Specimen copies of the following forms are available from the Legal Division of the Department of Insurance. Submitters are responsible for obtaining their own supplies of such forms.

Document Submission Formset

Group Life Certificate of Compliance

Group Disability Certificate of Compliance

Blanket life Certificate of Compliance

Blanket Disability Certificate of Compliance

Tuition Refund Certificate of Compliance

Note: Authority cited: Sections 779.21, 10191, 10506 and 10507.4, Insurance Code. Reference: Sections 779.8, 779.13, 10205, 10205.5, 10205.6, 10225, 10270.1, 10270.2, 10270.3, 10270.5, 10270.57, 10270.9, 10270.91, 10270.92, 10270.93, 10290, 10292, 10506, 10507.2, 11066, 11069, 11512.4, 11513, 11513.1, 11513.2, 11515 and 11658, Insurance Code.

History

1. Repealer and new section filed 1-9-86; designated effective 2-2-86 pursuant to Government Code Section 11346.2(d) (Register 86, No. 2).