N.Y. Comp. Codes R. & Regs. tit. 11, § 27.16
(a) An excess line broker or producing broker shall promptly deliver every insurance policy placed with an unauthorized insurer to the insured, and every such policy shall bear across its face conspicuously, in not less than 10-point bold type, the language as specified in section 27.15(b) of this Part.
(1) Pursuant to the provisions of sections 1101(b)(5) and 2117(i) of the New York Insurance Law, any document issued by, or on behalf of, an unauthorized insurer, which is affiliated with an authorized insurer, that indicates any location within this State in which it conducts its operations shall include a notice, in not less than 10-point type, but in all cases prominently displayed, as follows:
THIS INSURER IS NOT LICENSED IN THE STATE OF NEW YORK AND IS NOT SUBJECT TO ITS SUPERVISION.
(b)