Kentucky Revised Statutes · § 304.10-170 — Quarterly statement of broker

(1) Each broker shall, within thirty (30) days of the end of each calendar quarter, file with the commissioner a verified statement of all surplus lines insurance transacted by him during the preceding calendar quarter.

(2) The statement shall be on forms as prescribed by the commissioner and shall show:

(a) Gross amount of each kind of insurance transacted;

(b) Aggregate of gross premiums charged;

(c) Aggregate of returned premiums paid insureds;

(d) Aggregate of net premiums; and

(e) Additional information as required by the commissioner.