Current through Register No. 12, March 21, 2024
(a)
Pursuant to
RSA 417-A:3-b,
insurers or their producers shall provide to applicants, and shall require
applicants to sign and date, form INS 1 Statement of Residency Including
Applicable Exemptions in Appendix 1 prior to issuing or upon delivery of a
policy of automobile insurance.
(b)
An exemption from the residency requirement shall be permitted if:
(1) The motor vehicle to be insured is
garaged exclusively in New Hampshire; or
(2) The applicant(s) is on active duty in the
military service of the United States and claims New Hampshire as their legal
state of residence; or
(3) The
applicant(s) is on active duty in the military service of the United States,
currently stationed in New Hampshire, and all vehicles to be insured on the
policy for which application is made are currently garaged in New Hampshire;
and
(4) The applicant(s)
acknowledge(s) that they shall be subject to prosecution, imprisonment of up to
one year, a fine of $2,000, and the denial of coverage for any loss not
occurring in New Hampshire, under the policy for which application is made,
should the applicant(s) falsely claim the residency exemption for themselves or
any named insured, or fail to notify the insurer at policy renewal should any
named insured cease to be eligible for a New Hampshire residency
exemption.
(c)
Applicant(s) shall supply on Form INS 1 the following information:
(1) If the applicant(s) are filing for
residency status:
a. The street address, if
applicable;
b. The applicant(s)'
attestations of residency for all named insureds to be insured on the policy
for which application is made;
c.
The applicant(s)' statement of obligation to inform their insurance company
prior to the next renewal of the policy for which application is made should
any named insured cease to be a New Hampshire resident; and
d. The applicant(s)' acknowledgement that
they shall be subject to prosecution, imprisonment of up to one year, a fine of
$2,000, and the denial of coverage for any loss, not occurring in New
Hampshire, under the policy for which application is made, should the
applicant(s) falsely claim residency for themselves or any named insured, or
fail to notify the insurer at policy renewal should any named insured cease to
be a New Hampshire resident; or
(2) If the applicant(s) are filing for an
exemption, the applicable exemption.
(d) The information contained in Form INS 1
shall be relied upon in connection with future renewals of the automobile
insurance policy for which the applicant(s) is applying.
(e) It shall be the responsibility of the
applicant(s) to inform their insurance company if the information contained in
Form INS 1 ceases to be correct.
