Surplus Lines Surplus Lines Brokers Premium Reporting Reporting Instructions for Surplus Lines Brokers (Updated 01/16/2018) Pay by OPTins Forms Unauthorized Insurer's Tax Form (rev. 8/14) Affidavit of Due Diligence Form (rev. 4/17) Links Quarterly Listing of Alien Insurers (May take a few moments to load.) AS 21.34.100 - Stamping Requirements Surplus Lines Brokers Premium Tax Audits Nonadmitted and Reinsurance Reform Act of 2010 Related Bulletins and Orders R20-01 Surplus Lines Placement List B20-01 List of Eligible Surplus Lines Insurers R17-08 Order Requiring Use of NAIC OPTins for Submitting Insurance Quarterly Reports and Payments Under AS 21.34.080, 21.34.170, 21.34.180 and 21.34.190 B17-06 Line Codes For Surplus Lines Transaction Reports B15-10 Diligent Search Requirements B13-10 Changes to Reporting of Underwriters at Lloyd’s Policies B08-06 Alaska Policyholder Notice B04-14 Broker's Fees and the Appointment of Insurance Producers as Brokers Questions Filings - Courtney Reeves 907-465-4615 Payments - Rebecca Nesheim 907-465-2584 Surplus Lines Insurers Alien Surplus Lines Insurers As of March 1, 2016, all alien surplus lines insurers in the Alaska Company Search that are also on the NAIC Quarterly Listing as eligible surplus lines insurers will reflect a status of Inactive with a status reason of NAIC IID Listed. Please use the NAIC Quarterly Listing to review the eligible status of an alien surplus lines insurer. Applications Eligible Surplus Lines Insurer Application - U.S. Domestic Eligible Surplus Lines Insurer Application - Alien Eligibility Continuation Surplus Lines Insurers' Continuation Instructions Other Forms Designation of Person to Receive Service of Process Designation of Persons to Contact If questions, contact Doug Hartman at 907-269-7906 Related Resident Licensing Requirements Nonresident Licensing Requirements