1s Other Places C Bailbonds 245 C Boiler amp Machinery 270 C Burglary amp Theft 260 Filing workbench C Commercial Auto Full Coverage or Liability Only 194 C Commercial Auto Physical Damage Only 212 Commercial Multi Peril 050 C Credit 220 ETT TT Description Microsoft Internet Explorer provided by Florida Departm Bl x ommercial Multi Peril As you proceed through the The policy packages two or mare insurance coverages protecting an enterprise from various wizard you ll also notice that SuSE each option 1s hyperlinked Click Close the link to display a description for that specific choice OF
13. 2006 UNLICENSED lation tion compliance and Office is also entrusted with Irms m company larida igr country Gov Crist and Commissioner McCarty announce Allstate subpoenas Read More Commissioner discusses Insuring coastal La The I Portal OFFICE OF INSURANCE REGULATION What would you like to de Florida Insurance Regulation Welcome to the Industry Portal RERET Welcome to the Florida Office of Insurance Regulation Industry Portal The Industry Portal is a convenient single point of entry to access the Filing amp ssembly and Submission System online Rate Collection Systems Quarterly 2008 Filing and Submission Reports and other related content Compliance Symposium Pick a Category P amp C RCS Training and User Manual Form amp Rate Filing Assembly and Submission b gt Regulatory Electronic Filing System REFS Financial Related Filings Common Tasks g y Uy gs Set up an account T 2 Data Reporting Filing workbench QUASR Click here for FAQ s and Manual What is the Industry Portal Office of Insurance Regulation Website Update Contact Information 5 iApply Online Company Admissions OIR Long Range Program Plan Contact Us Mission Statement Florida Department of Financial Services aec 200 East Gaines Street Tallahassee FL 32399 850 413 3140 5 OFFICE OF INSURANCE REGULATION
14. 2008 16 42 Incomplete continue Interragatories 4 16 2008 16 42 Incomplete L Manual Fages 4 16 2008 16 42 Incomplete Additional Rules Information 4 16 2008 16 42 Incomplete OIR B1 173C 4 16 2008 16 42 Incomplete Supplementan Information Optional 4 16 2008 16 42 Supplementary Documentation FLORIDA OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Search Logout 2 FILE File Upload m Work Unit Humber 1105 20258 7 Common Tasks Name stens are Purpose Rate amp Rule Start a new filing Product CMP Divisible Pkg Residential Excludes Condo Assns e Submit a filing Select the file you wish to include with this filing component To choose a file click mM gg e Review submitted filings Browse Navigate to the location of the file on your computer and click Open After you GA Oh Aw have selected the file you wish to Upload click Upload If you do nat wish to upload any Addto a submitted filing files click Cancel Files hn locc than tan Mnnabhutnc NNN KFilnhuoutac and 1nnn nanne in tes or LORIDA PH WOrHBEER OFFICE OF INSURANCE REGULATION Title Home Help Contact Us Account Filing Search Logout File i R File Upload Work Unit Humber w05 202887 Name Common Tasks Purpose Rate amp Rule start a new filing Product CMP Divisible Pkg Residential Excludes Condo Assns Su
15. AUTHORIZED e Filing workbench Here you need to verify that this 1s the company on whose behalf you are filing and that the company is authorized to make this submission If you re satisfied with your selection click Return to Component List If you have questions about an authority status or anything else regarding your filing view the website or contact us 39 Home Help Contact Us Account Filing Search Logout LORIDA OFFICE OF INSURANCE REGULATION 8 Filing Component List Work Unit Number v 08 417621 COUI 11 19J8Lw Common Tasks Name Purpose Rate amp Rule Product CMP Divisible Pkg Residential Excludes Condo Assns edit filing details ad Gas aah a Start anew filing e Start Data Reporting e Submit a filing Listed below are all the components required to submit this filing To view a component click an tts name Your changes are automatically saved To review the current details of Se suec your filing click Review this Filing e Addto a submitted filing Component Last Updated Company Data 4 16 2008 16 56 Complete Other Places Cover Letter 4 16 2008 16 42 Incomplete Filing workbench DIR 582 4 16 2008 16 42 Incomplete Universal Standardized Data Letter Explanatory Memorandum 4 16 2008 16 42 Incomplete component Interrogatories 4 16 2008 16 42 Incomplete 1n the list hianual Fages 4 16 2008 16 42 Incomplete
16. FAQ s and Manual What is the Industry Portal GS Office of Insurance Regulation Website lt a Update Contact Information oes Apply Online Company Admissions gt I File Options Home E Industry Portal Microsoft Internet Explorer File Edit View Favorites Tools Help Back x gl t J Search Favorites foe Address https fiparkal fldfs compiFilesFassideraulk asp 2 1 OF ORIDA OFFICE OF INSURANCE REGULATION Help Contact Us Account Filing Search Logout Filing Assembly Submission System Clicking Home on any page will bring you back to the main I Portal screen E Industry Portal Microsoft Internet Explorer File Edit View Favorites Tools Help Back T x Bm 7 Search Favorites 62 w rel OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Search Logout LEIE E Filing Submission System Industry Portal Microsoft Internet Explor OFFICE OF INSURANCE REGULATION Welcome to the IFILE Help menu Please make your selection by clicking the appropriate system Clicking Help will pull up the following window Here you can access help for any of the listed I Portal applications This site is designed for use with Internet Explorer version 5 5 or version 6 x If you do not have a browser of these versions pleas
17. Supercomputing You will need Internet nal Center for Applications at the University of Ilinois at Urbana ET Explorer 5 5 or higher to Champaign Copyright 1995 7001 Microsoft Corp UNS I File e Acknowledgements e Filing workbench E Office of Insurance Regulation Microsoft Internet Explorer File Edit View Favorites A Search 5 Favorites e Address g http tie Flor Florida Insurance Regulation About the Office Hot Topics Company Licensing Company Search Upcoming Events Search Site Map 2008 Filing and Compliance Symposium Tools Help Em T tty P We Office of The Office serves Floridians through it enforcement of statutes related to the the duty of carefully monitoring state Court Opinion Rul Commissioner s Commissioner Mc 2008 Legislative Office af Insurance House Insurance Co Freedom to Travel Insurers Cannot Use as the sole basis far r PFE INDUSTRY PORTAL COMPANY LICENSING NEW COMPANIES FILING SEARCH LIFE AHD HEALTH PROPERTY AND CASUALTY SPECIALTY PRODUCT ADMINISTRATION REQUIRED FILING AND REPORTING FINANCIAL DATA ON COMPANIES REMOVING CITIZENS POLICIES ACCIDENT amp HEALTH APPROVED RATE REQUESTS A 5 OF OCT 2007 PROPERTY amp CASUALTY APPROVED RATE REQUESTS 2006 PROPERTY amp CASUALTY MARKET SHARE 2006 LIFE ANNUITY amp HEALTH MARKET SHARE
18. User Name e Log on using Work Unit Password rT e Retriewg lost password submit If you need someone else s assistance in completing your filing but you don t want to give them access to your entire account use the Log on using Work Unit Number option OF INSURANCE REGULATION e Account iling Se Logout Log onto the Industry Portal Please enter the Work Unit Number and password to access the filing Common Tasks c you wish to work Click submit to continue Set up an account Login with Username Password Submit Once you ve selected that option enter the Work Unit Number and the individual filing s password if you provided one when naming your filing Then click Submit r M Fs 2 om ra d OFFI aed CE OF INSURANCE REGULATION Home Help Contact Us Common Tasks Start a new filing Submit a filing Review submitted filing Add to a submitted filing Other Places Filing workbench Filing Component List Wios 199510 demo Work Unit Number Name Purpose Forms only Product Individual Nonvariable Annuities Deferred
19. choosg a file click Review submitted filings Browse Navigate to the location of the file on your computer and cle Open After you have selected the file you wish to upload click Upload If you do nowish to upload any e Add to a submitted filing files click Cancel L y i wi wil LV AEE 3 T Oy 4 aw Y l 1 4 TAA 1 Files must less than ten Megabytes 10 000 Kilobytes and 1000 pages Jn size n B M Did za ae x a 3i s f di lt iz Other Places PSI RAN Please select the file you wish to Upload as your Cover Letter e Filing workbench Cover Letter File to upload Cancel Text File txt Microsoft Word doc Browse Rich Text Format rtf Clicking Add File brings you to the screen above Microsoft Excel xls Notice I File already includes Cover Letter as the Tagged Image File title of your document You may change that if you Format single page wish only tif tiff 42 FLORIDA OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Search Logout File Upload Work Unit Number wv05 200735 Name CMP 12 Purpose Rate amp Rule Product CMP Divisible Pkg Residential Excludes Cando Assns Common Tasks Start a new filing Submit a filing Select the file you wish to include with this filing component To choose a file click Review submitted filings Browse Navigate to
20. filing submissions e If you are encountering an error that is preventing you from completing your task or you have a question about data integrity please contact a support representative at 850 413 3152 L amp H Forms 850 413 3151 L amp H Rates or 850 413 3146 P amp C For questions relating to appointments e If you are encountering an error that is preventing you from completing your task or you have a question about data integrity please contact a support representative at 850 413 3137 Extension 1101 E Industry Portal Microsoft Internet Explorer File Edit View Favorites Tools Help Q 5506 v 7 x A Search 5 Favorites e3 Im OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Search Logout Filing Assembly Submission System Clicking Account will take you to Log on to the Industry Portal a login screen Please enter your user name and password to log on to the Industry Portal Click submit to continue ser 1 gt n Ip Yow Enter your username and password assword E j SUBIT Ar to view and or update your account information B Personal BEES E Industry Portal Microsoft Internet Explorer File Edit View Favorites Tools Help gt x E A so Favorites 4 2 2 Search 5 Favorites va OFFICE OF INSURANCE REGULATION Home Help Contact Us Acc
21. in the determination of any rate level ves Na indicatian C tf 6 Is this a Rating Organization package modification factors adoption filing Yes No Cod 7 Answer Yes to only one question below Does this filing involve the adoption of lass costs promulgated by a Rating Yes Mg Organization where the loss cost modification factor equals 1 to continue b Does this filing involve the adoption of lass costs promulgated by a Rating Yes Mg Organization where the loss cost modification factor is not equal to 1 AMD the modification factar IS based an the filer s loss experience C c Does this filing involve the adoption of loss casts promulgated by Rating Yes Ma 2 E _ Organization where the loss cost modification factor is not equal to 1 AMD Interrogatories Saved the modification factor IS NOT based on the filer s loss experience Cod d Is this an independent rate or rating factor filing where the proposed rate yes Ma Interrogatories Saved Successfully change affects all for substantially all policyholders Return to Component List Return to Interroqatones Is this an independent rate or rating factor filing where the proposed rate es Mg change DOES NOT affect all ar substantially all policyholders Cancel Clear Save FS 8 FLORIDA OFFICE OF INSURANCE REGULATION Home Help o FILE Common Tasks Start anew filing e Start Dat
22. onto the Industry Portal Enter your email address Please enter your user name E mail address and your password will be E mailed to you click submit and the vu I Portal will email your Login with Work Unit password to you Number User Name Patrick submit Need Help With Your I Portal Account John Smith used handle our filings but he no longer works here now need to have access to that information simply complete a Question under the Contact Us option providing OIR with the following 1 The name and email address of the user person who has left the office 2 The name and email address of the user person who you want to now have access to the account Please do not create a new account prior to submitting this request If you already have an account of your own we will not be able to merge the two accounts Need Filing Specific Assistance How long will my unsubmitted filing remain on my workbench I File will retain unsubmitted unworked filings for 6 months 180 days If you have not submitted a filing or at least completed updated one of the filing s components your submission will be deleted Additional Questions If you have any additional questions that have not been covered in this material please don t hesitate to contact the Property and Casualty Product Review Business Unit 850 413 3146
23. your password at registration TE you dd nok authanza this pissed sammane has uung our We thee Please forward this g mail to g and woke canoe an the subpect line After submitting your response you will see the screen above notifying you that your documents are being checked for compatibility You will also receive an email with this information Click Return to Workbench to work on another filing or Logout to exit 75 L J u lt s NWITOQINZT COI at dO 5 CLICK Ul ch CA X71 C ZebhEAtaa evi suomi Home Help Common Tasks Start anew filing Start Data Reporting Submit a filing Review submitted filings Add to a submitted filing Other Places Filing workbench Welcome to the New Filing Wizard This section steps you through the proces through a series of choices to determine t Click Mext to continue eac Review Submitted Filings This 15 a list of all filings that you have submitted in the past review the contents of a filing click an its Work Unit Number mut Nun Sa 11015 Choose a filing to review a lt Work Unit Number Submission ID File Log Number 2990 Li p
24. Add to a submitted filing WO5 2007235 Rate amp CMP Divisible Pkg cmp or 12 13 2005 Rule Residential Excludes 12 02 57 21 PM Condo Assns Other Places column Or Original Filing Re Response Filing e Filing workbench will only appear for Response Filing You also have the ability to delete items on your Workbench Simply click Delete Filing and select the filing s you wish to delete one at a time you complete each required component the Status column will change to Complete Home FILE Common Tasks Start anew filing e Start Data Reporting Submit a filing Review submitted filings Add to a submitted filing Other Places Filing workbench OFFICE OF INSURANCE REGULATION Contact Us Account Work Unit Humber WO8 417691 Hame Purpose Rate amp Rule Product CMP Divisible Pkg Residential Excludes Cando Assns edit filing details Listed below are all the components required to submit this filing To view a component click on its name Your changes are automatically saved review the current details af your filing click Review this Filing Component Company Data Cower Letter OlR 582 pec Universal Standardized Data Letter Explanatory WWemorandum Interogatories Manual Pages Additional Rules Information Supplementary Infarmation Optional Supplementary Documen
25. FICE OF INSURANCE REGULATION 7A ect an anc Home Help Contact Us Account Filing Search Logout P FILE Select the Type of Insurance Please select one Type af Insurance for this filing You are currently authorized to submit Common Tasks a filing for all the Type of Insurances that are bold You may choose to create a filing for one of the unauthorized Types of Insurance but you will not be able to submit your Re ine Start a new filing filing until you have the Office s authorization e Submit a filing Click Next to continue Review submitted filings Select Type of Insurance PUIG SOREL Divisible Package for example CPP or Similar 015 0 FLE Insurance screen and or C Indivisible Package for example Businessowners 05 0FLA the one that follows That Filing workbench simply means there is only one option under that selection and you will skip to the Filing Purpose screen to avoid repetition OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Search Logout Select the Sub Type of Insurance Please select ane Sub Type of Insurnace for this filing You are currently authorized to submit a filing far all the Sub Types of Insurance that are bold You may choose to create a filing for ane of the unauthorized Sub Types of Insurance but you will nat be e Start a new filing able ta submit your filing until you have
26. Filing workbench I File will create a new Work Unit Number for your response This number separate from the file log number identifies each filing submission Click the work unit number to continue Contact Us Common Tasks Start anew filing Start Data Reporting Submit a filing Review submitted filings Add to a submitted filing Other Places Filing workbench Filing Component List Work Unit Humber WoO5 1580766 Name Variable Flex Jaw E Purpose Forms Only Product Variable Individual Annuities Deferred Flexible Premium AV wl MAT ADE ES edit filing details Listed below are all the components required to submit this filing view a component click an its name Your changes are automatically saved To review the current details of your filing click Review this Filing Component Company Data Optional Cover Letter Optional DIR 1507 Optional L amp H Universal Standardized Data Letter Forms Checklist Forms to be Reviewed Optionaly 11 6 2005 10 22 Certification Statement Valuation Standards Optional 1178 2005 10 22 Certification Statement Monfarfeiture Standards Optional 11 8 2005 10 22 eese Supplementary Information Optional 11 6 2005 10 22 Supplementary Documentation Common Tasks e Start a new filing Sta
27. Flexible Prerniurn Listed below are all the components required to submit this filing To view a component click on its name Your changes are automatically saved To review the current details af your filing click Review this Filing Component Last Updated Status Company Data 12 7 2005 14 00 Complete Cower Letter 12 7 2005 14 01 Complete DBIR Bz 1507 12 7 2005 13 58 L amp H Universal Standardized Data Letter Incomplete Forms Checklist Forms to be Reviewed 12 7 2005 13 58 Incomplete Certification Statement Valuation Standards Optional Certification Statement Nonforeiture Standards Optional Supplementary Information Optional Supplementary Documentation 12 7 2005 14 05 Complete normally but you will not be able to submit it That can only be done when logged in as the user who originally created the filing Common I File Questions Contact Us Log on to the Industry Portal Please enter your user name and password to log on to the Industry Common Tasks ae cae Portal Click submit to continue Set up an account User Mame Log on using Work Unit Number Password Retrieve lost password Contact Us rette X Log
28. Florida Office of Insurance Regulation FAIR FAST PROFESSIONAL I File Introductory User Guide Property amp Casualty Product Review Updated April 2008 Florida Office of Insurance Regulation Kevin M McCarty Commissioner Table of Contents I File Options Home Help Contact Us Account Filing Search Logout 10 19 Starting a New Filing Filing Workbench Filing Component List Types Filing Component Examples Company Data Cover Letter File Upload OIR B1 582 Explanatory Memorandum Interrogatories Rate Collection System 38 63 Submit Filing Review Filing Response Filing Review Submitted Filings Logging in with a Work Unit Number Common I File Questions E Industry Portal Microsoft Internet Explorer File Edit View Favorites Tools Help Back mb P 85 Contents and Index Tipot the Day For Netscape Users Online Support Send Feedback Address https sVipartal fldfs camjifiles i About Internet Explor Home Help Conta The Industry P The Industry Set up an account mo ms Quarterly Subir Product 10 51873 005 0272901 09548 Update versions 5 1 Q810847 Q813951 0832594 0628250 Qa311867 Qa67801 Q3 33389 625353 2903235 Based an NESA Mosaic MCSA was developed at the National Center For
29. Search Logout a ae Select the Number of Companies If this filing is for a group af companies select Mare than ane company Otherwise select One company Click Next to continue Common Tasks e Start anew filing Go One company e Submit a filing e Review submitted filings C More than one campany e Addto a submitted filing Other Places e Filing workbench Select whether you are making a filing either for one company or for more than one company 25 a OA NASA a i E EO mU T og i E y B 1 d ope NM A E uu E Ep 0 al mE th EX MI E dag Der xz OFFICE OF INSURANCE REGULATION N E ContactUs Account Home Help Search For a Company Please select the company for this filing e Start anew filing Please enter your NAIC Company Code e Submit a filing Review submitted filings If you do not have or do not know your NAIC Company Code click here Addto a submitted filing Other Places Filing workbench Now you need to associate a company with your filing If you know your company s NAIC Company Code enter it in the space provided Otherwise use the click here link to search for your company FLORIDA OFFICE OF INSURANCE REGULATION Home H
30. TY INSURANCE COMPANY NAIC Compan question Code 20463 Company Filing FL DPC Auto Eevision 05 M The Office of Insurance Regulation Hello Kayne This e mail message is to inform you that the Office has received your filing our filing has been assigned the following File Log Number Please use this number for all communication with the Office w ith regards to this filing File Log Number FCP 05 12205 Filing Details Hling Name Work Unit Number 105 156 926 Submission ID 000169983 Date Submitted 10 2 2005 01 37 18 PM Filing Purpose Rates Only Product Homeowners Multi Peril Component List HO RATES ONLY CLIRREMT BUSINESS If your filing successfully passed the compatibility check you will receive an email with the Florida file log number that has been assigned to it Refer to this number when corresponding with the Office 67 a LORIDA OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Sea rch Logout FILE Work Unit Number Common Tasks arri Purpose e Start a new filing Product Submit a filing e Addto a submitted filing Company Data Cover Letter Other Places BIR B1 522 Filing workbench Review submitted filings 12 13 2005 15 10 Complete P amp Z Universal Standardized Data Letter Filing Component List WOS 2OOFS5 CMP iz Rate amp Rule CMP Divisible Pkg Residential Excludes Condo Assns
31. URANCE REGULATION Help Contact Us Account Filing Search Logout 8 New Filing Created Congratulations you have successfully started a new filing Common Tasks Filing Details Work Unit Number Wv05 200735 Filing Purpose Rate amp Rule e Review submitted filings Line of Business Commercial Multi Peril Type of Insurance Divisible Package for example CPP or Similar Sub Type of Insurance Residential Excluding Condo Assn e Start a new filing e Submit a filing e Add to a submitted filing Product CMP Divisible Pkg Residential Excludes Condo portalentidrs com Sent Tue 12113 2005 2 57 Component List COMMERCIAL RATE RULE FILING Susjec New FL OIR ndustry Portal Fling Started e Filing workbench Date Created 12 13 2005 02 57 21 PM Please assign an optional name and password to this filing The name will help you identify your filing while it is being assembled The password will be used when someone tries to access the filing using the Work Unit Number Filing Name pi S Optional CMP 12 Password Optional Confirm Password a m The Office of Insurance Regulation Congratulations you have successfully started a new filing Filing Details Work Unit Number W05 200735 Filing Purpose Rat amp Rule Line of Business Commercial Multi Peril Type of Insurance 2iv sible Package for example CPP or Similar Sub
32. USEI E 125582869 10 11 2005 Farms Both Forms and Rates Search ppa to display NS your results to WO the right TEE Tu CIN Building Gade Discount withdrawn Use ctl ar shit to multi select E DTE BAL 1 1 Keywords Clear 2004 cod MUTUAL LIFE 290509570 Tay el UU ES APPROVED b GROSS amp BLUE SHIELD OF c amp 4n15624 10 11 2005 Both 45 APPROVED HEALTH OPTIONS ING 992403696 10 11 2005 Both Pending Sees 155551529 10 11 2005 Both 42 ACKAOVWLEOGED Creation Date Document Title Actuarial Memorandum 10 11 2005 Actuarial Memorandum mM ie teri ed PRE USOL Transmittal 10 11 2005 pe c S the option of Forms 21595 0905 BCA 10 11 2005 BlueOptions Special Enrollment Endorsement Meme requesting a Forms 21621 0905 BCA 10 11 2005 BlueOptions Continuing Coverage Endorsement PDF of the 10 17 2005 Forms Appraval entire filing OT VN UR SE GREE Pm just the stamped __Stemped Only pages Florida Department of Financial Services I File Workflow System Forms amp Rates PDF Request Florida Department of Financial Services I File Workflow System Forms amp Rates PDF Request and an email containing link to the Your request has been submitted requested PDF will be A link to the PDF file will be sent to Patric
33. a Letter o P 4 Common Tasks previous contact information option brings Start a new filing you to the following page pe Select Ori ginator Review submitted filings A Previne used contact The data contained within that contact will be used for e Add to submitted filim Contact combination you i Fling Originator Nama want and click Use Ls Originator Filing workbench Filing WWOS5 200735 Rate amp Rule CMP Divisible Pkg Residential Excludes Condo 455015 Use Previous Contact Information Company Contact Information Click on Copy To Use Filing Originator Information for Company Contact Company E Mail Contact Title Professional Designation Contact E mail information Once you ve finished entering information click Save to save your progress and continue at a later date Click Cancel to return to the Filing Component List Previous to return to the prior screen Next to continue 51 FL Home Help Contact Us Account Filing Search Logout E Filing Ww 08 41768681 Rate amp Rule CMP Divisible Pkg Residential Excludes Condo Common Tasks 55 ORIDA OFFICE OF INSURANCE REGULATION P amp C Universal Data Letter Start a new filing Please complete the required fields with a red star 3 Start Data Reporting Se
34. a Reporting e Submit a filing e Review submitted tilings e a submitted filing Other Places e Filing Workbench Contact Us Account Filing Search Logout Filing Component List Work Unit Number 1708 41 7681 v exo a M pm Name ed CO 9 eT Purpose Rate amp Rule Product CMP Divisible Pkg Residential Excludes Cando Asznz edit filing details Listed below are all the components required to submit this filing To view component click an its name Your changes are automatically saved To review the current details of your filing click Review this Filing Component Last Updated Status Company Data 4 16 2008 16 56 Complete Cover Letter 4 16 2008 16 58 Complete DOIR 5282 4 16 2008 17 05 Complete Universal Standardized Data Letter Explanatory Memorandum 4 17 2008 08 54 Complete interrogatories 4 17 2008 09 19 Complete Manual Pages 4 16 2008 16 42 Incomplete hority Letter Additional Rules Information 4 16 2008 16 42 Incomplete Aut DIR B1 1790 4 16 2008 16 42 gap and OIR 583 M Supplementary Information Optional components have Incomplete been added based ncomple x id Expense Supplement Calculation af Company Loss Cast Signes id on the answers to the Interrogatories Supplementary Documentation Consultants Autharity Letter 4 17 2008 09 19 Multiplier Review this Filing Return ta Workbench R
35. art a New Filing Welcome to the New Filing wizard This section steps you through the process af starting a new filing You will be guided through a series af chaices to determine the required filing components Start a new filing Submit a filing Click Next ta continue Review submitted filings pem Cancel Add to a submitted filing Other Places Filing workbench You will then be taken to the New Filing Wizard which will walk you through each step of the filing creation process Click Next to proceed or click Cancel to return to the Filing Assembly Submission System screen You may be asked to login prior to reaching the wizard Do so and you will be taken to this page 22 e WIL E y 4 A la At p 94030010106 Is UL m BVABIe aa 7 ue 4 v pu You can always return to the previous screen by clicking Back and to the Filing Assembly Submission System screen by clicking Cancel OF INSURANCE REGULATION _ 28 RN Home Contactus Account Select Filing Type Select the type of filing Click Nest to continue Common Tasks Start anew filing Select Type of Filing Company Submit a filing Property amp Casualty Life amp Health ar Specialty filings Review submitt
36. artment Products If yes to above Certification attached Contact Titla City Have you included a fisting of all changes in manual pages or pales with supporting WES Prvfossional Dash Are you viritim ner business in Fla formation and explanation 7 of business Does this Filing resultin a significant revision in rates or rating variables If Yes explainim YES E mail zip pede filing Hew Program ves Product or Hew Country Business Daag this ED result in a significant pavision in urderemiling nales ar quidleknas Il Yas Hon US Postal Coder E explain in Amending currently filed Does Bhis Gling arene amy af the follaeing YES If yes please provide peeuicus OF fase Eten f boas Costa Phone Nurilier Humber Gare Ratele Orly Fax Loss Corts Fraa Hambar Filing Content Information emmay of Rate Fling as applicable Mon Us Phone Number This is a Rate amp Rule filing Rate Change Request 2 Type of Coverage Fata miada y Eareed Premium volume all programs affected bey this filing Humber ef Policies all programs affected by this filing Fila Usage Fila amp Usa Document Mapping Usa amp Fila Informational Only Prior fer all Uploaded Documents E Cover Letter O Explanaten Mecnorandum Explanatory Fisrnesandurn Filing Gertilicatian YES certify that 1 am authorizad ta make this Forma or
37. ate Collection System RCS One of the Interrogatory questions depending on the line of business and the filing purpose is Does this filing include rates or rating factors that result in a rate change to the Office s RCS rating examples OR is there an overall rate change associated with this filing OR does this filing include the introduction of a new program If you answer this question in the affirmative the Rate Collection System and RCS Verification components will be added to the Filing Component List Rate Collection System 3 19 2008 15 12 Incomplete RCS Verification 3719 2008 15 12 Incomplete OFFICE OF INSURANCE REGULATIO Flo ri a 3 IMPORTANT NOTICES OIR 2008 Filing and Compliance Symposium P amp C RCS Training and User Manual Wgicome to the Industry Portal elcome to the Florida Office of Insurance Regulation Industry Portal The Indu f point of entry to access the Filing Assembly and Submission System online Rate Submission Reports and other related content Pick a Category Form amp Rate Filing Assembly and Submission Training Materials e User Manual In addition to the User Manual and Frequently Asked Questions Frequently Asked Questions there are Training 5essions Audio and Visual Demonstration audio visual training sessions for the Various lines of business General Liability and Commercial Non Residential Homeown
38. bmit a filing Below is a list of files you have Uploaded for this item You may Upload ane or more files Review submitted filings to satisfy this requirement Add to a submitted filing zc Date Uploaded Explanatory Memorandum 12 28 2005 Other Places Add File Delete File Filing workbench FLORIDA OFFICE OF INSURANCE REGULATION Home Help aa FILE Common Tasks Start a new filing e Start Data Reporting e Submit a filing e Review submitted tilings e Addto a submitted filing Other Places e Filing workbench Contact Us Account Filing Search Logout Filing Component List Work Unit Number WO8 417681 Name Purpose Rate amp Rule Product CMP Divisible Pha Residential Excludes Conds Asznz edit filing details Listed below are all tha components required to submit this filing To view a component click an its name Your changes are automatically saved To review the current details of vour filing click Review this Filing Component Last Updated Status Company Data 4 16 2008 26 96 Complete Cower Letter 4 16 2008 16 58 Complete DIR 5S8Z 4 16 2008 17 05 Complete Universal Standardized Data Letter The next component is the Explanatory hamorandum 4 17 2008 08 54 Complete Interrag atories 4 16 2008 16 42 Incomplete OE U U U 66 2 me u Interrogatories Additional Rules Information 4 16 2008 16 42 Incompl
39. ce Regulation Welcome to the Florida Office of Insurance Regulation Industry Portal You have successfully created a new account In order ta activate your account sirpibsssses our web browser to the following creating submitting filings URL You have days to activate your account If you do not activate your account within this time it willbe removed Your account information is listed below for future reference Please send a message to OIR Your user name is 66 You selected your password at registration through Contact Us 1 do If you did nat authorize this registration someone has mistakenly registered using your e mail address We regret the receive this email upon inconvenience Please forward this e mail t and write cancel in the subject line creating your account Welcome to the Industry Portal elcome to the Florida Office of Insurance Regulation Industry Portal The It of entry to access the Filing Assembly and Submission System online Ra IMPORTANT NOTICES OIR 2008 Filing and SQomission Reports and other related content Compliance Symposium Pick a Category P amp C RCS Training and User Manual Form amp Rate Filing Assembly and Submission Regulatory Electronic Filing System REFS Financial Related Filings Common Tasks Set up an account Data Reporting Filing workbench QUASR Click here for
40. ch Contact Us Account P amp C Universal Data Letter Filing v 05 200735 Rate amp Rule CMP Divisible Pkg Residential Excludes Condo Assns Section I Contact Information Please complete the required fields with a red star 3 If you would like to use your account information click here to use account information Ta use contact information fram a previously submitted filing click here ta use previous contact information Filing Originator Information Company E Mail Contact Contact Title Professional Designation Contact E mail FLORIDA OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Search Logout m amp Universal Data Letter Filing W 05 200735 Rate amp Rule CMP Divisible Pkg Residential Excludes Condo Common Tasks Assns Section I Contact Information e Submit a filing 3 Please complete the required fields with a red star J If vau would like to use your Review submitted filings account information click here to use account information To use contact information Add to a submitted filing from a previously submitted filing click here ta Use previous contact information Filing Originator 17 El ADIRA P Other Places Pp 1 LORI DA ma EN i 0309 OFFICE INSURANCE REGULATION Home Help Contact Us Wnepurit Filing Search P amp C Universal Dat
41. cking number and forwanded for formal revue thes posting rs an res parse bo a request for inom thee pli nate th date requirement bor your respons Tis Eres casis your Warg is boing held on suspense pending your response Yet m order to allow the suthenent bene to analyze your response pleaco respond by the date mndecabed in the danfication letter you received The of your response reaching the Office by this date requirement may result in the filimg s DISAPPROVAL pursuant bo applicable provisions af Flonda Statue This submission is forthe additional information for fling with File Log Number 4 017200 If you have any concerns of the timeliness of your posting plaase do not hastata to contact the reviewer assigned to thes filing If you have any technical questions please utlire the I Portal Issue Tracking System at dfe comfeilefirs defauir asp Filing Details Work Unit Number WO5 160766 Submission ID OUCOT64054 Date Submitted 11 8 2005 10 48 56 Filing Purpose Faris Only Product variabla Individual Annuities Daferrad Flexible Premium Campanent List LIFE amp AHHUITIES FORM FILINGS Company Name ANNUITY INVESTORS LIFE INSURANCE COMPANY NAIC Company Code 03661 Company Filing F Our accaunt infarmatian is listed far futura reference Our Leser riam is Patrick 1 cam You
42. ction III General Information e Submit a filing e Review submitted filings Company Filing Number i e Addto a submitted filing B New Business Effective Date 1 Penewal Business Effective Date Other Places 4re you writing new business in Florida for this line of ves No business e Filing workbench Answer the questions in Section III and click Next to continue FLORIDA OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Search Logout P amp C Universal Data Letter Filing 05 200735 Rate amp Rule Divisible Pkg Residential Excludes Condo ae E Common Tasks Assnz Complete Section Start a new filing Please complete the required fields with a red star IV reviewine Submit a filing A Section IV Filing Content Information the information e Heview submitted filings e Add to a submitted filing Please mark all applicable items A This is a Rate amp Rule filing Other Places B of Coverage Commercial e Filing workbench File Usage C File amp Use fae s Use amp File screen to continue C Informatianal Only C Prior Approval required for all FORMS filings C Applicable only if this submission is being made by a Rating Organization FLORIDA OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filin
43. doption of loss casts promulgated by a Rating Yes Na Organization where the loss cost modification factor is not equal to 1 AND the modification factor 15 based on the filer s loss experience O C Read each question carefully Once c Does this filing invalve the adoption of loss casts promulgated by a Rating Yes Na he the the filing has been submitted you yn aU rea eg Mera CANNOT go back and change the answers to these questions If you are unsure ask us before filing fe Is this an independent rate or rating factor filing where the proposed rate Yes change DOES NOT affect all for substantially all policyholders Cancel Clear Save Edit Interrogatories Work Unit Number WOS 417681 Name Purpose Rate amp Rule Product CMP Divisible Pkg Residential Excludes Condo Assns Below is a list of interrogatories for this filing Please answer questions by checking the appropriate selection 1 Are you someone other than an employee of the company who is making this es Na filing an behalf of the company e C 2 Is this filing being made to comply with a change in Florida law Yes Na C 3 Does this filing propose changes in the level of coverage you are providing ta Yes Na your insureds 4 Does this filing include the use of a Catastrophe Model in the determination of Yes ALIS IIVAVLDVIVVIIL any rate level indicatian 5 Does this filing include reinsurance costs
44. e click E Industry Portal Microsoft Internet Explorer File Edit View Favorites Tools Help Address 4 amp https Jiportal fldFs compifile fass default asp Back x n a Search Favorites 5 Contact Us F Here you can submit comments enhancement suggestions errors and or questions to OIR Account 3 Industry Portal Microsoft Internet Explorer D 4 Home 7 FILE Common Tasks e Return to Industry Portal Submit a comment Submit an enhancement Submit an error Submit a question OFFI a h EK CE OF INSURANCE REGULATION Help Filing Search Filing Search Logout Contact Us Account Issue Tracking System Technical Support For computer related technical support e g Connection problems Page or Browser errors etc Fill out one of the following forms to send a message to the Industry Portal Support Staff Please be as descriptive as possible If more information is needed you will be contacted via Email or telephone Comment 4 form for general comments about the Industry Portal Enhancement amp suggestion form for enhancements to the Industry Portal Error A form to send errors to Industry Portal Support Staff Question amp question form to send general questions to the Industry Portal Support Staff For insurance related questions concerning
45. ed filings C Broker Agent Addto a submitted filing Viatical Settlement Broker or Professional Bail Bond Agent filings Self Insurance Plan Other Places Initial Plan Approval Filing workbench Select to file for the implementation of new local governmental entity self insured plan pursuant to Section 112 08 2WbF 5 C Annual Report Select to file annual reporting required by Section 112 08 2 b for existing self insured plans NEP CH TL Bt CN 4 Ae gu 1 A 7 p HE plis Fg A m e FIC TOO O SS Account Select Area of Insurance Select the area of insurance for this filing Click Nest to continue Select area of Insurance Start anew filing Property amp Casualty Submit a filing Review submitted filings C Life amp Health e Addto a submitted filing C Specialty Other Places Se v 2 Filing workbench If you are filing as a P amp C Insurer select Property amp Casualty as your Area of Insurance and click Next Warranty Associations Premium Finance Companies Motor Vehicle Service Agreement Companies and other entities that are not licensed P amp C insurers should select Specialty 24 LORIDA OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing
46. elp Contact Us Account Filing Search Logout M Search For a Company Common Tasks Please select the campany for this filing Start a new filing C Anywhere Starts With Exact Match e Submit a filing Names zu e Review submitted filings NAIC Company Code FEIN e Addto a submitted filing NAIC Group Code Florida Company Code Other Places e Filing workbench You can search by of the listed fields Enter your information and click Next FLORIDA OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Search Logout Select a Company Use this page to review the results of your search Select company to assign to this Start anew filing e Submit a filing e Heview submitted filings Vettia an Dee LIE ue Ti rese em Coge i F e Add to a submitted filing ZURICH AMERICAN INSURANCE PROPERTY AND CASUALTY 16535 COMPANY INSURER ZURICH AMERICAN INSURANCE pu AND CASUALTY 27855 09593 COMPANY OF ILLINOIS INSURER Other Places SURPLUS LINES 22200 ZURICH INTERNATIONAL BERMUDA LTD Filing workbench ZURICH SPECIALTIES LONDON SURPLUS LINES 52185 um Viewing 1 4 of 4 matches Cancel Choose the company on whose behalf you are filing Then click Next INS aIv 5 0J10 Home Help Contact Us Account 9 FILE OFFICE OF INSURANCE REGULATION Filing Sarch Logout
47. ent page and proceed to next buttons Using the Internet browser buttons can lead to application time outs and other filing problems f pack Q OFFICE OF INSURANCE REGULATION U EB RR m Home Help Contact Us Account Filing Search Logout Uie Pott Filing Assembly Submission System Welcome to the Filing Assembly Submission System FASS Here you can build and maintain filings required by the Office To start a new filing click Start a new filing To work on an existing filing click work on an in progress filing To review a filing already submitted to the Office Submit a filing click Review submitted filings e Start anew filing Review submitted tilings Choose a Task nl B 46 Addto a submitted filing Other Places Filing workbench a _ a a Start a new filing Work on an in Review submitted aro qress filing filings On the I File screen you have the option to start a new filing work on an in progress filing or review filings that you have previously submitted To start a new filing simply click the Start a new filing link 21 iy a MEE 3h ES amp 5 He E E ge B EB IL E m EM Ht d WU q cM oS i a T i n m ie ema E EE M UU LM p pe E IT St
48. ers Mobile Homeowners and Dwelling Fire Medical Malpractice and Attorney Liability Private Passenger Auto Demo Commercial Suto and General Commercial I File Issues Seminar Commercial Residential Property Demo OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Search Logout _ Filing Component List Work Unit Number w 08 417681 Common Tasks Name Purpose Rate amp Rule U Start filing Product CMP Divisible Pkg Residential Excludes Condo Assns 1 edit filing details Start Data Reporting Submit a filing SU Lilat ali Component Last Updated Status et oak 66f s Review submitted filings read Complete Company Data 4 16 2008 16 56 Complete Awe Vilipivtv r 1 nidos H fi Addto a submitted filing Cover Letter 4 16 2008 16 58 Complete DOIR 35292 4 16 2008 17 05 Complete 2 Pac Universal Standardized Data Letter Apt oe sy OR AAA E Other Places Now that you have Explanatory Memorandum 4 17 2008 08 54 Complete Filing workbench Interrog atories 4 17 2008 09 19 Complete Manual Pages 4 17 2008 09 53 Complete Additional Rules Information 4 17 2008 09 53 Complete compone nts the DIR B1 1780 4 17 2008 09 53 Complete S b Fili 99 submit Filing Supplementary Information Optional 4 16 2008 16 42 button displays Supplementary Documentation
49. ete DIR B1 1780 4 16 2008 16 42 Incomplete 4 16 2008 16 42 Supplementary Information Optional Supplementary Documentation Edit Interrogatories Work Unit Number 708 41 7651 Mame Purpose Rate amp Rule Product CMP Divisible Pkg Residential Excludes Condo Assns Below is a list of interrogatories for this filing Please answer questions by checking the appropriate selection h 4 a eee MP 2 1 Are you someone other than an employee of the company who is making this ves No A ee ee Rena cL filing an behalf of the company CULITIDULICIIU adic LCCUe Tl l eto 2 Is this filing being made to comply with a change in Florida law Yes No C dI 1p C 11 VOU dli5WCI UIC d IESTIOI e 3 Does this filing propose changes in the level of coverage you are providing to es Wo wour insureds 4 Does this filing include the use of Catastrophe Model in the determination of Yes Wo any rate level indication 5 Does this filing include reinsurance costs in the determination of any rate level Yes Wo indication e Is this a Rating Organization package modification factors adoption filing Yes Ma e 0 7 Answer res to only question below Does this filing involve the adoption of loss casts promulgated by a Rating Yes Na Organization where the lass cost modification factor equals 1 ib Does this filing involve the a
50. g Search Logout P amp C Universal Data Letter Filing 05 200735 Rate amp Rule CMP Divisible Pkg Residential Excludes canda Common Tasks Assns Start a new filing Section V Rate Rule Filings Submit a filing Review submitted filings A 15 this filing being submitted by a Rating Organization C vas C Na Addto a submitted filing B Is this Annual Rate Certification in accordance with Mata Section 627 0645 Florida Statutes WM PLORIDA If yes to above is Certification atta a Other Places OFFICE OF INSURANCE REGULATION Have you included a listing of all cha pages ar rules with supporting info Home Help Contact Us Account Filing Search Logout explanation e Filing workbench E Does this filing result in a significant rating variables If Yes explain in fi FILE Universal Data Letter F Does this filing result in a significant underwriting rules or guidelines If Filing 5 200735 Rate amp Rule CMF Divisible Pkg Residential Excludes Condo Does this filing amend any af the fo Start new filing P ease mark the appropriate ite Section VIII Commercial Base Rate s amp Loss Costs Base Rate s Only e Review submitted filings Please mark the applicable item C Lass Costs Only Submit a filing Addto a submitted filing C Independent filing C Rating Organization Reference filing Ra
51. ing This online form must accompany all property and casualty form rate or rule Submit a filing filings submitted ta the Office FORM filings and RATE RULE filings must not be submitted in the same filing If you have ques the Information requested please consult our website Addto a submitted filing Navigation Review submitted filings Other Places Save Click the Save button to save the information on the current page and return to component list page Filing workbench E 66 29 Cancel Click the Cancel button to return to the component list page and abandon all changes on the Click Next to proceed or gk Previous Click the Preuious button to save the information on the current page and return to the Cancel to return to your pac eds Next Click the Mext button save the information on the current page and proceed ta next Filing Component List Home Common Tasks u VOU at Start a new filing JDUOL LU ISC oe i Submit a filing BN as Lak re ista ee SUE DYalYayYeavtbhanlhhahEatusabumfletex Ar Revi z Add to a submitted filing Other Places bmission Filing workbench Originator Tasks e Use account contact info Complete the form Re use previous contact filling in as much information as you can FLORIDA OFFICE OF INSURANCE REGULATION Help Logout Filing Sear
52. ing YLORIDA OFFICE OF INSURANCE REGULATION Home Help p FILE Common Tasks Start a new filing Submit a filing e Review submitted filings Addto a submitted filing Other Places Filing workbench Contact Us Filing Search Logout Account Filing Verification Please be sure that the options identified below are correct for the type of product you are submitting for review Any errors may result in the filing being closed and returned to you as INCOMBLETE Incomplete filings will have ta be recreated in I File before being resubmitted for aur review If you have any questions regarding the appropriateness of your choices indicated below please contact the Office Contact Us nd PEASE before continuing through thigggrgcess speak with someone about you call one of the numbers iste nere Area Property amp Casualty Line of Business Commercial Multi Peril Type of Insurance Divisible Package for example CPP or Similar Sub Type of Insurance Residential Excluding Condo Assn Product CMP Divisible Pkg Residential Excludes Condo 5515 Purpose Rate amp Rule If vau are confident that the information above 15 correct please click Continue to complete the filing creation process Otherwise click Cancel to start over Incomplete If you have any questions about your CES submission contact staff by accessing one of the links provided OFFICE OF INS
53. k sent to the address you provide E Industry Portal Microsoft Internet Explorer Fie Edit View Favorites Tools Help x 2 Search Favorites E B Address https iportal fldfs compifile Fass default asp FLORIDA OFFICE OF INSURANCE REGULATION Home Help Contact Us Account O aiu TET Filing Assembbr Submission System A n 7 f A 1 d n ES p ail PO D 1 OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Search Logout Clicking Logout will simply log you out of the I Portal d d to h d bringing you back to the Login Set up an account screen User Log on using Work Unit Number Password 2 Log to the Industry Portal Retrieve last password submit Nawigaton cave Cancel Previous ext Save Click the Save button to save the information on the current page and return to component list page Cancel Click the Cancel button ta return to the component list page and abandon all changes on the current page Previous Click the Previous button to save the information on the current page and return to the preceding Next Click the Mext button ta save the information on the curr
54. l Standardized Data Letter Explanaton Memorandum Interrag atories Return to Workbench Cturn to Additional Rules Information OIR B1 1780 Supplementary Information Optional Supplementary Documentation select Company Data Filing Search Filing Component List Last Updated 4 16 2008 16 42 4 16 2008 16 42 4 16 2008 16 42 4 16 2008 16 42 4 16 2008 16 42 4 16 2008 16 42 4 16 2008 16 42 4 16 2008 16 42 4 16 2008 16 42 Logout Listed below are all the components required to submit this filing To view a component click on its name Your changes are automatically saved review the current details af Incomplete Incomplete Incomplete Incomplete Incomplete Incomplete Incomplete Incomplete FLORIDA OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Search Logout Company Data Please verify that the selected companys details are correct This component cannat he completed until the all companies are authorized Please click Return to Component List when finished e Start anew filing e Submit a filing If you have questions regarding the information being requested please consult our website at www fldfs com Review submitted filings e Addto a submitted filing Company Details Company Name FEIN NAIC CC NAIC GC Status Other Places ZURICH AMERICAN INSURANCE COMPANY 364233453 16535 0212
55. n related transmittals and the filing Is true Other Places complete correct and to the best of my knowledge in compliance with all applicable Florida laws and administrative rules including Filing workbench Fi applicable policy readability standards When you get to the bottom of the page you ll notice that Next 1s no longer an option Click Save to a Marne John Doe finish the form and return to your Filing Component List OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Search Logout a MM Filing Component List Work Unit Humber 105 41 7651 Common Tasks Hame Purpose Rate amp Rule LUV Hp Start a new fing Product CMP Divisible Pkg Residential Excludes Condo Assnz edit filing details Start Data Reporting Submit a filing Complete Listed below are all the components required to submit this filing To view a component zn duret deem click on its name Your changes are automatically saved To review the current details of Review submited ilings filing click Review this Filing e Addto a submitted filing 2 Component Last Updated Status 7 lt I Company Deta 4 16 2008 16 56 Complete Other Places Cover Letter 4 16 2008 16 58 Complete v 1t e Filing workbench DIR 582 4 16 2008 17 05 h 1 Uriversal Standardized Data Letter 1n ti 1st to Explanatory Memorandum 4 16
56. of this page when you are finished If you do not want to create an account please click Cancel In order to create a new account you must fill in all the fields marked with a red star NOTE The email address vou fill in will be your User Name to access the Industry Portal Please fill in an email address that you have access to as you will need access to this email address to activate your account Personal First Name Middle Initial Last Name E Mail Address User Name Password Re type Ss Password Phone Phone Number Phone Extension Fax Number Address Street Optional Street City State ZIP Postal Code Country Position Position Title Department Name Filing Search Logout Set Up An Account An account has been successfully created hh 7 Common Tasks Y Ol AIO receive A lt 4 message has been sent to the e mail address you entered when you created this e Set up an account account In that message vou must follow instructions an how to activate your account a1 tima Filing workbench Done What is the Industry Portal v N i T Q di pes E 2 YA IF ami nde YOU IWEUOS TL CICK HINK IN Mat Lom Florida Office of Insuran
57. ount Filing Search Logout 2 c ETEGS oam My Account Filing Assembly Submission System First Name Patrick Middle Initial Last Name Lynch E Mail Address User Name Patrick Lynch fldfs com Click Update to change your user Phone e Phone Number 850 413 3140 Information Phone Extension Fax Number Address Street 200 East Gaines Street Optional Street City Tallahassee state FL If your email address changes in the ZIP Postal Code 32399 Country UNITED STATES future simply make the change here rather TP HE TUS than creating another account Department Name I File Options Filing Search E Industry Portal Microsoft Internet Explorer File Edit Vier arites To ols eu Q 886 v E E i _ Search Favorites 4 gt W 554 Address rm Flas m ETE asp OFFICE OF INSURANCE REGULATION Help Contact Us Account Filing Search Logout hs M Filmg Assembly Submission System The Filing Search option takes you to page that allows you to search for view and receive information regarding Form amp Rate filings submitted to the Office The Filing Search is the place to view the documents you ve submitted for review Keep in mind you will need a file log number to locate the documents in question 15 E IFWS Filing Search Microsoft Internet Explorer File Back E 2 fat Search XjFavortes
58. rt Data Reporting Submit a filing Review submitted filings e Addto a submitted filing Other Places Filing workbench Filling Component List Work Unit Number v05 180786 Name Variable Flex Purpose Forms Only Product Variable Individual Annuities Deferred Flexible Prerniurn edit filing details component tastUpdated Status Company Data Optional 11 6 2005 10 22 Cover Letter Optional 11 5 2005 10 22 EE DIR 1507 Optional 11 8 2005 10 22 L amp H Universal Standardized Data Letter Farms Checklist 11 8 2005 10 22 Forms to be Reviewed Optional 11 8 2003 10 45 Included Certification Statement Valuation Standards Optional 11 6 2005 10 22 aL Certification Statement Manfarfeiture Standards Optional 11 6 2005 10 22 CIE Supplementary Information Optional 11 8 2005 10 22 Supplementary Documentation SubmitFiling 7 Return to Workbench again have the Submit Filing button Click the button to submit your response LUCIUS INSURANCE REGULATION lA c z Help B Contact Us d Account Submit Filing Thank you for posting your documents Your documents will now be verified as being compatible with the I File system and virus free You will be notified of the verification results sho
59. rtly If there are any technical problems with your uploaded Start a new filing documents your submission will not be accepted and will be returned to your workbench for correction If your uploaded documents are verified you will be Start Data Reporting notified that your submission has been assigned an OIR file log tracking number t Industry i Portak Document comp mn es Message HIMI and forwarded for formal review m uat Mu Submit a filing Review submitted filings Filing Details Work Unit Number W 05 180766 Submission ID 000164064 Date Submitted 11 8 2005 10 49 56 AM Filing Purpose Forms Only Add to a submitted filing _ The Office of Insurance Regulation Other Places Product Variable Individual Annuities Deferred Flexible Premium Filing workbench Component List LIFE amp ANNUITIES FORM FILINGS Company Name ANNUITY INVESTORS LIFE INSURANCE COMPANY MAIC Company Code 23561 Company Filing Thank you for posting your documents Your documents will now be varhad as being compatible with tha t File system and virus fres You will be notified of the verificatson results shortly If thane are any technical probloms with your uploaded documents your submission will nat bur ond will bo returned to your workibench far conection 1f your uploaded documents ane verified you veill hi notid that your has assigned an OIR fle lag tra
60. tation Review this Filing Filing Search Logout Filing Component List Last Updated Status 4 16 2008 16 42 Incomplete 4 16 2008 16 42 Incomplete 4 16 2008 16 42 Incomplete 4 16 2008 16 42 Incomplete 4 16 2008 16 42 4 li6 2008 16 42 Incomplete 4 16 2008 16 42 4 16 2008 16 42 Incomplete 4 16 2008 16 42 Filing Component Types There are 5 types of components in I File Each type 1s determined by how information between the user and I File 1s exchanged 1 Verify Data e g Company Data 2 Complete an on line form e g 1 582 Interrogatories 3 Upload a File e g Cover Letter Explanatory Memorandum Manual Pages 4 Download a template to the user s computer complete it and upload the completed version e g Use of Credit Catastrophe Model Support Rate Level Indications Workbook 5 Rate Collection System FLORIDA OFFICE OF INSURANCE REGULATION Home Help Contact Us Account FILE Work Unit Number 1105 41 7651 Common Tasks Name Purpose Rate amp Rule Product CMP Divisible Pkg Residential Excludes Condo amp szsnz edit filing details Start anew filing lino e Start Data Reporting e Submit filing Review submitted Rings your filing click Review this Filing Budd to a submitted filing Component Company Data Other Places Cover Letter Filing workbench DIR 522 Universa
61. the Office s authorization Common Tasks Submit a filing Click Next to continue e Rewew submitted filings Select Sub Type of Insurance Add to a submitted filing C Non Residential 05 0003FLC Residential Excluding Condo Assn 05 0003FLB Other Places C Residential Condominium Association Only 05 0003FLA Cancel Back e Filing workbench Now select the Sub Type of Insurance for the product being submitted Once you do click Next FLORIDA OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Search Logout Select Filing Purpose Select the purpose for this filing Click Next to continue Common Tasks Please select the purpose for this filing You are currently authorized to submit a filing e Start a new filing for all the purposes that are bold You may choose to create a filing for ane of the Unauthorized purposes but you will not be able ta submit your filing until you have the Office s authorization e Review submitted filings a Pleas click here o view a list of purpose descriptions Submit a filing e Addto a submitted filing C Rates Only C Farms Other Places y Rate amp Rule e Filing workbench C Rules Only Here you will need to select your filing purpose Do so and click Next If unsure click here to view a list of purpose descriptions 32 may result in being returned as your fil
62. the location af the file on your computer and click Open After vau have selected the file you wish to upload click Upload If you do not wish to upload any Add to a submitted filing files click Cancel CURE pin E tema Ws oiai pena eea aei E 1 LI laa Files must be less than ten Megabytes 10 0 Roxio DETAIL POLICY COWVERGE doc Other Places i i Please select the file you wish to upload as __ Rule Hearings M McGuire doc Mv Recent Sam s Personal Interested Parties labels doc Filing workbench Title let i SendTo m OIR B 1 1855 doc Over LEEF Specific Co Filings iw PLCR Glossary doc File ta upload Start Menu Wh Rate Hearings held or pending 11 30 05 doc L Templates WP TERMINATION QUESTIONS doc unknown T Watch ws doc UserData IT wind Mitigation Informational Memorandum dac Webshots Data WE WITHDRAWAL Motice 690 170 003 doc m m My Documents amp 3 185 003 005 00 Dec 5 dac II WITHDRAWAL Motice 690 175 001 doc inr Business Card Template dac Wh zz OIF CLOSED CLAIM POL and PROC MANU Cover Letter doc R s INTERNET FILING SYSTEM doc My IW Letter of Guidance doc Op u I y u e e uU File name My Network Places Files of Eype word Documents dac Clicking Browse brings up the window shown above Locate the document you wish to upload and click
63. ting Organization Reference Filing Number cif applicable Other Places C Adoption of Rating Organization Loss Costs Loss Costs detail required ee C Non Adaption or Delay Adoption or Rating Organization Rules You may be asked to MET Adoption of Rating Organization Rules complete other SCreens B Does this filing include any recoupments C vas Oyo If Yes please identify which recoupments are contained in this filing containing rate mee change information FIG IFLORIDA OFFICE OF INSURANCE REGULATION Home Help Contact Us Account Filing Search Logout gn er re ag a Led P amp C Universal Data Letter ot xcu ix i s P Filing 05 202887 Rate amp Rule CMP Divisible Pkg Residential Excludes Condo 4 AA A Sy UA XY BAS St A A MVP A XY AY Hh l a m f correcf 1n Orn 1 11 AN Start a new filing wa Oi J wi Claw WV J 7 ED WW Wt 7 LJ Fields marked with red star i required Please check that you have read and understood the certification statement and typed your full name and title S e Submit a filing AN Y Review submitted filings Section IX Filing Certification certify that I am authorized ta make this Farms or Rate Rule filing an behalf af the companys referenced herein I further certify that the Information contained i
64. to contact the reviewer assigned ta this filing If you have any technical questions please utilize the I F otal Issue Tracking System at Filing Details Work Unit Number 1205 1 36926 Submission ID 000169983 Date Submitted 10 2 2005 01 37 18 PM Filing Purpose Rates Only Product Homeowners Multi Peril Component List HO RATES ONLY CURRENT BUSINESS Company Name SENTRY SELECT INSURANCE COMPANY NAIC Company Code 21180 Once you ve submitted your filing you will receive an initial email as shown above I File will then run your submission through a series of checks This includes checking document size less than 999 pages a virus check and a check to ensure that the submitted documents can be converted to a format used to give them their electronic stamp If any documents fail 65 From iportal fldts com mailto iportalfldfs com vla 1 Sent Wednesday December 14 2005 14 42 E Ta Subject FL Industry Portal Filing Failed at Document TIF Converting 2 FILE Florida Office of Insurance Regulation This e mail message is to inform you that your fling did not submit successfully to Office of Insurance Regulation because one or more of the documents in the filing did not pass a test for compatibility with the I File system Examples of non compatible documents include documents with embedded macros word documents with embedded formulas or multi page tif documen
65. ts only use single page tif documents Please correct the document and re upload m the Filing Workbench and submit the filing The failed documents are listed as ilic cemal Countrywide Pages final version tif with document id of 454464 1 1 Countrywide Pages annotated version tif with document id of 454466 e If this failed posting is in response to a request for clarification from the Office please note the date requirement for your response Though your filing is being held VIII VII in suspense pending your response your response must reach the Office by this required date to allow the Office sufficient time to analyze your response The failure of your response reaching the Office by this date requirement may result in the flng s DISAPPROVAL pursuant to applicable provisions of Florida Statue If you have any concerns ofthe timeliness of your posting please do not hesitate to contact the reviewer assigned to this filing B Ifyou have any technical questions please utilize the I Portal Issue Tracking System at 1 11 J Filing Details submit an issue r3 Work Unit Number W05 201062 throu gh Contact Us Submission ID 000184170 e Date Submitted 12 14 2005 02 53 44 and provide the Office Filing Purpose Rules Only with the Work Unit Product Commercial Auto Other Commercial Auto Component List COMMERCIAL RULE FILING Number for the filin Company Name DISCOVER PROPERTY amp CASUAL
66. u VJ ie a X d the nod 1008602 S 12 2004 10 30 02 AM 000085903 04 03664 mon Woe 100528 5 13 2004 01 19 12 PM 000085923 04 03665 Woe 100530 5 13 2004 02 01 22 PM 000085924 04 03665 Woe 1008852 6 9 2004 09 58 37 AM 000086143 04 03689 Woe 100853 6 9 2004 10 06 16 AM 000066144 04 03690 nod 100854 6 9 2004 10 26 18 AM 000086145 04 03691 od 10028865 6 9 2004 10 36 11 AM 000086146 04 03691 To access a submission 15 k h wo4 101002 6 18 2004 09 59 27 AM 000086243 04 05050 click on the appropriate W04101182 6 25 2004 08 28 12 AM 0n0nnse 4n03 04 03719 Work Unit Number m WO4 1041183 e 25 2004 08 30 50 AM 000086404 04 03720 Date Submitted prec WELL Work Unit Number dleteril nart af 1 3 rt Hame VIVO parv vi tio parcs Product WO4 101163 Wariable Flex Forms Only Filing Component List Wariable Individual Annuities Deferred Flexible Premium To review the current details of your filing click Review this Filing Component Last Updated Status Campany Data 6 25 2004 08 23 Complete 9 VILI mie 4 44 7x DEM s p NW ac IV Il VV RULE Vw FETE LAA
67. visible Pkg Residential Excludes Condo amp ssnz Submit a filing Your Cover Letter uploaded successfully Review submitted tilings e Addto a submitted filing Other Places e Filing workbench After the upload is complete the page above will display Click Continue If you have trouble uploading your document click the Contact Us option for assistance 45 1 OFFICE OF INSURANCE REGULATION Help Contact Us Account Filing Search Logout File Upload 010507016 IO 10 O e hook idle m CHICK 111 UIC Work Unit Number W 05 200735 CC mnn Purpose Rate amp Rule B des Start a new filing Product CMP Divisible Pkg Residential Excludes Cando amp szsnz ubmit a filing Below is a list af files you have uploaded for this item You may upload one or mare files e Revie itted filings to satisfy this requirement Addtaasubmitte Pa y A P m y m B m Y pu Pa b m i A gt yan Y Title Date Uploaded Cover Letter 12 15 2005 Other Places AddFile DeleteFile Done Filing workbench Cover Letter doc If you need to upload an additional cover letter click Add File and follow the previous steps If you realized you attached the wrong document click Delete File select the file to be deleted and click Delete If you re finished click Done 46
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