New Mexico Administrative Code
Title 13 - INSURANCE
Chapter 18 - CREDIT INSURANCE
Part 3 - CREDITOR-PLACED INSURANCE
Section 13.18.3.22 - FORM B CREDITOR'S EXPERIENCE REPORT
Universal Citation: 13 NM Admin Code 13.18.3.22
Current through Register Vol. 35, No. 6, March 26, 2024
CREDITOR'S EXPERIENCE REPORT
Name of Insurer: ______________________________________ Calendar Year: __________________
NEW MEXICO CREDITOR-PLACED INSURANCE
| (1) Creditor Identification Number | (2) Effective Date of Master Policy | (3) Gross Written Premium | (4) Refunds on Terminations | (5) Written Premium Net of Terminations (3)-(4) | (6) Cash Commissions Incurred | (7) Cash Service Fees Incurred | (8) Other Cash Compensation Incurred | (9) Creditor's Percentage Compensation [(6)+(7)+(8)]/5 |
| TOTALS | ||||||||
Instructions:
1. Fill in a row for each New Mexico creditor-placed insurance master policy.
2. In columns (6), (7) and (8), report all cash amounts incurred by the creditor for commissions, service fees and other compensation.
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