Property and Casualty Form, Rate, Rule Filing and Exhibit Forms
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| TDI Form Number | Description | File Format | Language |
|---|---|---|---|
| PC340 |
Certification of Sections 2251.251 - 2251.252 Exemption Compliance (EC-1) |
English | |
| PC358 |
P&C Filing Transmittal Form |
English | |
| PC360 |
Company Certification Mortgage Guaranty Rate Filings |
English | |
| PC361 |
Credit Scoring Model Filing Form |
English | |
| PC365 |
Exhibit C Statewide Average Rate Level Information |
English | |
| PC366 |
Exhibit D Historical Experience |
English | |
| PC367 |
Exhibit E Expense Information - Including Disallowed Expense Adjustment |
English | |
| PC368 |
Exhibit F Expense Information - For Workers' Compensation and Mortgage Guaranty |
English | |
| PC369 |
Exhibit G Loss Costs Reference Information |
English | |
| PC370 |
Exhibit H Multi-Peril Rate Reference Information |
English | |
| PC371 |
Exhibit L Profit Provision Information |
English | |
| PC374 |
Territory Exhibit Display of Counties Affected by 15% Territory Rule |
English | |
| PC375 |
CS Exhibit Support for use of Credit Scoring |
English | |
| PC376 |
Exhibit WC Workers' Compensation |
English | |
| PC377 |
Territory Exhibit Support for Territorial Deviations |
English | |
| PC404 |
Compliance Questionnaire - Use of Credit Information |
WORD | English |
| PC404 |
Compliance Questionnaire - Use of Credit Information |
English | |
| PC405 |
CM Exhibit Additional Information for Certain County Mutuals |
English | |
| PC419 |
Certificate of Insurance Filing Transmittal Form |
English | |
| PC420 |
Exhibit A Rate Filing Checklist |
English | |
| PC421 |
Exhibit B SERFF Rate Data |
English | |
| PC422 |
County Exhibit Average Premium Change by County |
English | |
| PC424 |
Form usage table — short version (up to 90 forms) Optional/Mandatory/Conditional Mandatory |
English | |
| PC427 |
Form usage table — long version (up to 470 forms) Optional/Mandatory/Conditional Mandatory |
English |
For more information, contact: PropertyCasualty@tdi.texas.gov