N.M. Code R. § 13.14.17.13
NEW MEXICO TITLE INSURER STATISTICAL REPORT FORM 4 - PREMIUM DISTRIBUTION BY LIABILITY RANGE For the Calendar Year Ending December 31, 20___ NEW MEXICO EXPERIENCE ONLY TRANSACTIONS THAT ARE DEPENDENT ON THE BASIC PREMIUM RATE Note: Include all transactions listed as “Yes” in the “Dependent on Basic Premium Rate?” column of Form 3 Insurance Company Liability Range ($000) Number of transactions Direct written premium More than But no more than 0 5 5 10 10 20 20 30 30 40 40 50 50 60 60 70 70 80 80 90 90 100 100 200 200 300 300 400 400 500 500 1,000 1,000 2,000 2,000 3,000 3,000 4,000 4,000 5,000 5,000 10,000 10,000 15,000 15,000 25,000 25,000 50,000 50,000 75,000 75,000 100,000 Over 100,000 ALL 0 0
NEW MEXICO TITLE INSURER STATISTICAL REPORT
FORM 4 - PREMIUM DISTRIBUTION BY LIABILITY RANGE
For the Calendar Year Ending December 31, 20___
NEW MEXICO EXPERIENCE ONLY
TRANSACTIONS THAT ARE DEPENDENT ON THE BASIC PREMIUM RATE
Note: Include all transactions listed as “Yes” in the “Dependent on Basic Premium Rate?” column of Form 3
Insurance Company
Liability Range ($000)
Number of transactions
Direct written premium
More than
But no more than
0
5
5
10
10
20
20
30
30
40
40
50
50
60
60
70
70
80
80
90
90
100
100
200
200
300
300
400
400
500
500
1,000
1,000
2,000
2,000
3,000
3,000
4,000
4,000
5,000
5,000
10,000
10,000
15,000
15,000
25,000
25,000
50,000
50,000
75,000
75,000
100,000
Over 100,000
ALL
0
0
Crosscheck with Form 3: Difference
Crosscheck with Form 3:
Difference
Explanation for Difference (if any)
Explanation for Difference (if any)
[13.14.17.13 NMAC – Rp, 13.14.17.13 NMAC, 1/1/2021]