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Property and Casualty Form, Rate, Rule Filing and Exhibit Forms

Property and Casualty Form, Rate, Rule Filing and Exhibit Forms
TDI Form Number Description File FormatLanguage
PC340
Certification of Sections 2251.251 - 2251.252
Exemption Compliance (EC-1)
PDF English
PC358
P&C Filing Transmittal Form
PDF English
PC359
Texas Addendum
to NAIC Property & Casualty Transmittal Form
PDF English
PC360
Company Certification
Mortgage Guaranty Rate Filings
PDF English
PC361
Credit Scoring Model Filing Form
PDF English
PC362
Certification of Section 2251.1025
Exemption Compliance (EC-2)
PDF English
PC365
Exhibit C
Statewide Average Rate Level Information
PDF English
PC366
Exhibit D
Historical Experience
PDF English
PC367
Exhibit E
Expense Information - Including Disallowed Expense Adjustment
PDF English
PC368
Exhibit F
Expense Information - For Workers' Compensation and Mortgage Guaranty
PDF English
PC369
Exhibit G
Loss Costs Reference Information
PDF English
PC370
Exhibit H
Multi-Peril Rate Reference Information
PDF English
PC371
Exhibit L
Profit Provision Information
PDF English
PC374
Territory Exhibit
Display of Counties Affected by 15% Territory Rule
PDF English
PC375
CS Exhibit
Support for use of Credit Scoring
PDF English
PC376
Exhibit WC
Workers' Compensation
PDF English
PC377
Territory Exhibit
Support for Territorial Deviations
PDF English
PC404
Compliance Questionnaire - Use of Credit Information
WORD English
PC404
Compliance Questionnaire - Use of Credit Information
PDF English
PC405
CM Exhibit
Additional Information for Certain County Mutuals
PDF English
PC419
Certificate of Insurance Filing Transmittal Form
PDF English
PC420
Exhibit A
Rate Filing Checklist
PDF English
PC421
Exhibit B
SERFF Rate Data
PDF English
PC422
County Exhibit
Average Premium Change by County
PDF English
PC424
Form Usage Table
(Optional/Mandatory/Conditional Mandatory)
PDF English

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