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Division of Insurance

Surplus Lines Insurance Forms and Information

Surplus Lines Broker

Anyone writing business through insurance companies not licensed in South Dakota including Risk Purchasing Groups and Risk Retention Groups is required to have a Surplus Lines Broker license. Information about how to obtain a license to become a surplus lines broker and other information necessary for surplus lines brokers is available in the following links:

Surplus Lines Broker Uniform Application (from the National Association of Insurance Commissioners)

Surplus Lines Broker Information

Surplus Lines Broker Renewals

The South Dakota Division of Insurance does not allow Life and Health to be written in the surplus lines market, with two exceptions. When using either of the exceptions listed below the surplus lines broker must email a copy of the policy/declarations/schedule of benefits, along with 3 declinations to the Division Surplus Lines Contact (Charlene Squires Keller) at sdinsurance@state.sd.us for verification that it meets the requirements of SDCL § 58-32-4.

1. Disability insurance that has a benefit limit in excess of any benefit limit available from an admitted insurer. (Effective July 1, 2015)
2. Health insurance for an individual traveling or temporarily living outside the United States for health care costs incurred abroad. (Effective July 1, 2019)

Surplus Lines Broker - Tax Reports

Annual and quarterly tax reports are not required with policies filed through SLIP in the SL Clearinghouse. Zero filings are not required.

Surplus Lines Clearinghouse Tax Estimator

SD Tax Rates Surplus Lines Clearinghouse Coverage Codes (in Adobe PDF format)

Single-State Surplus Lines Policies

The Division requires all surplus lines premium tax filings, including surplus lines tax reporting and remittance, to be filed with the Clearinghouse through their website. Brokers must report surplus line business to the Clearinghouse within 30 days of the effective date of the policy, which will meet affidavit requirements for the State of South Dakota. South Dakota brokers need to register with the Clearinghouse to file policies. Surplus Lines Brokers must obtain at least 3 declinations before placing business in the surplus lines market.

Additional information can be found in Bulletin 12-06.

Surplus Lines Insurance Company Information

The South Dakota Division of Insurance is modernizing to becoming entirely paperless for Surplus Lines Insurers doing business in South Dakota. Please review the attached letter to find out how you will be reporting your business written electronically via the SLIP system instead of through the paper method you have been doing previously.

Premium Data Submission Letter

Contact the Division of Insurance