Surplus Lines Disclosure
When placing insurance in the surplus lines market, agents are required to have the insured sign or provide a documented acknowledgement of the disclosure statement.
You are agreeing to place coverage in the surplus lines market. Coverage may be available in the admitted market. Persons insured by surplus lines carriers are not protected under the Florida Insurance Guaranty Act with respect to any right of recovery for the obligation of an insolvent unlicensed insurer. Additionally, surplus lines insurers' policy rates and forms are not approved by any Florida regulatory agency.