REGISTRATION FORM PART 1 - FRO- 01
The following details are required to begin the on-boarding registration process. 1. Details of the Company
Note: This contact information will be used throughout the on-boarding and testing phases and when the scheme is live unless we are notified of any changes
Insurer / company name Please confirm your regulator PRA/FCA/FSMA number FRN for EEA insurers Registered address
Main operational address
Note: If multiple locations, state which address you want to have stored on our systems
Main telephone number (including country code)
Main contact within your organisation for
Flood Re purposes Name:
Role:
Telephone number (including country code): Email address:
Authorised Signatory
Note: this is the person who will sign legal documentation and forms for your organisation
Name: Role:
Please confirm a group email address for contact by the Flood Re team?
Note: this is required as this is the email address Flood Re will use to inform you of rejected bordereaux errors
1. Details of the Company (continued)
Note: This contact information will be used throughout the on-boarding and testing phases and when the scheme is live unless we are notified of any changes
Underwriting contact Name:
Role:
Telephone number (including country code): Email address:
Claims contact Name:
Role:
Telephone number (including country code): Email address:
Finance contact Name:
Role:
Telephone number (including country code): Email address:
IT contact
Note: this contact will also be used as the main out of hours contact
Name: Role:
Telephone number (including country code): Email address:
Test Lead
Note: this contact will be sent the Test Pack
Name: Role:
Telephone number (including country code): Email address:
Other – please provide any additional
contacts Name:
Role:
Telephone number (including country code): Email address:
Name: Role:
Telephone number (including country code): Email address:
2. About your organisation
Please indicate if you are Part A
• UK regulated Insurer • Lloyd’s Managing Agent
• EEA Domiciled Insurer with permission to passport into UK
Part B
• Fully delegated authority including MGAs with full delegated authority
Part C
• Software house
• Insurance Intermediaries (without full delegated authority)
• Other (please specify)
Are you intending to pass property data to a third party or are you intending to rely on a third party data supplier to provide Flood Re property data to you?
Note: this may include Key Service Providers all of whom may be required to on-board with Flood Re. This will be confirmed following assessment of your Registration Form.
If yes, please list all the
organisations that apply (include additional list if necessary)
Yes/No No
Are you intending to transfer or store data outside of the EEA? If yes, please list all countries
Yes/No
If you have selected an organisation in Section 2 Part A, please answer the following:
Note: a letter of confirmation for each fully delegated authority will be required in due course
Do you intend to use an insurance intermediary or MGA which has fully delegated authority (ie an entity that handles both claims and underwriting activity) to cede business to Flood Re on your behalf?
If the answer to this is ‘Yes’ please attach a list of all the organisations that apply including the relevant FCA/FSMA number
Please note that fully delegated authorities will also have to register and on-board separately with Flood Re
Yes/No
Ceding Risks
Note: If you are an organisation in Section 2 Part C you will not be able to cede risks to Flood Re
Are you planning to cede risks at go-live? If no, are you planning to cede risks in future? If yes, what date do you plan to commence?
Yes/No Yes/No MM/YY
3. Membership
Relevant insurers can choose to be ordinary members of Flood Re Limited, the Company. As ordinary members, relevant insurers will enjoy certain voting rights (based on their gross written premium); potential refunds of Levy 2 contributions subject to conditions in the legislation and the Members’ Agreement.
If you are a UK regulated insurer and/or an insurer with permission to passport into the UK and/or Lloyd’s Managing Agent, please indicate if you wish to become a member of Flood Re Limited? Yes No
No No No No4. Testing
Please indicate preferred testing period
Note: you will only be able to cede business once testing is completed
Oct-Dec 2015 Jan-Mar 2016 Apr- June 2016 July- Sept 2016 Oct-Dec 2016
5. Up-front Property Data
As part of the on-boarding process, a one-off bulk matching facility is available. This will enable you to populate systems with the Flood Re Identification (FRid) reference, the unique property data matching code, which will facilitate future address matching and bordereaux processing. If you would like to take advantage of this please complete the table below.
On-boarding up front data matching required Yes / No
Size /number of policies
Note: Flood Re can carry out limited upfront FRid data matching on high flood risk properties only. The FRid service will therefore only be available for the policies you are likely to cede the flood risk element of to Flood Re and not for your whole book. We will get in touch with your nominated main contact on receipt of this form to confirm requirements and agree timelines.
Return to [email protected] or by post, to the following address, as soon as possible: Private & Confidential
Flood Re Service Desk Flood Re Limited 6th Floor
65 Gresham Street London
EC2V 7NQ
FOR OFFICIAL FLOOD RE USE ONLY Participant ID Reference