Cal. Code Regs. tit. 10 § 2278.59

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Current through Register 2024 Notice Reg. No. 45, November 8, 2024

Section 2278.59 - Form N-1

REQUEST FOR NAME APPROVAL AND RESERVATION

(FORM N-1)

To: Name Reservation Unit

Legal Division

Department of Insurance

1901 Harrison Street, 3rd Floor Mailroom

Oakland, CA 94612

...............................................................................

SECTION 1-- PROPOSED NAME(S)

Requested Name:	___________________________

1st Alternative Name :	___________________________

2nd Alternative Name:	___________________________

...............................................................................

SECTION 2-- BACKGROUND INFORMATION

Contact Person:	Name	___________________________
	Title	___________________________
	Address	___________________________
	email	___________________________
	direct phone	___________________________
	fax	___________________________

Applicant Name and Address:	_______________________________________________________
	_______________________________________________________
	_______________________________________________________
	_______________________________________________________
	_______________________________________________________

Applicant's State of Domicile:	_______________________________________________________

Applicant's Federal Employer Identification Number:	_______________________________________________________

Applicant's NAIC Number:	_______________________________________________________

Applicant's NAIC Group Name and NAIC Group Number (if applicable):	_______________________________________________________

If Applicant is not an	_______________________________________________________
Affiliate (see, § 2278.51(c)),	_______________________________________________________
name(s) of Applicant's	_______________________________________________________
owners or proposed owners:	_______________________________________________________
	(attach separate page if needed)

Organizational Chart: Attach organizational chart that identifies all Affiliates (see, § 2278.51(c)), including parent companies and subsidiaries. If Applicant has not yet been formed, the organizational chart must specify the proposed position of Applicant on the organizational chart upon completion of Applicant's formation
Classes of Insurance (per	_______________________________________________________
Insurance Code) transacted or
to be transacted in California:	_______________________________________________________
	_______________________________________________________
	_______________________________________________________
	_______________________________________________________

Specialty lines (per Insurance	_______________________________________________________
Code) transacted or to be
transacted in California	_______________________________________________________
	_______________________________________________________
	_______________________________________________________
	_______________________________________________________
	_______________________________________________________
	_______________________________________________________
	_______________________________________________________

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SECTION 3-- APPLICANT SEEKING A NAME CHANGE

If the Applicant is seeking approval of a proposed name change, state the reason for the proposed name change.

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SECTION 4-- APPLICANT -- UNDERWRITTEN TITLE COMPANY

If Applicant is, or will be, an underwritten title company, state the following:

(A) all counties in which business is, or will be, transacted:

(B) all title insurers that will underwrite the policies offered by Applicant.

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SECTION 5-- PENDING APPLICATIONS (ALL APPLICANTS)

List every application or filing that is pending with the Commissioner, filed either by or pertaining to Applicant, or filed by or pertaining to an Affiliate (see, § 2278.51(c)), regarding transaction of its (or its Affiliate's) business in California. This includes, but is not limited to, applications for a certificate of authority, an amended certificate of authority, a securities permit, applications or filings required by Insurance Code 1011(c), and applications pursuant to Insurance Code §§ 1215et seq. The foregoing does not include applications pertaining to dividends or pertaining to property and casualty rate and form filings.

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SECTION 6-- APPLICANTS -- FOREIGN OR ALIEN COMPANY

An Applicant that is, or will be, a foreign or alien insurer or other entity that proposes to use a fictitious business name or operating name in California, must submit a certified copy of a resolution by its board of directors (or if its form of business organization does not have a board of directors, then its governing body) authorizing the use of the fictitious business name or operating name in California.

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SECTION 7-- APPLICANT TO WHICH REGULATION SECTION 2303.15(q) APPLIES

An applicant to which the requirements of California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Article 1 § 2303.15(q) applies shall submit a formal commitment, as set forth in regulation § 2303.15(r), that it shall comply with regulation § 2303.15(q).

Cal. Code Regs. Tit. 10, § 2278.59

1. New section filed 10-11-2010; operative 11-10-2010 (Register 2010, No. 42).
2. Change without regulatory effect amending section filed 8-27-2020 pursuant to section 100, title 1, California Code of Regulations (Register 2020, No. 35).

Note: Authority cited: Sections 700, 720 and 790.10, Insurance Code; CalFarm Ins. Co. v. Deukmejian, (1989) 48 Cal.3d 805; and 20th Century Ins. Co. v. Garamendi, (1994) 8 Cal. 4th 216. Reference: Sections 742.42, 790.02, 790.03, 880, 881, 881.1, 881.2, 881.5, 882, 882.5, 883, 10970, 12162, 12389 and 12743, Insurance Code.