Elite FI Partners
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Reinsurance

New Reinsurance Company Formation Worksheet

Please answer all of the following questions. All shareholders, officers and directors must be present to sign the formation packet papers. There can be one or more shareholders, but a minimum of two directors is required.

We do not ask for Social Security numbers hereThe carrier and the domicile do need one for each director to form the company and open its bank account, but that is not something to type into a web page. We will take them over the phone when the formation packet is prepared. Everything you do enter below submits over an encrypted connection directly into Elite FI Partners’ records, where only the agency principal can read it. It is never sent by email.

1. Proposed reinsurance company names

Give three choices in order of preference. Names get rejected for being too close to an existing company, which is why we ask for spares up front.

2. Shareholder / Director 1 (President)

3. Director 2 (Secretary)

4. Director 3 — optional

5. Reinsurance company shareholders

Who will own the new reinsurance company, and what percentage each holds.

6. Other reinsurance company interests

Are any of these shareholders also shareholders of another reinsurance company? If so, list the company name, the owner, and the percentage of ownership.

7. The dealership / producer

8. Ownership of the dealership

Percentage of the dealership owned by each director or shareholder above. This is a different cap table from the reinsurance company’s, and the two often differ.

9. Who should we follow up with?

Still needed: a dealership name, at least one proposed company name, and at least two named directors.