Ins 6.03(3)(b)7.7. The applicant’s annual statements for the three most recent years and a projection of the anticipated operating results of the corporation at the end of the next five years of operation, based on reasonable assumptions of loss experience, premium and other income, operating expenses and acquisition costs; and Ins 6.03(3)(b)8.8. To the extent requested by the commissioner, the applicant’s method of establishing premium rates. Ins 6.03(3)(c)(c) A certificate from the authority which regulates the insurance industry in the applicant’s state of domicile, stating that the authority has given all requisite approvals and that the applicant’s corporation is in good standing with the authority and in compliance with the laws of the state of domicile; and Ins 6.03(3)(d)(d) Any other relevant information required by the commissioner from an applicant. Ins 6.03(4)(a)(a) An insurer may obtain materials for application for a certificate of incorporation and certificate of authority by requesting them from the commissioner of insurance, P.O. Box 7873, Madison, Wisconsin 53707-7873. Ins 6.03(4)(b)(b) In accordance with s. 601.31 (1) (a), Stats., an insurer shall submit a $100 fee to the commissioner at the same time that the insurer submits the application for the certificates of incorporation and authority. Ins 6.03(5)(a)(a) The commissioner shall issue within 180 days of receiving a completed application submitted in accordance with s. 611.223 (1) (a), Stats., a certificate of incorporation and a certificate of authority to the insurer submitting the application if the commissioner determines that the insurer satisfies the requirements of s. 611.223 (1) (a) 1. to 3., Stats. A failure by the commissioner to issue the certificate of incorporation and a certificate of authority within 180 days does not constitute acceptance of the application. Ins 6.03(5)(b)(b) In accordance with s. 601.31 (1) (b), Stats., an insurer shall submit a $100 fee to the commissioner upon issuance of the certificate of incorporation and certificate of authority. Ins 6.03 HistoryHistory: Cr. Register, May, 1989, No. 401, eff. 6-1-89; correction in (3) (a) 5. made under s. 13.93 (2m) (b) 7., Stats., Register, February, 2000, No. 530. Ins 6.05Ins 6.05 Filing of insurance forms. Ins 6.05(3)(a)(a) “Affiliated insurer” means an insurer which is a member or subscriber to a rate service organization licensed under s. 625.32, Stats., and which has authorized the rate service organization to file forms on its behalf. Ins 6.05(3)(b)(b) “Certificate of compliance and readability” means a document in substantially identical format to Appendix A which is signed by an officer of the insurer. Ins 6.05(3)(c)(c) “Certificate of readability” means a written statement signed by an officer of the insurer stating that the form is subject to s. Ins 6.07 and that the form meets the minimum standards set forth in that section. Ins 6.05(3)(d)(d) “OCI” means the office of the commissioner of insurance. Ins 6.05(3)(e)(e) “Submission” means a filing under s. 631.20, Stats., or any request received by the office of the commissioner of insurance for approval of a single form or combination of forms. Ins 6.05(3)(f)(f) “Transmittal document” means a document substantially identical in format to the form established by standards adopted by the National Association of Insurance Commissioners (NAIC), on which an insurer shall list information about each form submitted for approval. Ins 6.05 NoteNote: A copy of the transmittal document may be obtained at no cost from the Office of the Commissioner of Insurance, P.O. Box 7873, Madison WI 53707-7873, or at the Office’s web address: oci.wi.gov.
Ins 6.05(4)(a)(a) Each paper submission of forms shall include all of the following: Ins 6.05(4)(a)1.1. A properly completed insurance transmittal document in duplicate. Ins 6.05(4)(a)2.2. A properly completed certificate of compliance and readability in substantially identical format as in Appendix A. Ins 6.05(4)(a)3.a.a. In the case of a form that alters or replaces a previously approved form, a description of the change. Ins 6.05(4)(a)3.b.b. One copy of each form in final format exactly as it will be offered for issuance or delivery in the state of Wisconsin, except for hypothetical data and other appropriate variable material.