Common use of COMMISSIONER OF INSURANCE Clause in Contracts

COMMISSIONER OF INSURANCE. Date: September 2, 2020 Please provide the following information as to how your jurisdiction’s allocation of the Multistate Payment should be made from the Company. CONTACT NAME: Xxxxxx Xxxxxx MAILING ADDRESS: 0000 Xxxx Xxx, Suite 100, Des Moines, IA 50315 PAYMENT MADE TO: Iowa Insurance Division If applicable, please provide wiring instructions separately. Upon completion, please return this form to: Xxxxxx Xxxxx, Deputy Commissioner of Market Compliance District of Columbia, Department of Insurance, Securities and Banking 0000 Xxxxx Xxxxxx, XX, Xxxxxxxxxx, XX 00000 Email: Xxxxxx.Xxxxx@xx.xxx

COMMISSIONER OF INSURANCE. Date: September 2, 2020 Please provide the following information as to how your jurisdiction’s allocation of the Multistate Payment should be made from the Company. CONTACT NAME: Xxxxxx Xxxxxx MAILING ADDRESS: 0000 Xxxx Xxx, Suite 100Xxxxx 000, Des MoinesXxx Xxxxxx, IA 50315 XX 00000 PAYMENT MADE TO: Iowa Insurance Division If applicable, please provide wiring instructions separately. Upon completion, please return this form to: Xxxxxx Xxxxx, Deputy Commissioner of Market Compliance District of Columbia, Department of Insurance, Securities and Banking 0000 Xxxxx Xxxxxx, XX, Xxxxxxxxxx, XX 00000 Email: Xxxxxx.Xxxxx@xx.xxx