520.4  Preliminary declaration.
  Such subscribers so contracting among themselves, shall, through their attorney, file with the commissioner of insurance a declaration verified by the oath of such attorney, or, where such attorney is a corporation, by the oath of the duly authorized officers thereof, setting forth:
  1.  The name of the attorney and the name or designation under which such contracts are issued, which name or designation shall not be so similar to any name or designation adopted by any attorney or by any insurance organization in the United States prior to the adoption of such name or designation by the attorney, as to confuse or deceive.
  2.  The location of the principal office.
  3.  The kind or kinds of insurance to be effected.
  4.  A copy of each form of policy, contract, or agreement under or by which insurance is to be effected.
  5.  A copy of the form of power of attorney under which such insurance is to be effected.
  6.  That applications have been made for indemnity or insurance upon at least one hundred separate risks aggregating not less than one and one-half million dollars represented by executed contracts or bona fide applications to become concurrently effective; or in case of employers liability or workers’ compensation insurance, covering a total payroll of not less than two and one-half million dollars.
  7.  That there is in the possession of such attorney and available for the payment of losses, assets amounting to not less than three hundred thousand dollars.
  8.  A financial statement under oath in form prescribed for the annual statement.
  9.  The instrument authorizing service of process as provided for in this chapter.
  10.  Certificate showing deposit of funds.
[C24, 27, 31, 35, 39, §9086; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §520.4]