Data Elements

Registration Data - Surplus Lines Agent

  • Username
  • National Producer Number
  • Agent First Name
  • Agent Last Name
  • Agent Middle Name (optional)
  • Agent Suffix (optional)
  • Agent Email Address
  • Business Address
  • Agent Phone Number
  • Mailing Address

Registration Data - IPC Filer

  • Individual/Company
  • Username
  • Contact First Name
  • Contact Last Name
  • Contact Middle Name (optional)
  • Contact Suffix (optional)
  • Contact Email Address
  • Contact Phone Number
  • Mailing Address
  • Physical Address

Billing Contact

  • Name
  • Address
  • Email Address
  • Phone Number
  • Mailing Address

Data Elements - Multistate Policy

  • Policy/Endorsement Effective Date
  • Policy Number
  • Insured Name
  • Home State of Insured
  • Coverage Code - click here for a complete list of coverage codes
  • Transaction Type
  • Policy Expiration Date
  • Insurer
  • Premium (Total Premium and Allocated Premium by State)

Data Elements - South Dakota Single State Policy

  • Policy/Endorsement Effective Date
  • Policy Number
  • Insured Name
  • MGA (optional)
  • Risk Retention/Purchasing Group (optional)
  • Insured's Address
  • Location of Risk (address)
  • Coverage Code - click here for a complete list of coverage codes
  • Transaction Type
  • Policy Expiration Date
  • Insurer
  • Premium (Gross premium including any fees charged by the insurance carrier)

Data Elements - Tennessee Single State Policy

  • Policy/Endorsement Effective Date
  • Policy Number
  • Insured Name
  • Insured's Address
  • Coverage Code - click here for a complete list of coverage codes
  • Transaction Type
  • Policy Expiration Date
  • Insurer
  • Premium (Gross premium including any fees charged by the insurance carrier)
  • Three or more insurer declinations (insurance company name and NAIC number)

Data Elements - Wyoming Single State Policy

  • Policy/Endorsement Effective Date
  • Policy Number
  • Insured Name
  • Insured's Address
  • Coverage Code - click here for a complete list of coverage codes
  • Transaction Type
  • Policy Expiration Date
  • Insurer
  • Premium (Gross premium including any fees charged by the insurance carrier)

Send Us a Message

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Customer Service

877.267.9855 x2 info@slclearinghouse.com

Technical Support x2

877.267.9855 info@slclearinghouse.com

Mailing Address

1441 Maclay Commerce Dr.
Suite 200
Tallahassee, FL  32312
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