Premium Received Log Sample

Effective

Policy effective date.

Policyholder

Entity holding the policy.

Report Period

Time period the report covers.

LOI

Policy Line of Insurance.

Gross Premium

Gross premium dollar amount.

Net of Comm

Net premium for commission.

Net of MGU Fee

Net premium for MGU fees.

Net Due

Net premium due. Gross minus net for commission and MGU fees.

Prior Receipts

Amounts received previously.

Amount Received

Premium amount received.

Write Off

Any amount written off.

Variance

Difference between premium gross and amount received.

Received Date

When the premium was received.