An insurer required to give notice of a proposed transaction pursuant to SDCL 58-5A-56 shall furnish the required information on Form D. A Form D filing must be certified and must include the following information:

1. (1) That set forth in SDCL 58-5A-56; and

2. (2) For each party to the transaction:

   1. (a) The name, home office address, and principal executive office address;
   2. (b) The organizational structure, such as corporation, partnership, individual, trust, or other legal entity;
   3. (c) A description of the nature of the parties' business operations;
   4. (d) The relationship, if any, of other parties to the transaction to the insurer filing the notice, including any ownership or debtor/creditor interest by any other parties to the transaction in the insurer seeking approval or by the insurer filing the notice in the affiliated parties;

   5. (e) If the transaction is with a nonaffiliate, the name of the affiliate which will receive, in whole or in substantial part, the proceeds of the transaction.

      Note: A copy of Form D may be obtained from the Division of Insurance, 124 South Euclid Avenue, 2nd Floor, Pierre, South Dakota 57501, (605) 773-3563, free of charge.

Source: 20 SDR 36, effective September 19, 1993; 42 SDR 83, effective December 3, 2015.

General Authority: SDCL 58-5A-70.

Law Implemented: SDCL 58-5A-56 , 58-5A-70.

Prior versions effective: 1993-09-19.