The Monthly Transaction Report (MTR)
The MTR lists all transactions submitted by a producer for a given time period. Reports are
final for a given month on the first day of the following month. For example, a report for
October will be available to certify on November 1 or later.
From the Reports menu option, select Monthly Transaction Report Certification from the
Report Type dropdown box. Next select the desired month and click “Print.” This will open a
popup window that displays all the information relevant for your Monthly Tax Report on
Nonadmitted Insurance Business. Because supporting document is required we have provided a
link for determining if documentation is missing. To view the list click where indicated. If
there are no policy transactions with missing documentation please continue to the
Please note: If one or more transactions are missing required documentation
you will be required to add these documents prior to the system allowing you to “Certifying”
your MTR. We have added a link on the Certification page in which you are able to view
transactions missing documentation.
After you have confirmed the accuracy of the information, click the box next to the
certification statement which will activate the “Certify” button to complete the online
- Proper documentation (declaration sheet and/or endorsement) must accompany each transaction
that is submitted in SLIP.
- To learn how to upload your documents, please see the Electronic Document Submission
- Report screen provides a report type “Transactions with Missing Documentation”. Here prior
to Certifying your Monthly Transaction Report you are able to view (anytime after policy
entry into SLIP) transactions which may be missing documentation. No transactions showing
will mean no transactions are missing documentation. If transactions are displayed you will
have an opportunity to upload the documents.
- The MTR will be certified online (as stated in above paragraph).
If you submitted transactions via an XML batch file and the documents were not included within
the batch file, then they will need to be uploaded manually for each transaction via the policy
screen after the batch file has been imported. Please note that you will need to upload each
document one at a time if you choose the manual option.
MISSISSIPPI DEPARTMENT OF INSURANCE INFORMATIONAL NOTICE FORM
For all personal lines placements in the surplus lines Market, Miss. Code Ann.
83-21-23(1) requires that a surplus lines insurance producer shall furnish to an
insured at the time of policy deliverance an information notice. Accordingly, any insured
purchasing a surplus lines policy covering Mississippi risk is to complete this form which may
be found on our website, https://www.msla.org/, under Producers then Forms. Do not send the
completed document to MSLA this will be for your records and the insured.
RETAIL INSURANCE PRODUCER
For the purposes of this Bulletin, a retail insurance producer is defined as a duly licensed
insurance producer who is NOT licensed as a surplus lines insurance producer and who has tried
unsuccessfully to place a client’s business in the admitted market. In such cases, the retail
insurance producer would submit the client and risk to a surplus lines insurance producer in
order to place the business in the nonadmitted market. The retail insurance producer would not
deal directly with the nonadmitted insurer.
A retail insurance producer may execute a Retail Insurance Producer Nonadmitted Insurance Form
as prescribed by the Commissioner of Insurance.
- A retail insurance producer is to be duly licensed as an insurance producer who has tried
unsuccessfully to place a client’s business in the admitted market.
- The retail insurance producer would submit the client and the risk to a surplus lines
insurance producer in order to place the business in the nonadmitted market.
- The Retail form is to be completed by the retail insurance producer when submitting business
to a surplus line insurance producer as supporting information as to the diligent search the
retail producer conducted before determining the need for placement in the nonadmitted
- This form may be retained by the surplus lines insurance producer that places the risk in
the nonadmitted market in satisfaction of the diligent search requirements mandated by Miss.
Code Ann. §83-21-19(1)(c) and §83-21-23(1).
- If used by the surplus lines insurance producer to satisfy the diligent search requirements,
this form must be attached by the surplus lines insurance producer to the certification form
completed by the surplus lines insurance producer pursuant to MID Bulletin 2012-4.
- The form can be found on the MSLA website at www.msla.org under Publications.
- The retail producer must start using the new Retail Insurance Producer Nonadmitted Insurance
Form for new and renewed policies with an effective date of 11/2016 and forward.
- The retail producer is not required to hold a surplus lines insurance producer’s license in
order to receive commission on a surplus lines placement if the risk was procured by a
surplus lines insurance producer.
Declarations Page/Cover Notes/Binders
- Within fifteen (15) days following the end of the month in which a policy is procured, the
member shall submit copies of the Declarations Page or Cover Note of every policy procured
under his or her license to the Mississippi Surplus Lines Association. In the event that no
Declarations Page or Cover Note is available to the member within fifteen (15) days
following the end of the month in which the policy is procured, the member shall submit
copies of a binder or confirmation of placement of coverage to MSLA in lieu of such
Declarations Page or Cover Note. In the event that a binder is submitted to MSLA, the member
shall submit copies of the Declarations Page or Cover Note to the Association promptly upon
Documentation (inclusive of Layered Policies)
- Supporting documentation must accompany the policy data that is submitted into SLIP. The
Declaration Page(s) must include the following: the policy number, name of the insured,
Notice to Policyholder, name of the surplus lines producing producer, effective and
expiration dates, premium, and policy fees.
In the event two or more insurers participated in writing a risk, the premium will need to
be reported under the respective insurer and documentation, such as the Schedule of
Insurers; will need to accompany the filing.
Notice to Policyholder
Each surplus lines producer writing business in the state of Mississippi must meet the
requirements of § 83-21-19 regarding notice to policyholders.
Every insurance contract procured and delivered pursuant to Sections 83-21-19 shall have stamped
upon it in bold ten-point type, and bear the name of the producer who procured it, the
“NOTE: This insurance policy is issued pursuant to Mississippi law covering surplus lines
insurance. The company issuing the policy is not licensed by the State of Mississippi, but is
authorized to do business in Mississippi as a nonadmitted company. The policy is not protected
by the Mississippi Insurance Guaranty Association in the event of the insurer’s insolvency.”
It is the responsibility of the licensee to obtain and affix the Notice to Policyholder legend
on the document before submission to the Association.