ࡱ>   bjbj 9:jjldVlVlVl8l<lLd"q"q"DqDqDq#r#r#r{}}}}}}$ Ҫl#rr#r#r#rQ}DqDqQ}Q}Q}#r:DqDq{Q}#r{Q}^Q}Dqq _8+bdhVl]r%̧0>rl >Q}tT LINE OF BUSINESS:Inland MarineLINE(S) OF INSURANCECODESOther Personal Inland Marine9.0006Code: 9.0000IF CHECKLIST IS NOT APPLICABLE, PLEASE EXPLAIN: REVIEW REQUIREMENTSREFERENCEDESCRIPTION OF REVIEW STANDARDS REQUIREMENTSLOCATION OF STANDARD IN FILINGGENERAL REQUIREMENTS FOR ALL FILINGSCOPIES, RETURN ENVELOPES ETC.COVER LETTER AND EXPLANATORY MEMORANDUMFILING SUBMISSIONEFFECTIVE DATE WORDINGFREE CONTRACT PROHIBITEDLIMITATIONS/RESTRICTIONS ON TRANSACTING BUSINESS LINE OF AUTHORITYоٷ #NO FILE OR FILING EXEMPTIONSGENERAL REQUIREMENTS FOR ALL FILINGSSIDE BY SIDE COMPARISONWATERCRAFT LONGER THAN 26 FEETTHIRD PARTY FILERS AUTHORITY TRANSACTING OTHER BUSINESS FORMS(POLICY PROVISIONSACCESS TO COURTSAMBIGUOUS & MISLEADINGAPPLICATIONSAPPRAISALSARBITRATIONASSESSIBLE POLICIESBANKRUPTCY PROVISIONSBLANK ENDORSEMENTSCANCELLATION & NON-RENEWALCalculation of Unearned/Return PremiumConditional RenewalMinimum Retained PremiumNotice of CancellationNotice of Non-renewalFORMS(POLICY PROVISIONSPermissible Reasons for CancellationPermissible Reasons for Non-renewalRequired Policy PeriodSuspensionCERTIFICATIONSCONINSURANCECONSUMER INFORMATIONCredit Scoring NoticePrivacy noticeVSI WarningNotification FormCONTENT OF POLICIESCOUNTERSIGNATURESDECLARATIONS PAGEDISCLOSURESDEFINITIONSDISCRIMINATIONDUTY TO DEFENDEXCLUSIONS & LIMITATIONSMoldTerrorismFICTITIOUS GROUPSFORMS(POLICY PROVISIONSFORMS MISCELLANEOUSFRAUD WARNINGGROUP POLICIESExtra-Territorial Approval AuthorityINSURANCE TO VALUELIBERALIZATION CLAUSELIMITSLOSS PAYEELOSS SETTLEMENTSAppraisalAction Against CompanyAfter Market PartsArbitrationDeductiblesDefense CostsLoss ValuationNOTICE REQUIREMENTSPayment of Loss Time PeriodAppraisalMEDICAL PAYMENTSMINIMUM STANDARDS FOR CONTENT (POLICIES AND STANDARD FORMS)ORDINANCE/LAW PROVISIONSFORMS(POLICY PROVISIONSPOLICY MUST CONTAIN ENTIRE CONTRACTPREMIUM AUDITPRIMARY/UNDERLYING COVERAGEREADABILITYREBATESSTANDARD FIRE POLICYSUBROGATIONSuitTIMELINESSTRAVELBaggageTrip CancellationVOIDANCEWARRANTIESOTHERRATE, RULE, RATING PLAN, CLASSIFICATION, AND TERRITORY FILING REQUIREMENTSINDIVIDUAL RISK RATINGRATE, RULE, RATING PLAN, CLASSIFICATION, AND TERRITORY FILING REQUIREMENTSACTUARIAL CERTIFICATIONS FOR RATESADOPTIONS OF RATE SERVICE ORGANIZATIONS (RSO) FILINGSLoss CostsCONSENT-TO-RATECREDIT SCORING AND REPORTSCREDIBILITYDEFENSE COSTSDISCOUNTSEXPIRATION DATE(S) FOR APPROVED RATESGROUP POLICIESExtra-Territorial Approval AuthorityIRPMLOSS RATIO STANDARDSMID TERM CHANGESLOSS COST MULTIPLIERSPREMIUM REFUND OR RETENTIONRATE, RULE, RATING PLAN, CLASSIFICATION, AND TERRITORY FILING REQUIREMENTSPRICINGChargesMinimum Premium RulesMulti-tierPayment Plans PremiumsService ChargesSurchargesOther FeesPUBLIC PROTECTION CLASSIFICATIONSRATE RANGESRATING PLAN REQUIREMENTSExpense Modification PlanExperience RatingLarge DeductibleRetrospective RatingSchedule RatingSmall DeductibleWrap-up Rating RATE/LOSS COST SUPPORTING INFORMATIONCompetitionExpensesExperienceJudgment Credibility Profit LoadingRATE, RULE, RATING PLAN, CLASSIFICATION, AND TERRITORY FILING REQUIREMENTSRETURN ON EQUITY /INVESTMENT INCOMESUPPORTING DATATRENDING OTHER PAGE  PAGE 8 !<=>?\cdefhipwz{34IY]_c(,.2d鰢5B*CJ\^Jhph5CJ\^JCJ^JCJ5>*B*hphB*CJhph>*B*hph >*CJ^J5B*hph B*hph 5>*䴳*䴳!6<=>?\cvp$Ifn$$If4\h.N9 l94 a $$Ifa$$If $$Ifa$ cdefgh~ $$Ifa$ $$Ifa$n$$If4\h.N9 l94 ahiopwxyD~ $$Ifa$ $$Ifa$n$$If4\h.N9 l94 ayz{|}~ $$Ifa$n$$If4 \h.N9 l94 a~ $$Ifa$n$$If4\h.N9 l94 ax $$Ifa$ $$Ifa$$Ifn$$If4\h.N9 l94 a~ $$Ifa$ $$Ifa$o$$IfFh.N9 l9    4 a|||| $$Ifa$ $$Ifa$p$$If4Fh.N9 l9    4 a 3usjjdjW $1$If]1a$$If $$Ifa$$$If4\h.N9 (l94 a34IYZ[\tne\\\ $$Ifa$ $$Ifa$$If$$If44\h.N9  (l94 a\]_`abuofff $$Ifa$$If$$If4\h.N9  (l94 abcuofff $$Ifa$$If$$If4\h.N9  (l94 auofffuoYff $$If^a$ $$Ifa$$If$$If4\h.N9  (l94 a wqhhh $$Ifa$$If$$If\h.N9  (l94 auXofffuoffful $$Ifa$$If$$If4\h.N9  (l94 a (ff$$If4\h.N9  (l94 a $$Ifa$$If ()*+,./012delflf$If$$If4\h.N9  (l94 a $$Ifa$ efghijkllf$If$$If4\h.N9  (l94 a $$Ifa$dhim"$(GKLP"/359DHJNZ^`dx|~   jB*CJ^JhphB*CJ^Jhph5\5CJ\^J5B*CJ\^JhphQlmuXooff $$Ifa$$If$$If4\h.N9  (l94 awqhhh $$Ifa$$If$$If\h.N9  (l94 au,offfuofffu $$Ifa$$If$$If4\h.N9  (l94 a ff`$If$$If4\h.N9  (l94 a $$Ifa$$If f`$If$$If4\h.N9  (l94 a $$Ifa$$If  !"$%&'upofffuofff $$Ifa$$If$$If4\h.N9  (l94 a '(GHIJuofff $$Ifa$$If$$If4\h.N9  (l94 aJKLMNOuofff $$Ifa$$If$$If4\h.N9  (l94 aOPuofff $$Ifa$$If$$If4\h.N9  (l94 auofff $$Ifa$$If$$If4\h.N9  (l94 auofffuofff $$Ifa$$If$$If4\h.N9  (l94 a uplf]]] $$Ifa$$If $$Ifa$$$If4\h.N9  (l94 auofff $$Ifa$$If$$If4\h.N9  (l94 auTofff $$Ifa$$If$$If4\h.N9  (l94 auofffulofff $$Ifa$$If$$If4\h.N9  (l94 a  !"/0123uofffuDofffu $$Ifa$$If$$If4\h.N9  (l94 a 356789DEFGHJf<f$$If4\h.N9  (l94 a $$Ifa$$If JKLMNZ[\]^`al@flf$If$$If4\h.N9  (l94 a $$Ifa$ abcdxyz{|~l`flf$If$$If4\h.N9  (l94 a $$Ifa$ lhflf$If$$If4\h.N9  (l94 a $$Ifa$ u\offfuofff $$Ifa$$If$$If4\h.N9  (l94 a u|offf $$Ifa$$If$$If4\h.N9  (l94 a    uofff $$Ifa$$If$$If4\h.N9  (l94 a    u`offf $$Ifa$$If$$If4\h.N9  (l94 a ! : ; < = > U V W X Y utofffulofffuh $$Ifa$$If$$If4\h.N9  (l94 a  ! : > U Y o s x y    # % ) 6 : < @ U Y o s        * . 0 4 C G I M \ ` b f  5\ jB*CJ^JhphB*CJ^Jhph5CJ\^J5B*CJ\^JhphQY o p q r s fp]W$If $$Ifa$$$If4\h.N9  (l94 a $$Ifa$$If uofff $$Ifa$$If$$If4\h.N9  (l94 a uofff $$Ifa$$If$$If4\h.N9  (l94 a ulofff $$Ifa$$If$$If4\h.N9  (l94 a       u<offfuofffuL $$Ifa$$If$$If4\h.N9  (l94 a   ! " # % & ' ( ) 6 ffD$$If4\h.N9  (l94 a $$Ifa$$If 6 7 8 9 : < = > ? @ U V lfldf$If$$If4\h.N9  (l94 a $$Ifa$ V W X Y o p q r s lhflLf$If$$If4\h.N9  (l94 a $$Ifa$ l@flXf$If$$If4\h.N9  (l94 a $$Ifa$ uofffu`offfu $$Ifa$$If$$If4\h.N9  (l94 a fXf$$If4\h.N9  (l94 a $$Ifa$$If     lXflf$If$$If4\h.N9  (l94 a $$Ifa$             l@flf$If$$If4\h.N9  (l94 a $$Ifa$    * + , - . 0 1 2 3 l@flf$If$$If4\h.N9  (l94 a $$Ifa$ 3 4 C D E F G I J K L M uLofffuofffuL $$Ifa$$If$$If4\h.N9  (l94 a M \ ] ^ _ ` b c d e f  fft$$If4\h.N9  (l94 a $$Ifa$$If  l$fl8f$If$$If4\h.N9  (l94 a $$Ifa$ lflXf$If$$If4\h.N9  (l94 a $$Ifa$ lpc]$If $$Ifa$$$If4\h.N9  (l94 a $$Ifa$     ! F J L P c g i m     $ ( 6 : I M O S g k "#*459;5CJ\^J5B*CJ\^Jhph5\ jB*CJ^JhphB*CJ^JhphQ uofff $$Ifa$$If$$If4\h.N9  (l94 a u`offfuofffuH $$Ifa$$If$$If4\h.N9  (l94 a        ffL$$If4\h.N9  (l94 a $$Ifa$$If    ! F G H I J L M lflf$If$$If4\h.N9  (l94 a $$Ifa$ M N O P c d e f g i j k l\flf$If$$If4\h.N9  (l94 a $$Ifa$ k l m lhflf$If$$If4\h.N9  (l94 a $$Ifa$ u,offfuofffu< $$Ifa$$If$$If4\h.N9  (l94 a ffT$$If4\h.N9  (l94 a $$Ifa$$If l8f$If$$If4\h.N9  (l94 a $$Ifa$ ulofff $$Ifa$$If$$If4\h.N9  (l94 a           u\offfu@offfu@ $$Ifa$$If$$If4\h.N9  (l94 a  $ % & ' ( 6 7 8 9 : I fHfL$$If4\h.N9  (l94 a $$Ifa$$If I J K L M O P Q R S g h lfl`f$If$$If4\h.N9  (l94 a $$Ifa$ h i j k lfl8f$If$$If4\h.N9  (l94 a $$Ifa$ T$Ifn$$If4\h.N9 l94 a $$Ifa$ t$Ifn$$If4\h.N9 l94 a $$Ifa$*5678p~x$If $$Ifa$n$$If4\h.N9 l94 a $$Ifa$ 89;<=>uofff $$Ifa$$If$$If4\h.N9  (l94 a>?cdefgijklm{|}H $$Ifa$$Ifn$$If4\h.N9 l94 a;?cgim{   "&-19=OSUYbfhlw{}QRVW[~ "&B*CJ^Jhph5CJ\^J5B*CJ\^JhphX}~$Ifn$$If4\h.N9 l94 a $$Ifa$@$Ifn$$If4\h.N9 l94 a $$Ifa$ 0 $$Ifa$$Ifn$$If4\h.N9 l94 ad $$Ifa$$Ifn$$If4\h.N9 l94 a  $$Ifa$$Ifn$$If4\h.N9 l94 a    @$ $$Ifa$$Ifn$$If4\h.N9 l94 a "#$%&-.<,$Ifn$$If4\h.N9 l94 a $$Ifa$./019:;<=OPQRSU0X$Ifn$$If4\h.N9 l94 a $$Ifa$UVWXYbcdefhijkl4<$Ifn$$If4\h.N9 l94 a $$Ifa$lwxyz{}~(n$$If4\h.N9 l94 a $$Ifa$$If<x $$Ifa$ $$Ifa$$Ifn$$If4\h.N9 l94 a wqhhh $$Ifa$$If$$If\h.N9  (l94 al $$Ifa$$Ifn$$If4\h.N9 l94 a $$Ifa$$Ifn$$If4\h.N9 l94 aRSTU<~~~ $$Ifa$ $$Ifa$n$$If4\h.N9 l94 aUVWXYZuofff $$Ifa$$If$$If4\h.N9  (l94 aZ[~ $$Ifa$$Ifn$$If4\h.N9 l94 a  $$Ifa$$Ifn$$If4\h.N9 l94 a< $$Ifa$$Ifn$$If4\h.N9 l94 a $$Ifa$$Ifm$$If\h.N9 l94 aP $$Ifa$$Ifn$$If4\h.N9 l94 a   | $$Ifa$$Ifn$$If4\h.N9 l94 a $$Ifa$$Ifn$$If4\h.N9 l94 a"#$%@ $$Ifa$$Ifn$$If4\h.N9 l94 a%&()*+ $$Ifa$$Ifn$$If4\h.N9 l94 a&(,:>@DNRTX~  )-/3OS (,7;=Acgimy}'+;?AB*CJ^Jhph5B*CJ\^Jhph5CJ\^JX+,:;<=H $$Ifa$$Ifn$$If4\h.N9 l94 a=>@ABC $$Ifa$$Ifn$$If4\h.N9 l94 aCDNOPQ8 $$Ifa$$Ifn$$If4\h.N9 l94 aQRTUVWX~ $$Ifa$$Ifn$$If4\h.N9 l94 aL$Ifn$$If4\h.N9 l94 a $$Ifa$  $$Ifa$$Ifn$$If4\h.N9 l94 a$d $$Ifa$$Ifn$$If4\h.N9 l94 a     T$Ifn$$If4\h.N9 l94 a $$Ifa$)*+,-/0123Oh$Ifn$$If4\h.N9 l94 a $$Ifa$OPQRS<~ $$Ifa$n$$If4\h.N9 l94 a $$Ifa$uofff $$Ifa$$If$$If4\h.N9  (l94 a0 $$Ifa$$Ifn$$If4\h.N9 l94 a0h< $$Ifa$$Ifn$$If4\h.N9 l94 a H8P$Ifn$$If4\h.N9 l94 a $$Ifa$()*+,789:;=<<$Ifn$$If4\h.N9 l94 a $$Ifa$=>?@Acdefgijklm@$Ifn$$If4\h.N9 l94 a $$Ifa$myz{|}tn$$If4\h.N9 l94 a $$Ifa$$IfxXT $$Ifa$$Ifn$$If4\h.N9 l94 a'(dPT$Ifn$$If4\h.N9 l94 a $$Ifa$()*+;<=>?ABCDEkP$Ifn$$If4\h.N9 l94 a $$Ifa$AEko{"#'KOPTdhjnx|~0JmHnHu0J j0JUB*CJ^Jhph5CJ\^J5B*CJ\^Jhph2klmno{|}~@$Ifq$$If4\h.N9 l94 a $$Ifa$~4 $$Ifa$$Ifn$$If4\h.N9 l94 a<4D $$Ifa$$Ifn$$If4\h.N9 l94 aP<x $$Ifa$$Ifn$$If4\h.N9 l94 a $$Ifa$  !"#$%&jd$If$$If4\h.N9  (l94 a $$Ifa$&'KLMN $$Ifa$$Ifq$$If4\h.N9 l94 aNOPQRS $$Ifa$$Ifq$$If4\h.N9 l94 aSTdefghjklmP $$Ifa$$Ifn$$If4\h.N9 l94 a mnxyz{|~8 $$Ifa$$Ifn$$If4\h.N9 l94 a (vtvt&`#$ $$Ifa$$Ifn$$If4\h.N9 l94 a 7PP&P0/R = /!@"@#`$%   i@@@ Normal5CJOJQJ_HmH sH tH :: Heading 1$@& B*htH uF@F Heading 2$$@&a$5>*B*htH uD@D Heading 3$$@&a$B*CJhtH u:@: Heading 4$$@&a$CJ^JF@F Heading 5$$@&a$B*CJ^Jhph>@> Heading 6$$@&a$ >*CJ^J<A@< Default Paragraph Font, @, Footer  !&)@& Page Number: v$v$v$v$v$v$v$vs  S!6<=>?\cdefghiopwxyz{|}~34IYZ[\]_`abc()*+,./012defghijklm !"$%&'(GHIJKLMNOP !"/012356789DEFGHJKLMNZ[\]^`abcdxyz{|~  !:;<=>UVWXYopqrs     !"#%&'()6789:<=>?@UVWXYopqrs*+,-.01234CDEFGIJKLM\]^_`bcdef     !FGHIJLMNOPcdefgijklm          $ % & ' ( 6 7 8 9 : I J K L M O P Q R S g h i j k      * 5 6 7 8 9 ; < = > ? c d e f g i j k l m { | } ~              " # $ % & - . / 0 1 9 : ; < = O P Q R S U V W X Y b c d e f h i j k l w x y z { } ~        R S T U V W X Y Z [ ~          " # $ % & ( ) * + , : ; < = > @ A B C D N O P Q R T U V W X ~      )*+,-/0123OPQRS ()*+,789:;=>?'()*+;<=>?ABCDEklmno{|}~ !"#$%&'KLMNOPQRSTdefghjklmnxyz{|~00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000@0@0 d ;&A :Nb|chy~3\b(el'JO3Ja Y  6 V   3 M   M k  I h 8>}.UlUZ%+=CQO=m(k~&NSm !"#$%&'()*+,-./0123456789;<=>?@ABCDEFGHIJKLMOPQRSTUVWXYZ[\]^_`acdefghijklmnopqrstuvwxyz{}~ !!8@0(  B S  ?nv!&6PcX c h ~ ::::4_c(,.2dhim"$(GKLP"/359DHJNZ^`dx|~ !:>UYos  #%)6:<@UYos*.04CGIM\`bf !FJLPcgim    $ ( 6 : I M O S g k   ; ? c g i m {      " & - 1 9 = O S U Y b f h l w { }    ~    " & ( , : > @ D N R T X ~  )-/3OS (,7;=Acgimy}'+;?AEko{KOdhjnx|~nprp0vem-L:\WORDDATA\PAC\COMMLINE\CKLISTS\WORD\B&M.DOCnprp0vem-L:\WORDDATA\PAC\COMMLINE\CKLISTS\WORD\B&M.DOCnprp0vem-L:\WORDDATA\PAC\COMMLINE\CKLISTS\WORD\PIM.DOCnprp0vem-L:\WORDDATA\PAC\COMMLINE\CKLISTS\WORD\PIM.DOCBob Card9W:\Dec02\Cmte\Ex\wg\isbs\RSCSG\P&CchecklistDRAFTS\Pim.doc Administrator9W:\Dec02\Cmte\Ex\wg\isbs\RSCSG\P&CchecklistDRAFTS\Pim.docbcardU:\RSCSG\ChecklistsWEB\Pim.docbcard,C:\Data\Winword\AutoRecovery save of Pim.asdbcard6W:\Jun03\Cmte\Ex\wg\isbs\RSCSG\FinalChecklists\Pim.docjladewig&C:\industry_rates0508_ursc_017_pim.doc!6<=>?\cdefghipwxyz{|}~34YZ[\]_`abc()*+,./012defghijklm !"$%&'(GHIJKLMNOP !"/012356789DEFGHJKLMNZ[\]^`abcdxyz{|~  !:;<=>UVWXYopqrs     !"#%&'()6789:<=>?@UVWXYopqrs*+,-.01234CDEFGIJKLM\]^_`bcdef     !FGHIJLMNOPcdefgijklm          $ % & ' ( 6 7 8 9 : I J K L M O P Q R S g h i j k      5 6 7 8 9 ; < = > ? c d e f g i j k l m { | } ~              " # $ % & - . / 0 1 9 : ; < = O P Q R S U V W X Y b c d e f h i j k l w x y z { } ~        R S T U V W X Y Z [ ~          " # $ % & ( ) * + , : ; < = > @ A B C D N O P Q R T U V W X ~      )*+,-/0123OPQRS ()*+,789:;=>?'()*+;<=>?ABCDEklmno{|}~ !"#$%&'KLMNOPQRSTdefghjklmnxyz{|~@,@@UnknownGz Times New Roman5Symbol3& z Arial"1hffk&xY0d2LINE OF BUSINESS:nprp0echjladewigOh+'0 ( D P \ ht|LINE OF BUSINESS:dINE nprp0echUSIprpprp Normal.dotI jladewigtI2adMicrosoft Word 9.0@@6@` b@` bx՜.+,0 hp  NYSINS LINE OF BUSINESS: Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry FFD+b 1Table>WordDocument9:SummaryInformation(DocumentSummaryInformation8CompObjjObjectPoolFD+bFD+b  FMicrosoft Word Document MSWordDocWord.Document.89q