Section Ins 1501.03 - Forms - General Requirements(a) Forms A, B, C, D, E and F are intended to be guides in the preparation of the statements required by RSA 401-B:3, RSA 401-B:3-a, RSA 401-B:4 and RSA 401-B:5. They are not intended to be blank forms which are to be filled in. The statements filed shall contain the numbers and captions of all items, but the text of the items may be omitted provided the answers thereto are prepared in such a manner as to indicate clearly the scope and coverage of the items. All instructions, whether appearing under the items of the form or elsewhere therein, are to be omitted. Unless expressly provided otherwise, if any item is inapplicable or the answer thereto is in the negative, an appropriate statement to that effect shall be made.(b) Three complete copies of the Form A, and one complete copy of each other statement including exhibits and all other papers and documents filed as a part thereof, shall be filed with the commissioner by personal delivery or mail addressed to: Insurance Commissioner, State of New Hampshire, 21 South Fruit Street, Suite 14, Concord, NH 03301, Attention: Chief Analyst. At least one of the copies shall be signed in the manner prescribed on the form. Unsigned copies shall be conformed. If the signature of any person is affixed pursuant to a power of attorney or other similar authority, a copy of the power of attorney or other authority shall also be filed with the statement.(c) If an applicant requests a hearing on a consolidated basis under RSA 401-B:3, VI(b), in addition to filing the Form A with the commissioner, the applicant shall file a copy of Form A with the National Association of Insurance Commissioners (NAIC) in electronic form.(d) Statements should be prepared electronically. Debits in credit categories and credits in debit categories shall be designated so as to be clearly distinguishable as such on photocopies. Statements shall be in the English language and monetary values shall be stated in United States currency. If any exhibit or other paper or document filed with the statement is in a foreign language, it shall be accompanied by a translation into the English language and any monetary value shown in a foreign currency normally shall be converted into United States currency.N.H. Admin. Code § Ins 1501.03
#1900, eff 1-1-82; ss by #4287, eff 7-1-87; ss by #5652, eff 7-1-93; ss by #6985, eff 5-1-99, EXPIRED: 5-1-07
New. #8910, eff 7-1-07; ss by #10450, eff 1-1-14
Amended by Number 32, Filed August 10, 2023, Proposed by #13692, Effective 7/21/2023, Expires 7/21/2033.