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Form Number: MLIST (Ed. 5/2003)
STATE OF NEW YORK - INSURANCE DEPARTMENT
MASTER LIST OF REVIEW STANDARDS CHECKLISTS
AND COMPLIANCE QUESTIONNAIRES
When completing review standards checklists and compliance questionnaires, please ensure that
you are using the latest edition of that checklist and questionnaire. The latest versions of the
review standards checklists, compliance questionnaires, the NYSID Form No. 129-B and
additional filing instructions, including instructions on the Speed to Market procedure, are
available at: www.ins.state.ny.us/is-file.htm
1. Name of Insurer(s):
2. Insurer File No.:
3. Was this filing, or a similar filing on the same subject,
submitted previously by your company or group
affiliate for the Department’s review?
Yes (Please provide the following additional information)
Previous Insurer File No.
Previous Department File No.
Previously submitted on a Speed to Market basis?
4. Total No. of Review Standards Checklists and
Compliance Questionnaires Submitted:
5. If the filing contains forms, have you submitted a
Policy Form Compliance Certification?
6. If the filing contains rates/rating plan(s), have you
submitted a Rate and/or Rating Plan Compliance
Commercial Lines Property Insurance Form Filing Compliance Questionnaire CLP
Commercial Lines Cancellation and Nonrenewal Form Filing Compliance Questionnaire
Rate Filing Sequence Checklist NEWRATE (9/02)
Boiler & Machinery
Commercial Lines Property Insurance Form Filing Compliance Question