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The Application for Basic Property and Liability Insurance
66 CT and may be filed directly by any CONNECTICUT LICENSED
PRODUCER and MUST BE PROPERLY COMPLETED, SIGNED, and DATED
BY THE APPLICANT. (We still accept our old Form #10 while
The Notice of Adverse Underwriting Decision (page 4 of
the application) must be completed for all OWNER-OCCUPIED dwellings.
A CORPORATE QUESTIONNAIRE (Form
#6) must accompany an application from a company, corporation,
trust or holding company, or partnership.
A VACANCY QUESTIONNAIRE (Form
#7) must accompany vacant or unoccupied applications.
If the application is unsigned or so incomplete that we cannot
begin processing, it will be returned to the producer.
If incomplete, but we are able to begin processing the application,
we will send a request (Form #21) for the missing information.
An inspection will be ordered and we have 20 days to get
back to you with a quotation or a declination. Our 20 days does
not begin until we have a completed and signed application.
If the risk is acceptable, a quotation will be mailed to the producer
only. If condition charges apply, they will be listed on
the quotation with a separate premium. If the conditions are corrected,
notify us in writing for reinspection and possible removal of
The quotation is valid for 60 days from the date of issuance.
Coverage will become effective upon receipt of the total annual
premium in the office of the FAIR Plan. Let us know if you want
coverage to become effective on a specific date after the
If the risk is unacceptable, a Declination Notice will be mailed
to the applicant and the producer. See APPEALS section of the
The Expiration Notification and Application for Continued Coverage
is mailed to the insured and the producer 60 - 90 days prior to
the policy expiration date. We do not notify the mortgagee.
Coverage will lapse if we do not receive the full annual premium
on or before the expiration date. (See the Producers' Manual for
|Connecticut FAIR Plan - 77 Hartland Street, Suite 308 - P.O. Box 280200 - East
Hartford, CT 06128-0200
Telephone: (860) 528-9546 - Fax: (860) 282-0070