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INSURERS: Consolidation or Reinsurance

STATE OF CALIFORNIA
Department of Insurance
45 Fremont Street, 24th Floor
San Francisco, California 94105

1011(c) APPLICATION PACKET COVER SHEET

This application packet is completed for requests for the commissioner's prior consent to mergers, transfers of substantially all of the property, business, reinsurance or other similar transactions involving substantially all of an entity's business or property.

The following documents are applicable to all 1011(c) applications:

(1) Instructions and Checklist Doc. 0123f (six pages)

(2) Notice (one page)

(3) CALIFORNIA INSURANCE CODE SECTIONS 1011, 1011.5, 1090 and 1091 Doc 0012f (one page)

(4) Application Doc #0442F entitled "SAN FRANCISCO" (four pages)

The following additional documents are applicable to 1011(c) merger applications:

(A) Annual Statement and Tax Return Commitment By Surviving Entity In A Merger Doc 0234f (two pages)

(B) Name Approval Doc 0210f (two pages)

(D) INSURANCE CODE SECTION 1077-1077.95 (three pages)

(E) Instructions for Use and Execution of Ratification of Appointment of Agents CCB-53A (one page)

(F) Ratification of Appointment of Agents Doc 0292f (one page)

This application is submitted by a licensed insurer to obtain the commissioner's prior consent to the transfer of business or property, whether by sale, cession, assumption or purchase or similar transactions involving all or substantially all of the insurer's business or property. Applications concerning indemnity reinsurance need be submitted only by insurers domiciled in California. See Title 10 California Code of Regulations §2303.15(d) and (h) for the definition of "substantially all." (For the regulations see: http://government.westlaw.com/linkedslice/search/default.asp?tempinfo=find&RS=GVT1.0&VR=2.0&SP=CCR-1000)

If you have any questions about the 1011(c) application process, please contact the department's Corporate Affairs Bureau by mailing your questions to the bureau at:

California Department of Insurance
Corporate Affairs Bureau
45 Fremont Street 24th Floor
San Francisco CA 94105

or by calling 415-538-4442 or 415- 538-4130.