In addition to any other records requirements under this chapter, a surplus lines broker shall maintain in organized form a complete record including
- (1) the amount of insurance and perils insured;
- (2) a complete description of property insured and the location of the property;
- (3) gross premium charged;
- (4) a return premium paid;
- (5) the rate of premium charged upon the several items of property;
- (6) the effective date of the contract and the terms of the contract;
- (7) the name and address of the insured;
- (8) the name and address of the insurer;
- (9) the amount of tax and other sums to be collected from the insured;
- (10) the allocation of taxes by state under AS 21.34.180;
- (11) evidence of insurance issued in compliance with AS 21.34.100;
- (12) the identity and license number of the producing broker;
- (13) any confirming correspondence from the insurer or the representative of the insurer; and
- (14) the application.