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D-2 (12/19) Effective January 1, 2020 Page 2 of 2 <br />6. For non-United States (alien) insurers, the insurer should be <br />licensed by a country outside of the United States and should <br />be on the NAIC's International Insurers Department (IID) listing <br />of approved nonadmitted non-United States insurers. Ask your <br />agent, broker, or "surplus line" broker to obtain more <br />information about that insurer. <br />7. California maintains a “List of Approved Surplus Line Insurers <br />(LASLI).” Ask your agent or broker if the insurer is on that list, <br />or view that list at the internet website of the California <br />Department of Insurance: www.insurance.ca.gov/01- <br />consumers/120-company/07-lasli/lasli.cfm. <br />8. If you, as the applicant, required that the insurance policy you <br />have purchased be effective immediately, either because <br />existing coverage was going to lapse within two business days <br />or because you were required to have coverage within two <br />business days, and you did not receive this disclosure form <br />and a request for your signature until after coverage became <br />effective, you have the right to cancel this policy within five <br />days of receiving this disclosure. If you cancel coverage, the <br />premium will be prorated and any broker's fee charged for this <br />insurance will be returned to you. <br />DocuSign Envelope ID: F525A306-8BF9-48E3-A552-7B4232EE8861DocuSign Envelope ID: AB91FD21-DAE2-4426-9C77-64582A7CE84DDocuSign Envelope ID: F2F8D7DE-DC83-42B9-896F-1B1561925E23