Program Files - TriTech Soft



Premium Pro Enterprise – Notes & CorrectionsProgram FilesMay 2, 2024All - This program files update includes enhancements for electronic filing.February 20, 2024All - Changes have been made to the program files for the Premium product. Please see the product specific release notes below for more information.February 15, 2024All - Global changes necessary to enable the upcoming CSV export feature for the Ohio premium tax filings have been included with this release.January 30, 2024All - Changes have been made to the program files for the Premium product. Please see the product specific release notes below for more information.January 25, 2024All - Changes have been made to the program files for the Premium product. Please see the product specific release notes below for more information.December 29, 2023Calendar - Calendar data has been rolled over to 2024 with this release.December 15, 2023All - Changes have been made to the program files for the initial release of the Premium product. Please see the product specific release notes below for more information.2023-2024 PremiumMay 30, 2024GeorgiaLife - Corrected an issue that may have generated an error on the 6/20 installment when selecting Check as the payment method on the Payment Request.IdahoPC - Changes have been made to remove a depreciated element from being included with the 12/15 installment when filing electronically.May 23, 2024CaliforniaPC - Corrected an issue that may have resulted in an unnecessary audit appearing on the ocean marine retaliatory return.PC - When filing the estimated tax payment voucher via email, the subject and body of the email has been corrected to reflect the proper module.IllinoisAll - Online Assistant has been enabled for the estimate premium tax returns. Please see the state specific release notes for more details.LouisianaAll - The amount of overpayment available in the estimate input schedule will no longer include any excess amount which will ultimately be eligible for refund.MassachusettsPC - To accommodate differences with the way negative premiums are being treated in the state's online system, Lines 12 and 13 on Page 5 of the Ocean Marine have been enabled.May 2, 2024FloridaAll - Web Login buttons have been added to the installment returns to better facilitate access to the state's online system when remitting payment.MichiganAll - The audit pertaining to the Use Current Year Premium option will now indicate it ought to be enabled when prior year tax liability exceeds $20,000.Risk - When the option to include OPTins fees has been enabled, the installment forms will now calculate and include the NAIC Transaction Fee assessed by the OPTins’ surplus lines system.States released with this update:- Missouri (Estimates - 2nd-4th Quarters)April 25, 2024AlabamaAll - Corrected an issue that was causing an error when e-filing empty estimate returns.ColoradoAll - An issue preventing the Online Assistant from functioning properly for estimate returns has been resolved.MassachusettsPC - The year reference on Page 10, Line 36 of Ocean Marine Form 63-29A has been updated to 2024.MissouriPC - The column header year references have been updated for the Missouri Retaliatory Input Schedule.NevadaAll - Previously, only the amount of overpayment actually used was being sourced into the Total Credit Column in the Estimate Summary. By default, the entire amount will now be sourced instead.PennsylvaniaPC - The columns for Gross Losses and Reinsurance on Page 4, Schedule E, Line C of the Ocean Marine return are now sourced from the Ocean Marine Schedule. ?WyomingHMO - The forms have been updated in the software to include correct GFA year references.April 11, 2024AlabamaAll - Three new credits have been added to all estimate returns: Alabama Jobs Act Investment Credit, Growing Alabama Credit, and Innovating Alabama Credit.KansasAll - Cosmetic changes have been made to the watermarks appearing on the domestic returns.PennsylvaniaAll - Online Assistant has been enabled for the annual premium tax return. Please see the state specific release notes for more details.April 4, 2024ColoradoAll - Online Assistant has been enabled for the estimate returns. Please see the state specific release notes for more details.HawaiiAll - Beginning with the installment for the month ending in April, the estimate returns will now make use of the state's revised forms and will calculate overpayments automatically.All - If you filed the March monthly installment directly with OPTins and were allowed to apply an overpayment against the balance due, please enter the amount applied in the manual entry field that has been added to the March installment form in the software. This will allow future installments to reduce the amount of overpayment available to be applied correctly and reflect the actual amount paid in the Estimate Summary.PennsylvaniaPC - The Revenue ID on page one of the Ocean Marine Tax Report (RCT-124) will no longer roll over from the annual return.PC - Online Assistant has been enabled for the annual ocean marine return. Please see the state specific release notes for more details.West VirginiaPC - For companies who write only Workers Comp Chapter 23 premiums, the prior year tax liability amount will now always appear on the installment worksheet.March 28, 2024ArizonaPC - The 2024 tax rate for administrative fund has increased to 2.25%.Rhode IslandLife - When using the export feature for the Renewal Fee Invoice, the fields for Contact Name and Contact Phone will no longer be transposed.March 26, 2024New MexicoAll - Electronic filing via TriTech has been enabled for the annual and estimate returns. Please see the state specific release notes for more details.PennsylvaniaAll - The PLHIGA worksheet will now rollover each of the amounts in the History of Prior Credits Already Approved section based on the amounts reported in that section for the previous year.Rhode IslandAll - The ability to export the Renewal Fee Invoice for later filing through OPTins has been enabled. Please see the state specific release notes for more details.All - The EFT Threshold listed in the Filing Info Schedule has been lowered from $10,000 to $5,000, and an indicator has been added to the returns to designate your status as a Large Business Registrant. Please see the return instructions for additional details.March 21, 2024MontanaAll - Corrected an issue that was preventing overpayment amounts in the Summary of Taxes and Estimate Schedules from being removed when no longer applicable.OhioRisk - A button has been added to the placeholder return which will allow you to access the state's online reporting application where you can obtain the invoice(s) necessary to remit tax payments.OklahomaAll - Electronic filing via OPTins has been enabled for the estimate returns. Please see the state specific release notes for more details.Rhode IslandAll - Large Business Registrants are subject to an electronic mandate, so the E-File Requirement listed in the Filing Info Schedule has been updated to be mandatory by default. Please see the return instructions for additional details.States released with this update:- Oklahoma (Estimates)March 14, 2024GeorgiaAll - The Pay All With First Installment option has been disabled for Georgia. All installments must be filed and paid separately.PC - An issue that may have caused the fourth quarter estimate filing to fail has been corrected.IllinoisPC - Online Assistant has been enabled for the Fire Marshal Tax return. Please see the state specific release notes for more details.Puerto RicoLife - The Special Premium Tax return (Form AF-07-002) has been revised to allow for an amount to be displayed on Line 10.States released with this update:- Illinois (Estimates)- New Mexico (Estimates)March 7, 2024MarylandAll - The checkbox on page one of the Annual Premium Statement indicating when payment has been made in OPTins will now always print when selected.All - The Maryland Insurance Administration has begun asking taxpayers who submit the Annual Premium Statement via email to resubmit using the OPTins Excel. As such, when emailing the annual premium tax return, the software will now automatically include a copy of the requested workbook.MassachusettsAll - The Taxpayer Name for Addenda field on the annual return will now roll over from the estimate addenda schedule in the previous year.New YorkAll - On the underpayment return (Form CT-222), when calculating the required installment on Page 4, Schedule A, Part 3, Line 90, the software will now prevent negative amounts from being displayed in columns B, C, and D.PennsylvaniaAll - The audit for the PLHIGA checkbox has been changed to work based on the credits in the PLHIGA worksheet that are pushed to Page 1, Line 4.States released with this update:- New Mexico (Annual)- Ohio (Estimate)February 29, 2024IllinoisLife - For Life insurers, page two of the return has been revised to no longer include line references to the state page. Please be advised that, by default, the software will include individual premiums and dividends for both Life and Annuity as Ordinary premiums in Column 1, and group premiums and dividends will be reported as Group in Column 3. For A&H premiums, columns for Direct Premiums and Dividends will be broken out between the following rows: Group Policies, Federal Employees Health Benefits, and Medicare Title XVIII; all other A&H premiums and dividends will be reported as “All other.” Please review and adjust as needed.MontanaHMO - The software has now been updated with the latest form available from the state. All changes are cosmetic in nature.February 27, 2024AlabamaRisk - A modification has been made to the electronic filing of the annual Risk return (RR-W). If you have filed this return previously you do not need to re-file.District of ColumbiaAll - A formatting change has been made to the CAPCO credit field displayed in the Excel workbook which is transmitted when filing via OPTins. If you have filed this return previously you do not need to re-file.MinnesotaAll - Corrected an issue that may have caused cents to be transmitted for the Housing Tax Credit amount reported on page two of the return.February 26, 2024AlabamaPC - Medical Malpractice Policies have been moved to Casualty Business on Page 2, Line 5b for foreign returns and Page 2, Line 4b for domestic returns.PC - The required attachment for Certificate of Advertising Compliance Documentation will no longer be required for PC, Risk, or Title companies.ColoradoLife - The Annuity Reconciliation Attachment is no longer a required attachment when using the Email Support button.OhioAll - To better match the state's online system, the fields for agent rates on the Foreign Premium Tax returns will now display and export values in cents.HMO - Other Considerations will now be included with premiums and then shown as a deduction.HMO - When the option to include Deposit Type Funds is selected, the amount will flow to Line 2B on the domestic return and Line 11B on the foreign return.HMO - When domiciled in Ohio, gross premiums pushed to the Retaliatory Worksheet will be net of Return Premiums.HMO - Negative amounts will no longer flow into the foreign return.VirginiaAll - For companies filling out the underpayment form (Form 800C), amounts on Part I, Line 3 will now be rounded to whole dollars. The calculation of prior year tax in Part II, Line 10 (Exception 1) will now better reflect amounts based on cents reported for previous periods as well.February 23, 2024MontanaRisk - Additional changes have been made to the payment amount being reported when e-filing via OPTins. The amount being shown in the wizard will now include the total payment due.OhioLife & PC - The state's online system does not allow negative values on the Foreign Premium Tax returns. The software has been updated accordingly.Life - Other Considerations will now be included with premiums and then shown as a deduction.February 22, 2024AlabamaAll - Certificate of Advertising Compliance Documentation must now be attached. As such, an audit has been added as well as an e-file attachment slot.ArizonaAll - For companies domiciled in Florida, the rate being used to calculate the local / regional tax on Form E-RT, Page 4, Line 25 has been updated to use the proper 0.037885% other tax rate.FloridaTitle - Previously, title insurers may have been asked to include an attachment reconciling premiums reported on the return with amounts reported in their Schedule T unnecessarily. This has been corrected.MinnesotaAll - Fixed an issue where the Housing Tax Credit certificate number on Page 2 of the annual returns was not being transmitted when a value of 0 was entered for the credit.MississippiAll - Additional changes have been made to the Online Assistant to better ensure fields are accurately transmitting to the correct lines. Please be advised however that we will not be able to transfer amounts for penalty, interest, or overpayment refund. If applicable, please verify these amounts prior to submitting your return online.New JerseyPC - Additional information has been provided in the tooltip on Page 3, Line 30 of the foreign tax return detailing the source of the calculated fire tax credit.Life - The return instructions for foreign life insurance companies have been updated.North DakotaRisk - The ability to export the OPTins workbook for manual filing of the Renewal Statement for Non-Admitted Companies (SFN 53446) has been enabled. Please see the state specific release notes for more details.OhioLife & PC - The ability to export the return data to CSV has been enabled for the annual return. Please see the state specific release notes for more details.PC - The audit on the Domestic Invoice pertaining to the attachment of the payment invoice for e-mailing has been removed.TexasTitle - The credit field on Form 25-100, Line 25 of the Premium Tax return has been enabled to better match the state's online system.VermontAll - The format of the tax rate for the State of Domicile column has been updated to transmit correctly.West VirginiaPC - The state has published an updated workbook in which Schedule A now includes State Page Line No. 11.1 in the calculation of the 1% Additional Tax and 0.55% Surcharge. The software has been updated accordingly.WyomingAll - The estimate returns have now been updated with the latest version available from the state.February 20, 2024GlobalAll - Changes have been made to the Online Assistant feature to allow it to interact better with existing websites. ColoradoAll - Additional changes have been made to the Online Assistant to better ensure fields are accurately transmitting to the correct lines.KansasAll - Additional changes have been made to the Online Assistant to better ensure fields are accurately transmitting to all lines.February 16, 2024 Montana All - Corrected an issue with respect to the payment codes being used when e-filing via OPTins. For Life companies, if you had owed a retaliatory tax previously, please be advised that this amount was not being included as part of your total amount due, so you may need to file an amended return to remit additional payment. Please review your actual submission in OPTins to verify. All - The Genetics Program Fee will now be calculated when Line 1 under the Genetics Program Fee Schedule is equal to zero. Title - Fixed the Genetics Program Fee on Page 3 from being populated with a value that is not needed.February 15, 2024GlobalAll - Corrected issues pertaining to navigating via hyperlinks in the annual and estimate modules.ArizonaTitle - Additional e-file attachment possibilities have been added as selections for the foreign filing return.Title - When filing via OPTins, foreign companies now have an option to remit payment for the annual fees along with their submission.ColoradoAll - The Online Assistant tool has been updated to rectify an issue causing incorrect data to be transmitted.All - The return instructions have been updated to match the Fraud Fee changes noted in the release notes.FloridaAll - Electronic filing via TriTech has been enabled for the annual and estimate returns as of February 15, 2024.HawaiiRisk - Hawaii has a new contact person: Jenny Fujiwara, jfujiwar@dcca.. The Filing Information Schedule has been updated to reflect this information.IdahoAll - A note has been added on the estimate returns to highlight that excess prepayment amounts will only be credited to the March 1 filing for that tax year. Excess prepayments will not be credited toward other prepayment periods.Life - On Page 2, Schedule A, Line 1D and Line 5, descriptions have been updated to include references to the proper lines. These changes are cosmetic in nature and do not affect any calculations.KansasAll - The Online Assistant has been updated to more accurately transmit all fields.All - The Examination Fee field on the foreign premium tax return is now both visible and enabled.PC - The fields on the Retaliatory Summary Sheet for Firefighters Relief Fund Tax and Fire Marshal Tax (Lines 4 and 5, Column 3, Home State Basis) have been enabled.PC - The Supplement Exhibit has been revised by the state. Line 2.1 (Extended Coverage) has been moved, and all lines now appear in the same order as they were displayed on the prior year return. ??PC - Fire Tax, Page 2: Field font size been reduced to allow more characters to be displayed.MarylandAll - A modification has been made to the electronic filing of the annual premium tax return. If you have previously filed this return, you do not need to re-file.MississippiAll - The Online Assistant has been updated to transmit the data to the correct fields.All - The Guaranty Credit Computation on Page 4 has been updated to display the proper years.MontanaAll - Electronic filing via OPTins has been enabled for the annual and estimate returns. Please see the state specific release notes for more details.New JerseyPC - The tooltip pertaining to the 2% fire tax credit (Page 3, Line 30) has been revised to no longer include any reference to worldwide taxable fire premiums now that they have been removed from the return.PC - The Important Notes section of the state specific release notes has been updated to remove information pertaining to worldwide fire premiums now that they are no longer included with the return.New YorkAll - On the Underpayment of Estimated Tax return (Form CT-222), an issue has been corrected on Page 2, Part 4 which may have caused the number of days from the due date to be overstated.All - To better estimate the computation of the underpayment penalty on Form CT-222, the default payment dates being sourced to Page 2, Part 4, Line 20 have been advanced to reflect the date of the next filing period.North CarolinaPC - Line 7 of the estimate return now calculates properly based on the line instructions.OhioAll - The amount shown in the Tax Refund column of the Summary of Taxes has been corrected.All - Adjustment Schedules that are no longer used by the new return will no longer print.All - Page 3, Line 31 (Life) and Page 4, Line 31 (PC) will now calculate a retaliatory GFA credit based on GFA worksheet.All - Corrected the amount of prior year tax liability being pushed to the Estimate Input Schedule.PC - On the foreign return, Page 1, Line 6A, the retaliatory fraud fee or the largest retaliatory Other Fee will now flow into the return from the Retaliatory Worksheet.Life - If you are domiciled in a state that allows a deduction for qualified annuity premiums, this deduction will now only be reported on Line 13. Previously, it had also flowed into Line 19A with Life and A&H qualified premiums.HMO - On the foreign return, Page 2, Line 10 will now add CHIP and Medicaid back into retaliatory gross premiums when they are being excluded on the Retaliatory Worksheet. If the premiums are not taxed in the state of domicile they will be deducted on lines 19A and 19B.HMO - The flow of exempt premiums to the Retaliatory Worksheet has been corrected.OklahomaAll - The annual statement is no longer listed as a required attachment for Domestic Life, PC, Title, or HMO filings.States released with this update:- Montana2023-2024 MunicipalJuly 2, 2024AlabamaPremium and tax amounts were not sourcing correctly to the Summary of Taxes Schedule for Tarrant. This has been corrected.June 25, 2024IllinoisIllinois has been updated for 2023-2024. ? The following changes were made for the Illinois Municipal League. The following municipalities have been added: Ashland FPD Fairbury Galena Hoffman Estates FPD Paris Savanna Rural FPD South Moline TWP FPD Wheatfield TWP FPD ? The following municipalities have been removed: Country Club Hills FPD Harmon Peotone FPD Woodstock ? The Illinois Municipal League no longer collects for Carroll FPD. ? For more details regarding the changes, please refer to the Illinois Municipal League Foreign Tax Bulletin 2024 in the return instructions. ? The following changes were made for the Illinois Local Gov. ? The following municipalities have been added: Carroll FPD ? KentuckyThe following changes have been made pursuant to the updated 2024-2025 Tax Bulletin. These changes affect the third quarter, fourth quarter, and annual reconciliation. ? The following municipalities have been added: Cumberland County Lee County ? The rates have changed for the following municipalities: Crittenden County Daviess County Erlanger Franklin County Glasgow Goose Creek Hustonville Kingsley Nicholas County Stanton Woodlawn Park ? The address has been updated for the following municipalities: Cold Spring Rolling Fields May 28, 2024KentuckyThe address has been updated for the following municipalities: ProspectRichlawnMay 2, 2024AlabamaThe following municipalities have left Avenu:SpringvilleApril 23, 2024GeorgiaThe label on the City of Bainbridge return had the incorrect Online Portal that should be used to renew a business license with the city. This has been corrected. KentuckyThe address has been updated for the following municipalities: Bellemeade Georgetown Glenview April 16, 2024KentuckyThe address has been updated for the City of California. April 9, 2024GeorgiaThe address has been updated for the Town of Aldora. KentuckyAs per the Kentucky Dept of Insurance, the City of Vicco has been dissolved. Please see the following bulletin for more information on Vicco filings: March 21, 2024AlabamaThe Tuscaloosa Fireman Pension Fund return has been revised.The address has been updated for the Town of Leighton.February 22, 2024AlabamaThe issuance fee has been updated for the City of Huntsville.February 20, 2024New YorkThe Distributable Premiums on page 2 may have been calculated incorrectly due to the format set for the Rate of Participation. This has been corrected.February 1, 2024GeorgiaThe City of Ranger has been dissolved and Local Business License Tax payments are no longer required.January 30, 2024KentuckyThe address has been updated for the following municipalities:Crittenden CountyFlorenceJanuary 25, 2024KentuckyThe Return Instructions have been revised for Kentucky First and Second Quarters.New YorkThe New York City Fire return has been updated for 2023-2024.January 23, 2024Alabama The address has been updated for the City of Decatur.The flat fee has been updated for the following municipalities:Center PointSpanish FortThe issuance fee has been updated for the Town of Coosada.January 19, 2024LouisianaIf premiums were entered on the Input Schedule before the January 18 update, Total Premiums and Tax Due on the LaMATS return may be incorrect after the update was downloaded. This has been corrected.January 18, 2024Alabama The Avenu return has been updated for 2023-2024.The following municipalities have been added to Avenu:BrooksideCentreFultondaleJacksonMagnolia SpringsOppRanburneRehobethSneadSusan MooreWadleyWoodvilleThe following municipalities have left Avenu:PrichardSt FlorianThe issuance fee has been updated for the City of Fairfield.LouisianaLouisiana has been updated for 2023-2024.January 16, 2024Alabama The Mobile and Mobile Firefighter Pension Fund returns are updated.North DakotaNorth Dakota has been updated for 2023-2024.January 9, 2024Alabama The Tuscaloosa Fireman Pension Fund return has been updated.GeorgiaThe City of Twin City no longer charges an administrative fee.New JerseyNew Jersey has been updated for 2023-2024.South CarolinaSouth Carolina has been updated for 2023-2024.December 19, 2023GeorgiaThe address has been updated for the City of Jonesboro.The license fee has been updated for the City of Port Wentworth.December 5, 2023Alabama The due date has been updated for the City of Alexander City.GeorgiaThe license fee has been updated for the City of Union City.December 1, 2023Alabama Alabama is updated for 2023-2024.Avenu is not ready for 2023-2024.FloridaDo not file. Information has not been updated for the current year.GeorgiaGeorgia is updated for 2023-2024.IllinoisDo not file. Information has not been updated for the current year.KentuckyThe First and Second Quarters are updated for 2023-2024. The Third and Fourth Quarters are not updated for the current year.LouisianaDo not file. Information has not been updated for the current year.New JerseyDo not file. Information has not been updated for the current year.New YorkThe Buffalo Foreign Fire Return and the New York State Cover Letter have been updated for the current year.North DakotaDo not file. Information has not been updated for the current year.South CarolinaDo not file. Information has not been updated for the current year.2022-2023 MunicipalApril 16, 2024KentuckyThe address has been updated for the City of California. January 30, 2024KentuckyThe address has been updated for the following municipalities:Crittenden CountyFlorenceJanuary 25, 2024KentuckyThe Return Instructions have been revised for Kentucky Third and Fourth Quarters.December 1, 2023AlabamaThe address has been updated for the Town of Triana.October 17, 2023FloridaThe City of Trenton no longer charges an administrative fee.September 26, 2023FloridaLabels on the return have been added and the mailing address has been updated for the following municipalities: Fernandina Beach September 7, 2023FloridaWest Park tax amounts were not sourcing to the Summary of Taxes Comparison Report. This has been corrected.August 29, 2023FloridaFlorida has updated for 2022-2023.The following municipalities have been added:West ParkThe following municipalities no longer collect:Jackson CountyMonticelloJuly 13, 2023KentuckyThe address has been updated for the following municipalities: WellingtonJune 29, 2023Illinois The following municipalities have been added: Edgewood Bi-County FPD? The following municipalities have been removed: EdgewoodJune 22, 2023Illinois Illinois has been updated for 2022-2023 ? The following changes were made for the Illinois Municipal League. ? The following municipalities have been added: Addieville Community FPD Alorton Volunteer FPD Arenzville FPD Aurora TWP FPD Beason FPD Beaverville FPD Belknap Brooklyn Browning Browning FPD Brush Hill FPD Buckner Buffalo Prairie Community FPD Buncombe Bush Camargo Countryside FPD Camp Jackson FPD Campbell Hill Volunteer FPD Carbondale TWP FPD Carrollton FPD Cave Eastern FPD Central Adams FPD Central FPD Central Groveland FPD Central Warren FPD Cerro Gordo FPD Chebanse TWP FPD Cherry Hills FPD Claremont-Bonpas FPD Clin-Clair Volunteer FPD Congerville Rural FPD Copperas Creek FPD Norris Unit Cornell FPD Crooked Creek FPD Crystal Lake Dahlgren FPD Dawson FPD DeKalb Community FPD Denison FPD Dunleith-Menominee FPD Elliott FPD Ellsworth FPD Emmet-Chalmers FPD Equality Fairbury Rural FPD Fieldon Volunteer FPD Findlay FPD Fort Russell FPD Gardena FPD Greater Wabash County Rural FPD Groveland FPD Gulfport-Gladstone FPD Hardin FPD Harmon Harter-Stanford FPD Herrick FPD Hickory-Kerton FPD Hollywood Heights FPD Homer FPD Horseshoe Lake FPD Humboldt Community FPD Hume FPD Hutton TWP FPD Illiopolis FPD Joy FPD Kendall Hills FPD Kilbourne FPD Lee Rural FPD Lenzburg Lincolnshire Fields FPD Long Point Community FPD Loraine FPD Lynch FPD Magnolia FPD Makanda TWP FPD Maquon FPD Mechanicsburg FPD Media-Stronghurst & Terre Haute FPD Morton Farmers FPD Murrayville FPD New Burnside FPD New Grand Chain New Haven North Pike FPD Oakford FPD Oconee Volunteer FPD Okawville FPD Olive FPD Omaha Payson-Fall Creek FPD Pembroke TWP FPD Pleasant Plains FPD Pleasantview FPD (Tazewell Co) Point FPD Powerton FPD Prairie FPD Prairie-Licking FPD Pulaski Raritan FPD Richwoods FPD Ridge Lake FPD Rivoli FPD Rosedale TWP FPD Scott FPD Seatonville FPD Seven Hickory-Morgan FPD Sidell FPD Smithfield FPD South Westmont FPD St Peter FPD St Rose Volunteer FPD Stewardson FPD Stockland FPD Stonefort Sublette FPD Sullivant TWP FPD Tilden FPD Tiskilwa FPD Tolono FPD Tower Hill FPD Tower Rock FPD Tremont FPD Tri-County FPD (Hancock Co) Ullin Versailles FPD Wabash FPD Waynesville Community FPD Webber Twp FPD Wellington-Greer FPD Windsor FPD Windsor Park FPD Woodlawn FPD Woodson Community FPD Yale ? The following municipality names have been changed: Lynnville-Scott-White Rock FPD is now Lynnville-Scott-Whiterock FPD Palatine Rural FPD is now Inverness FPD Pleasantview FPD is now Pleasantview FPD (Cook Co) Tri-County FPD is now Tri-County FPD (Effingham Co) ? The following municipalities have been removed: Arenzville Ashland Campbell Hill Carrollton Cerro Gordo Clifton Dawson Fairbury Farmersville Findlay Flora Harvel Homer Illiopolis Joy Kinmundy Kirkwood Livingston Mark Mount Pulaski Okawville Paris Plymouth Rutland Seneca St Peter Stronghurst Sublette Tilden Tiskilwa Tolono Tremont Tuscarora FPD Versailles Williamson Windsor ? The Village of Ashland no longer uses the Illinois Municipal League to collect their Foreign Fire Tax. We have tried to contact the Village multiple times and have been unable to receive any information on how they are collecting the Foreign Fire Tax at this time. Therefore, Ashland has been removed from the Illinois Municipal software. ? The following municipalities may have changed to use Local Gov to collect their Foreign Fire Tax, but they are still listed on the spreadsheet from the Illinois Municipal League. We have contacted the Illinois Municipal League and are waiting for their confirmation. We will update the program after we get the confirmation. Please contact the Illinois Municipal League if you have any questions. Carroll FPD ? Kentucky The following changes have been made pursuant to the updated 2023-2024 Tax Bulletin. These changes affect the third quarter, fourth quarter, and annual reconciliation. ? The following municipalities have been added: Buckhorn Calloway County ? The rates have changed for the following municipalities: Cadiz Carter County Danville Fort Mitchell Frankfort Hebron Estates Hunters Hollow West Buechel Worthington Hills ? The City of Bellefonte has been removed. ? The address has been updated for the following municipalities: Elsmere Franklin June 6, 2023 Louisiana The rate has been updated for Livingston Parish.April 20, 2023 KentuckyRates were not sourcing to the Qtr 1 and Qtr 2 returns for the following municipalities. This has been corrected:BenhamRussellApril 18, 2023 KentuckyThe address has been updated for the City of Cold Spring.2023-2024 FormsPlusJune 11, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesNone. ? Form Updates and Changes ? ? StateForm NameStatusForeign/DomesticCNNU Form 3 Insurer License ApplicationCurrentBothNJCAFé - Household Employee CoverageCurrentBothNJReport of Comp PaidCurrentBothTXForm 53-119 - Unclaimed Property ReportOnline FilingBothTXSpecial Data Call for Comm PropCurrentBothVIAnn Rpt on Domestic or Foreign CorpOnline FilingBothJune 4, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesNone. ? Form Updates and Changes ? ? StateForm NameStatusForeign/DomesticMDLife Annual Statement ChecklistRevisedBothMDPC Annual Statement ChecklistRevisedBothMDHealth Annual Statement ChecklistRevisedBothMay 28, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesNone. ? Form Updates and Changes ? ? StateForm NameStatusForeign/DomesticINMine Subsidence Ins Fund PE 03-31RevisedBothINMine Subsidence Ins Fund PE 06-30RevisedBothINMine Subsidence Ins Fund PE 09-30RevisedBothINMine Subsidence Ins Fund PE 12-31RevisedBothNYForm GA-2 - WC Carriers Remittance Form PE 03-31RevisedBothNYForm GA-2 - WC Carriers Remittance Form PE 06-30RevisedBothNYForm GA-2 - WC Carriers Remittance Form PE 09-30RevisedBothNYForm GA-2 - WC Carriers Remittance Form PE 12-31RevisedBothNYMV Law Enforcement Fee PE 01-31RevisedBothNYMV Law Enforcement Fee PE 02-28RevisedBothNYMV Law Enforcement Fee PE 03-31RevisedBothNYMV Law Enforcement Fee PE 04-30RevisedBothNYMV Law Enforcement Fee PE 05-31RevisedBothNYMV Law Enforcement Fee PE 06-30RevisedBothNYMV Law Enforcement Fee PE 07-31RevisedBothNYMV Law Enforcement Fee PE 08-31RevisedBothNYMV Law Enforcement Fee PE 09-30RevisedBothNYMV Law Enforcement Fee PE 10-31RevisedBothNYMV Law Enforcement Fee PE 11-30RevisedBothNYMV Law Enforcement Fee PE 12-31RevisedBothMay 14, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesNone. ? Form Updates and Changes ? ? StateForm NameStatusForeign/DomesticMONotice of Administrative SurchargeDo Not FileBothApril 23, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesNone. ? Form Updates and Changes ? ? StateForm NameStatusForeign/DomesticCALASLI Checklist for Alien InsurersCurrentForeign OnlyCALASLI Checklist for Foreign InsurersCurrentForeign OnlyCALASLI Verification - NAICCurrentBothCALASLI Verification - Previously FiledCurrentBothCALASLI Verification - Regulatory Disclosure StmtCurrentBothCALASLI Verification StatementCurrentBothNVCommerce Tax ReturnWeb LoginBothOHINS7240 - Electronic Filing Authenticity Affidavit PE 03-31-24CurrentDomestic OnlyOHINS7240 - Electronic Filing Authenticity Affidavit PE 06-30-24CurrentDomestic OnlyOHINS7240 - Electronic Filing Authenticity Affidavit PE 09-30-24CurrentDomestic OnlySDCovered Lives - Market Survey ReportEmailBothTXForm 25-103 - Annual Insurance Tax ReportCurrentDomestic OnlyApril 16, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesNone. ? Form Updates and Changes ? ? StateForm NameStatusForeign/DomesticCTForm SIF001 - Second Injury Fund PE 03-31CurrentBothNHData LOB Survey - Accident and HealthOnline FilingBothNJWC Surcharge Return PE 03-31CurrentBothNJWC Surcharge Return PE 06-30CurrentBothNJWC Surcharge Return PE 09-30CurrentBothNJWC Surcharge Return PE 12-31CurrentBothWVAlien Surplus Lines AppRevisedForeign OnlyWVForeign Surplus Lines AppRevisedForeign OnlyApril 9, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesNone. ? Form Updates and Changes ? ? StateForm NameStatusForeign/DomesticAKForm 08-280 - Persons to ContactRevisedBothNYForm GA-2 - WC Carriers Remittance Form PE 03-31Online FilingBothNYForm GA-2 - WC Carriers Remittance Form PE 06-30Online FilingBothNYForm GA-2 - WC Carriers Remittance Form PE 09-30Online FilingBothNYForm GA-2 - WC Carriers Remittance Form PE 12-31Online FilingBothNYForm GA-2.1 - WC Carriers Remittance PE 03-31Online FilingBothNYForm GA-2.1 - WC Carriers Remittance PE 06-30Online FilingBothNYForm GA-2.1 - WC Carriers Remittance PE 09-30Online FilingBothNYForm GA-2.1 - WC Carriers Remittance PE 12-31Online FilingBothMarch 26, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesNone. ? Form Updates and Changes ? ? StateForm NameStatusForeign/DomesticCASI-550 - Statement of InformationCurrentForeign OnlyIDReport of Premiums WrittenCurrentBothKYWC Premium Report PE 03-31Online FilingBothKYWC Premium Report PE 06-30Online FilingBothKYWC Premium Report PE 09-30Online FilingBothKYWC Premium Report PE 12-31Online FilingBothMDPersonal Property ReturnCurrentBothMEWC Quarterly Report PE 03-31CurrentBothNJExhibit CC - Small Emp Mkt ShareCurrentBothNJExhibit K - Health Coverage AssessmentCurrentBothOKWC-10 - MITF Assessment Rpt PE 09-30CurrentBothOKWC-10 - MITF Assessment Rpt PE 12-31CurrentBothTXForm FIN246 - Exemption from Filing CPA ReportCurrentBothMarch 19, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesNone. ? Form Updates and Changes ? ? StateForm NameStatusForeign/DomesticILMVTPIV PaymentOnline AssistantBothINForm 12386 - Self-Insured Cert 2nd InstallCurrentBothINForm 12386B - Cert for WC 2nd InstallCurrentBothNJCarrier Market Share ReportCurrentBothOHINS7166 - Audited Financial Stmt Exempt AffidavitCurrentBothOHINS7226 - Exhibit of Premiums - HMO PE 03-31EmailBothOHINS7226 - Exhibit of Premiums - HMO PE 06-30EmailBothOHINS7226 - Exhibit of Premiums - HMO PE 09-30EmailBothOHINS7226 - Exhibit of Premiums - HMO PE 12-31EmailBothORForm 440-910 - WC Premium Assessment Rpt PE 03-31CurrentBothORForm 440-910 - WC Premium Assessment Rpt PE 06-30CurrentBothORForm 440-910 - WC Premium Assessment Rpt PE 09-30CurrentBothORForm 440-910 - WC Premium Assessment Rpt PE 12-31CurrentBothSDSurplus Lines Business RptCurrentBothMarch 12, 2024FormsPlus Changes ? None. ? Newly Added Forms StateForm NameStatusForeign/DomesticALCaptive Insurer Fee & Tax ReturnCurrentDomestic OnlyDCRegulatory Trust Annual AssmtOPTinsBothNCIB-54 - Installment Payment PE 06-30CurrentBothNCIB-54 - Installment Payment PE 03-31CurrentBothNCIB-54 - Installment Payment PE 09-30CurrentBothTNAccredited Reinsurer App - Retal Stmt LifeOPTinsBothTNAccredited Reinsurer App - Retal Stmt PCOPTinsBothVAForm 801 - Surplus Lines Tax Qtrly Rpt PE 09-30CurrentBothVAForm 801 - Surplus Lines Tax Qtrly Rpt PE 06-30CurrentBothVAForm 801 - Surplus Lines Tax Qtrly Rpt PE 03-31CurrentBothVAForm 801 - Surplus Lines Tax Qtrly Rpt PE 12-31CurrentBothAnnual Statement Checklists and ChangesNone. ? Form Updates and Changes ? ? StateForm NameStatusForeign/DomesticDCRequest for Company RenewalOPTinsBothILWC Assessment Transmittal PE 12-31-23Online FilingBothMNIG257 - Firefighter Relief PE 05-31CurrentBothMNIG257 - Firefighter Relief PE 10-31CurrentBothMNIG260 - Surplus Line Premium Tax PE 06-30-24CurrentBothMNIG261 - Fire Safety PE 03-31CurrentBothMNIG261 - Fire Safety PE 06-30CurrentBothMNIG261 - Fire Safety PE 09-30CurrentBothMNIG261 - Fire Safety PE 12-31CurrentBothMNIG262 - Fire Safety Mutual PE 03-31CurrentBothMNIG262 - Fire Safety Mutual PE 06-30CurrentBothMNIG262 - Fire Safety Mutual PE 09-30CurrentBothMNIG262 - Fire Safety Mutual PE 12-31CurrentBothNHApp for Surplus Lines AuthorityRevisedBothOKCaptive Premium Tax ReturnOPTinsBothRILicensed Insurers Assessment Return FormCurrentBothTNAccredited Reinsurer App - Form AR-1EmailBothTXForm FIN422 - Surplus Insurers Checklist - ForeignRevisedForeign OnlyVAForm R09 - Rpt of Assessable OM PremiumCorrectedBothMarch 5, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesNone. ? Form Updates and Changes ? ? StateForm NameStatusForeign/DomesticCAFAD 162 - Sch of Direct Prem Written-TitleWeb LoginBothINAdvertising Cert of ComplianceRevisedBothINBasket Clause InvestmentsRevisedDomestic OnlyINCompany Profile QuestionnaireRevisedDomestic OnlyINForeign Invest & Mortgage RptRevisedDomestic OnlyINForeign Invest & Sec RptRevisedDomestic OnlyINForm 1143 - Non-Life Stmt of ConditionRevisedForeign OnlyINForm 3887 - Life Stmt of ConditionRevisedForeign OnlyLAForm 1262-1 Foreign Producer Prod RptOnline FilingForeign OnlyMNWC Acknowledgment FormOnline FilingBothMOSubscribership QuestionnaireCurrentBothNCInsurer's Report for the NC JUACurrentBothNEProducer Controlled Annual RptDo Not FileDomestic OnlyPAWritten Premium CallOnline FilingBothRICompany Information UpdateCurrentBothUTAccident and Health SurveyWeb LoginBothFebruary 27, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesNone. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticLAFair Plan Emergency Assessments Rpt PE 03-31EmailBothLAFair Plan Emergency Assessments Rpt PE 06-30EmailBothLAFair Plan Emergency Assessments Rpt PE 09-30EmailBothLAFair Plan Emergency Assessments Rpt PE 12-31EmailBothLAForm TC-9 - Property Tax ReportCurrentBothNIForm 1P - Primary ChecklistCurrentBothNIForm 2P - Primary ApplicationCurrentBothFebruary 22, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesStateForm NameStatusForeign/DomesticPRLife Annual Statement ChecklistCurrentBothPRPC Annual Statement ChecklistCurrentBothForm Updates and Changes ? StateForm NameStatusForeign/DomesticINForeign Invest & Mortgage RptRevisedDomestic OnlyMIFIS 0322 - Health Ins EnrollmentRevisedBothNIForm 2C - Corp Amendments ApplicationCurrentBothNIForm 2E - Expansion ApplicationCurrentBothNIForm 6 - Certificate of ComplianceCurrentBothNIForm 7 - Certificate of DepositCurrentBothNIForm 8 - QuestionnaireCurrentBothNIForm 8C - QuestionnaireCurrentBothNIForm 14 - Change of AddressCurrentBothVACredit Ins Experience QuestionnaireWeb LoginBothFebruary 20, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesStateForm NameStatusForeign/DomesticNYLife Annual Statement ChecklistCurrentBothNYHealth Annual Statement ChecklistCurrentBothNYA&H Annual Statement ChecklistCurrentBothForm Updates and Changes ? StateForm NameStatusForeign/DomesticAKAnnual Health Insurance SurveyWeb LoginBothCNNB Application for Renewal of LicenseCurrentBothCNNT Form 3 Insurer License ApplicationCurrentBothIDINS-PTX-FAR-Continuation Fee StmtRevisedBothIDINS-PTX-FSLI-Fee Stmt-SurplusRevisedForeign OnlyILPvt Passenger Motor Vehicle Ins Fee FormCurrentBothKSForm K-WC 92 - Annual Loss ReportingWeb LoginBothNCNC-478 Pass-throughCurrentBothNCNC-478 Summary of Tax CreditsCurrentBothNIForm 1C - Corp Amendments ChecklistCurrentBothNIForm 1E - Expansion ChecklistCurrentBothNYComputation of 206 Premium Base - LifeCurrentDomestic OnlyNYComputation of 206 Premium Base - PCCurrentDomestic OnlyOHINS7004 - App for Cert of Authority TitleCurrentBothOHINS7005 - App for Cert of Authority PCCurrentBothOHINS7006 - App for Cert of Authority LifeCurrentBothOHINS7150 - Comp of Deposits Dom TitleSpreadsheetDomestic OnlyOHINS7152 - Comp of Deposits For TitleSpreadsheetForeign OnlyWVUnlicensed Annual Tax StmtRevisedBothFebruary 15, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesStateForm NameStatusForeign/DomesticFLLife Annual Statement ChecklistCurrentBothFLHealth Annual Statement ChecklistCurrentBothNYPC Annual Statement ChecklistCurrentBothNYTitle Annual Statement ChecklistCurrentBothForm Updates and Changes ? StateForm NameStatusForeign/DomesticCACDI RSU-001 - Earthquake PML Sig PageCurrentBothCACHSWC-1 - WOSHEF Fee Rpt FormCurrentBothCACPIER - Credit Property Exp RptDo Not FileBothCACUIER - Credit Unemployment Exp RptDo Not FileBothCAEarthquake Data Call Sig PageCurrentBothCASurplus Line Broker Tax ReturnCurrentBothMATax Disclosure Report - Foreign LifeCurrentForeign OnlyMATax Disclosure Report - Foreign P&CCurrentForeign OnlyMTLife Supporting DocumentsDo Not FileBothMTHealth Supporting DocumentsDo Not FileBothMTTitle Supporting DocumentsDo Not FileBothMTProperty Casualty Supporting DocumentsDo Not FileBothWVUnlicensed Annual Tax StmtDo Not FileBothFebruary 14, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesNone. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticIAIIHBRA - Reporting FormCurrentBothNVWC Claims Activity ReportCurrentBothNVWC Statement of InactivityCurrentBothOKKey Person Life Ins Policy RptOPTinsBothOKAnti-Fraud Claims AssessmentOPTinsBothOKSurplus Lines Remittance VoucherCurrentBothSDPublication Stmt - Fire & CasualtyCurrentBothSDPublication Stmt - LifeCurrentBothSDStatement of Deposits - HMOCurrentDomestic OnlyVTCaptive Insurance Tax ReturnCurrentBothWYHealth Ins Pool - WHIPCurrentBothWYUn-licensed Company Tax RtnCurrentBothFebruary 13, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesStateForm NameStatusForeign/DomesticPALife Annual Statement ChecklistCurrentBothPAPC Annual Statement ChecklistCurrentBothPAHealth Annual Statement ChecklistCurrentBothPATitle Annual Statement ChecklistCurrentBothForm Updates and Changes ? StateForm NameStatusForeign/DomesticALAIUA - Member Participation RptWeb LoginBothCNNS Application for Renewal of LicenseCurrentBothCTOS-114 - Sales & Use Tax Return PE 03-31Online FilingBothCTOS-114 - Sales & Use Tax Return PE 06-30Online FilingBothCTOS-114 - Sales & Use Tax Return PE 09-30Online FilingBothCTOS-114 - Sales & Use Tax Return PE 12-31Online FilingBothGAGID-003-RS - Power of AttorneyCurrentBothGAGID-010-RS - App for Cert of AuthorityCurrentBothGAGID-011-RS - Ann Stmt for PublicationCurrentBothGAGID-016-RS - Affidavit of InvestmentCurrentBothGAGID-018-RS - Initial Stmt of Beneficial OwnershipCurrentBothGAGID-239-NT - Check Sheet RRGCurrentBothGAGID-253-RS - Fees StatementCurrentBothHICRF Assessment FormDo Not FileBothHIMotor Vehicle Experience Ann RptCurrentBothINForm IN-3 - Contact FormEmailBothINForm IN-10 - Premium CallOnline AssistantBothLAForm AMO002-DOM - Inventory ChecklistCurrentDomestic OnlyLAForm AMO014-DOM - Ann Stmt Actuarial ReviewCurrentDomestic OnlyLAForm AMO015-DOM - Universal Life PoliciesCurrentBothLAForm AMO018-DOM - Registered PoliciesCurrentBothMAHolding Co Registration Stmt AffidavitCurrentForeign OnlyMALicense Application RenewalCurrentBothMEWC Benefits PaidSpreadsheetBothMIMB 0116 - Assessable Prem CalcWeb LoginBothMO375-0381 - Pg 19 Supplement to Ann StmtWeb LoginBothMO375-1793 - App for Approval - Auth ReinsCurrentBothMO375-1802 - Annual Stmt Supplement - LifeWeb LoginBothNCFinancial Call Contact FormCurrentBothNCIB-4A1 - Captive Premium Tax ReturnCurrentBothNCIB-4A2 - Captive Premium Tax ReturnCurrentBothNJAnnual Filing Fees - All InsurersCurrentBothNJAssessment of Annuity Prem - CertCurrentBothNJForm 324-IPT - BEIP Tax CreditCurrentBothNMContact Processing FormCurrentBothNMMedical Insurance Pool - NMMIPWeb LoginBothOHINS7240 - Electronic Filing Authenticity Affidavit YE 12-31-23CurrentDomestic OnlyORForm 440-3112 - Unpaid WC LossesWeb LoginBothORWC Defense Legal Costs RptWeb LoginBothPAAnti-Fraud Plan Activity ReportOnline FilingBothPRApp for Certification of Authority RenewalCurrentBothSCCaptive Premium Tax ReturnWeb LoginBothSCDirect Economic Impact - CaptiveOnline FilingBothTNForeign Surplus Lines EligibilityCurrentForeign OnlyTNUnauthorized Stmt of Prem - LifeOPTinsBothTNUnauthorized Stmt of Prem - Other Than LifeOPTinsBothTXForm 25-104 - Tax Report - Surplus LinesWeb LoginBothTXForm 25-108 - Tax Report - Unauthorized InsWeb LoginBothTXForm 25-124 - Captive Premium Tax ReturnWeb LoginBothTXForm FIN321 - Company Licensing FeeCurrentBothTXForm LAH314 - Advertising Certification of ComplianceEmailBothTXNumber of Policies - Count ExhibitWeb LoginBothVAForm R05 - Cert of Assuming InsurerCurrentBothFebruary 6, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesStateForm NameStatusForeign/DomesticNVLife Annual Statement ChecklistCurrentBothNVPC Annual Statement ChecklistCurrentBothNVHealth Annual Statement ChecklistCurrentBothNVTitle Annual Statement ChecklistCurrentBothForm Updates and Changes ? StateForm NameStatusForeign/DomesticARAntifraud CFRF FeeRevisedBothGAWC - Annual Premium Writing ReportCurrentBothIAApp for Renewal - RRGE-FileBothIAApp for Renewal - Surplus LinesE-FileBothILForm 141.3 - Management ContractsCurrentDomestic OnlyILPoint of Service PE 03-31CurrentBothILPoint of Service PE 06-30CurrentBothILPoint of Service PE 09-30CurrentBothILPoint of Service PE 12-31CurrentBothILReserve Affidavit and 3-Year ComparisonDo Not FileBothILReserve Requirement ReconciliationCurrentDomestic OnlyILSection 126.20 - Inv Supp-Catch-all LifeCurrentDomestic OnlyILSection 126.32 - Inv Supp-Catch-all PCCurrentDomestic OnlyILSection 131.20 - Inv Supp-SubsidiariesCurrentDomestic OnlyILSegregation of Gain and Loss ExhibitCurrentDomestic OnlyILSegregation of Surplus Exhibit - Non-PartCurrentDomestic OnlyILSegregation of Surplus Exhibit - PartCurrentDomestic OnlyKYWC Ann Collection Rpt - KWCFCCurrentBothMAForm AR-1 - Cert of Assuming InsurerCurrentBothMAForm C-1 - WC ScheduleCurrentForeign OnlyMSForm MS-10 - WC Assigned Risk PoolOnline AssistantBothMTCaptive Premium Tax ReturnOPTinsBothNEForm 3800N - Incentives Credit CompCurrentBothNJAnti-Fraud Prevention - AutoCurrentBothNVSummary of Prem Earned PE 12-31-23CurrentBothOKWC-2 - Premium Assessment PE 03-31CurrentBothOKWC-2 - Premium Assessment PE 06-30CurrentBothOKWC-2 - Premium Assessment PE 09-30CurrentBothOKWC-2 - Premium Assessment PE 12-31CurrentBothFebruary 1, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesStateForm NameStatusForeign/DomesticFLPC Annual Statement ChecklistCurrentBothFLTitle Annual Statement ChecklistCurrentBothILLife Annual Statement ChecklistCurrentBothILPC Annual Statement ChecklistCurrentBothILHealth Annual Statement ChecklistCurrentBothMDLife Annual Statement ChecklistCurrentBothMDPC Annual Statement ChecklistCurrentBothMDHealth Annual Statement ChecklistCurrentBothMDTitle Annual Statement ChecklistCurrentBothNJLife Annual Statement ChecklistCurrentBothNJPC Annual Statement ChecklistCurrentBothNJHealth Annual Statement ChecklistCurrentBothNJTitle Annual Statement ChecklistCurrentBothNMLife Annual Statement ChecklistCurrentBothNMPC Annual Statement ChecklistCurrentBothNMHealth Annual Statement ChecklistCurrentBothNMTitle Annual Statement ChecklistCurrentBothForm Updates and Changes ? None. ? January 30, 2024FormsPlus Changes ? None. ? Newly Added Forms StateForm NameStatusForeign/DomesticNCIB-83 - RPG Gross Premium Tax ReturnCurrentBothAnnual Statement Checklists and ChangesStateForm NameStatusForeign/DomesticORPC Annual Statement ChecklistCurrentBothForm Updates and Changes ? StateForm NameStatusForeign/DomesticARAPCGF-1 - P&C Guaranty FundRevisedBothMIFIS 0063 - Val of Sect 411 Trust AssetsCurrentBothMIFIS 0075 - MCCA Annual Assessment RptCurrentBothMIFIS 0076 - P&C Insurers Qual AssetsCurrentDomestic OnlyMIFIS 0079 - Fraternal Benefit Qual AssetsCurrentDomestic OnlyMIFIS 0081 - Life A&H Ins Qual AssetsCurrentDomestic OnlyMIFIS 0082 - Non-Ins Entity Qual AssetsCurrentBothMIFIS 0318 - Complaint SummaryWeb LoginBothMIFIS 0321 - Working Capital Calculation AnnualCurrentBothMIFIS 0321 - Working Capital Calculation PE 03-31CurrentBothMIFIS 0321 - Working Capital Calculation PE 06-30CurrentBothMIFIS 0321 - Working Capital Calculation PE 09-30CurrentBothMIFIS 0322 - Health Ins EnrollmentWeb LoginBothMIGRANTS-055 - ATPA Annual AssessmentOnline AssistantBothMSAnnual Assessment Report WCCurrentBothPAUnclaimed Property ReportCurrentBothSCAttestation Report - CaptiveCurrentBothSCForm 12M - Minor Medical Rpt WCCCurrentBothJanuary 23, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesStateForm NameStatusForeign/DomesticHIRisk Annual Statement ChecklistCurrentDomestic OnlyLALife Annual Statement ChecklistCurrentBothLAPC Annual Statement ChecklistCurrentBothLAHealth Annual Statement ChecklistCurrentBothLASurplus Annual Statement ChecklistCurrentForeign OnlyLATitle Annual Statement ChecklistCurrentBothMATitle Annual Statement ChecklistCurrentBothNELife Annual Statement ChecklistCurrentBothNEPC Annual Statement ChecklistCurrentBothNEHealth Annual Statement ChecklistCurrentBothNETitle Annual Statement ChecklistCurrentBothRILife Annual Statement ChecklistCurrentBothRIPC Annual Statement ChecklistCurrentBothRIHealth Annual Statement ChecklistCurrentBothRITitle Annual Statement ChecklistCurrentBothForm Updates and Changes ? StateForm NameStatusForeign/DomesticARAPCGF-1 - P&C Guaranty FundCurrentBothCTRetention of Assets StatementCurrentBothCTSIF Paid Loss Surcharge RptCurrentBothIDINS-PTX-FAR-Continuation Fee StmtE-FileBothIDINS-PTX-FSLI-Fee Stmt-SurplusE-FileForeign OnlyWIWCRB Premium Writing RequestOnline AssistantBothJanuary 18, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesStateForm NameStatusForeign/DomesticGALife Annual Statement ChecklistCurrentBothGAPC Annual Statement ChecklistCurrentBothGAHealth Annual Statement ChecklistCurrentBothGATitle Annual Statement ChecklistCurrentBothIALife Annual Statement ChecklistCurrentBothIAPC Annual Statement ChecklistCurrentBothIAHealth Annual Statement ChecklistCurrentBothIARisk Annual Statement ChecklistCurrentBothIASurplus Annual Statement ChecklistCurrentBothORLife Annual Statement ChecklistCurrentBothORHealth Annual Statement ChecklistCurrentBothORTitle Annual Statement ChecklistCurrentBothForm Updates and Changes ? None. ? January 16, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and ChangesStateForm NameStatusForeign/DomesticSCLife Annual Statement ChecklistCurrentBothSCPC Annual Statement ChecklistCurrentBothSCHealth Annual Statement ChecklistCurrentBothSCTitle Annual Statement ChecklistCurrentBothVALife Annual Statement ChecklistCurrentBothVAPC Annual Statement ChecklistCurrentBothVAHealth Annual Statement ChecklistCurrentBothVATitle Annual Statement ChecklistCurrentBothForm Updates and Changes ? StateForm NameStatusForeign/DomesticOKAccredited Reinsurer Annual FilingOPTinsBothOKAgreement - Application for LicenseOPTinsBothOKCert of Compliance of AdvertisementsOPTinsBothOKPublication for State of OklahomaRevisedForeign OnlyJanuary 11, 2024FormsPlus Changes ? None. ? Newly Added Forms None. ? Annual Statement Checklists and Changes StateForm NameStatusForeign/DomesticCTLife Annual Statement ChecklistCurrentBothCTPC Annual Statement ChecklistCurrentBothCTHealth Annual Statement ChecklistCurrentBothCTTitle Annual Statement ChecklistCurrentBothDEHealth Annual Statement ChecklistRevisedBothMILife Annual Statement ChecklistCurrentBothMIPC Annual Statement ChecklistCurrentBothMIHealth Annual Statement ChecklistCurrentBothMITitle Annual Statement ChecklistCurrentBothMIWC Indemnity RequestCurrentBothSDLife Annual Statement ChecklistCurrentBothSDPC Annual Statement ChecklistCurrentBothSDHealth Annual Statement ChecklistCurrentBothSDTitle Annual Statement ChecklistCurrentBothWYLife Annual Statement ChecklistCurrentBothWYPC Annual Statement ChecklistCurrentBothWYHealth Annual Statement ChecklistCurrentBothWYTitle Annual Statement ChecklistCurrentBothForm Updates and Changes ? StateForm NameStatusForeign/DomesticCAFAD 105 - Affidavit-Declaration to ValuationRevisedBothJanuary 9, 2024FormsPlus Changes ? None. ? Newly Added Forms ? CTInitial Five-Year Premium Tax ReturnAnnual Statement Checklists and Changes StateForm NameStatusForeign/DomesticMALife Annual Statement ChecklistCurrentBothMAPC Annual Statement ChecklistCurrentBothMAHealth Annual Statement ChecklistCurrentBothMOLife Annual Statement ChecklistCurrentBothMOPC Annual Statement ChecklistCurrentBothMOHealth Annual Statement ChecklistCurrentBothMOTitle Annual Statement ChecklistCurrentBothNDLife Annual Statement ChecklistCurrentBothNDPC Annual Statement ChecklistCurrentBothNDHealth Annual Statement ChecklistCurrentBothNDTitle Annual Statement ChecklistCurrentBothForm Updates and Changes ? StateForm NameStatusForeign/DomesticCOForm F - Surplus Lines Annual FeeCurrentBothCTInsurance Fraud ReportWeb LoginBothHIMVID 14-2 Vehicle Census Rpt PE 03-31OPTinsBothHIMVID 14-2 Vehicle Census Rpt PE 06-30OPTinsBothHIMVID 14-2 Vehicle Census Rpt PE 09-30OPTinsBothHIMVID 14-2 Vehicle Census Rpt PE 12-31OPTinsBothINForm 12386 - Self-Insured Cert 1st InstallCurrentBothINForm 12386B - Cert for WC 1st InstallCurrentBothNCLicense Update Form - Fee ScheduleCurrentBothNHIndependent Procurement - NH RisksCurrentBothNJAnnual Stmt Fees - RRGCurrentBothNVWC Insurer Information FormWeb LoginBothRILead Liability CoverageEmailBothVTFire Loss Reporting FormOnline FilingBothJanuary 2, 2024FormsPlus Changes ? None. ? Newly Added Forms ? None. ? Annual Statement Checklists and Changes StateForm NameStatusForeign/DomesticAZLife Annual Statement ChecklistCurrentBothAZPC Annual Statement ChecklistCurrentBothAZHealth Annual Statement ChecklistCurrentBothAZTitle Annual Statement ChecklistCurrentBothDELife Annual Statement ChecklistCurrentBothDEPC Annual Statement ChecklistCurrentBothDEHealth Annual Statement ChecklistCurrentBothDETitle Annual Statement ChecklistCurrentBothKYLife Annual Statement ChecklistCurrentBothKYPC Annual Statement ChecklistCurrentBothKYHealth Annual Statement ChecklistCurrentBothKYTitle Annual Statement ChecklistCurrentBothNCLife Annual Statement ChecklistCurrentBothNCPC Annual Statement ChecklistCurrentBothNCHealth Annual Statement ChecklistCurrentBothNCTitle Annual Statement ChecklistCurrentBothForm Updates and Changes ? StateForm NameStatusForeign/DomesticAKForm 08-1240 - Tax Report - Unauthorized InsOPTinsBothAREarthquake Market AnalysisOnline FilingBothCAFAD 141 - Special Interrogatory Mortgage GuarantyWeb LoginBothCOForm S - Synopsis of Ann StmtCurrentBothCTCaptive Premium Tax ReturnCurrentBothCTCT-1120 DACurrentBothCTCT-1120 EDPCCurrentBothCTCT-1120 FPCurrentBothCTCT-1120 FPICurrentBothCTCT-1120 HHCurrentBothCTCT-IRFCurrentBothCTCT-SIRFCurrentBothCTCT-UISRCurrentBothMESupp Benefits Fund PE 03-31CurrentBothMESupp Benefits Fund PE 06-30CurrentBothMESupp Benefits Fund PE 09-30CurrentBothMESupp Benefits Fund PE 12-31CurrentBothMNIns Co Renewal FeeCurrentBothMNInvestment Policy CertificationCurrentDomestic OnlyMO375-0110 - Ins Producers RptCurrentBothMO375-0701 - Admin Surcharge Rpt PE 03-01CurrentBothMO375-0701 - Admin Surcharge Rpt PE 06-01CurrentBothMO375-0701 - Admin Surcharge Rpt PE 09-01CurrentBothMO375-0701 - Admin Surcharge Rpt PE 12-01CurrentBothRI5009 - Educational Assist & Dev CreditCurrentBothRI2441-Day Care Assist CreditCurrentBothRI3468-Investment Tax CreditCurrentBothRI7695E-R&D Expense CreditCurrentBothRI9261-Rate Reduction CreditCurrentBothSCSCHIP - Assessment Base Rptg FormCurrentBothVAForm R03 - Audited Financial Stmt Exemption AffidavitWeb LoginBothVAForm R10 - Section 38-2-1446 RptCurrentDomestic OnlyVAForm R12 - Request for Info Regarding RisCurrentDomestic OnlyVTAnnual Fee Calculation - Accredited ReinsurerCurrentForeign OnlyDecember 19, 2023FormsPlus Changes ? None. ? Newly Added Forms ? None. ? Annual Statement Checklists and Changes StateForm NameStatusForeign/DomesticARLife Annual Statement ChecklistCurrentBothARPC Annual Statement ChecklistCurrentBothARHealth Annual Statement ChecklistCurrentBothARRisk Annual Statement ChecklistCurrentBothARSurplus Annual Statement ChecklistCurrentDomestic OnlyARTitle Annual Statement ChecklistCurrentBothMSLife Annual Statement ChecklistCurrentBothMSPC Annual Statement ChecklistCurrentBothMSHealth Annual Statement ChecklistCurrentBothMSTitle Annual Statement ChecklistCurrentBothNHLife Annual Statement ChecklistCurrentBothNHPC Annual Statement ChecklistCurrentBothNHHealth Annual Statement ChecklistCurrentBothNHTitle Annual Statement ChecklistCurrentBothTXLife Annual Statement ChecklistCurrentBothTXPC Annual Statement ChecklistCurrentBothTXHealth Annual Statement ChecklistCurrentBothTXTitle Annual Statement ChecklistCurrentBothUTLife Annual Statement ChecklistCurrentBothUTPC Annual Statement ChecklistCurrentBothUTHealth Annual Statement ChecklistCurrentBothUTTitle Annual Statement ChecklistCurrentBothVTLife Annual Statement ChecklistCurrentBothVTPC Annual Statement ChecklistCurrentBothVTHealth Annual Statement ChecklistCurrentBothVTTitle Annual Statement ChecklistCurrentBothForm Updates and Changes ? StateForm NameStatusForeign/DomesticAKForm 08-238 - Cert of Assuming InsurerCurrentBothCNPEI PC Premium TaxCurrentBothCNPEI PC Premium Tax Quarterly PE 03-31CurrentBothCNPEI PC Premium Tax Quarterly PE 06-30CurrentBothCNPEI PC Premium Tax Quarterly PE 09-30CurrentBothCNPEI PC Premium Tax Quarterly PE 12-31CurrentBothFLOIR-1094 - GAPWeb LoginBothFLOIR-B1-307 - Private Passenger AutoCurrentBothKSGeneral Agent Annual ReportingWeb LoginBothKSGeneral Agent AppointmentWeb LoginBothKSGeneral Agent TerminationWeb LoginBothKSLeeway ClauseWeb LoginBothKSProducer Controlled InsurerWeb LoginBothKSReinsurance IntermediaryWeb LoginDomestic OnlyKSSpecial Mortgage Guaranty Ins ExhibitWeb LoginBothNINAIC Filing FeeCurrentBothNINAIC Group FeeCurrentBothTXForm FIN123 - Supp Filing County MutualsCurrentDomestic OnlyTXForm FIN138 - Supp A - County MutualsCurrentDomestic OnlyDecember 12, 2023FormsPlus Changes ? None. ? Newly Added Forms ? None. ? Annual Statement Checklists and Changes StateForm NameStatusForeign/DomesticAKLife Annual Statement ChecklistRevisedBothAKPC Annual Statement ChecklistRevisedBothAKHealth Annual Statement ChecklistRevisedBothAKTitle Annual Statement ChecklistRevisedBothKSLife Annual Statement ChecklistCurrentBothKSPC Annual Statement ChecklistCurrentBothKSHealth Annual Statement ChecklistCurrentBothKSTitle Annual Statement ChecklistCurrentBothOHLife Annual Statement ChecklistCurrentBothOHPC Annual Statement ChecklistCurrentBothOHHealth Annual Statement ChecklistCurrentBothOHTitle Annual Statement ChecklistCurrentBothForm Updates and Changes ? StateForm NameStatusForeign/DomesticCAFAD 105 - Affidavit-Declaration to ValuationWeb LoginBothCAFAD 161 - Sch of Underwritten Title-Escrow CoWeb LoginBothCAFAD 490 - Trusteed Surplus Stmt - LifeWeb LoginBothCAFAD 490 - Trusteed Surplus Stmt - PCWeb LoginBothCAFAD A110 - Valuation of SecuritiesWeb LoginBothCAForm AR-1 - Cert of Assuming InsurerCurrentBothCOWC113 - WC Surcharge PE 12-31-23CurrentBothGAControl Sheet for PublicationWeb LoginBothGAGID-012C-PT - Captive Premium Tax ReturnE-FileBothIASurvey for Comp Health AssocWeb LoginBothIDAnnual Filing Requirements-ReinsuranceOnline FilingBothINCompany Profile QuestionnaireOnline FilingDomestic OnlyKY74A117A - Annual Surcharge Rpt FireCurrentDomestic OnlyKY74A118A - Annual Surcharge RptCurrentBothLAForm 1068E - CAPCO CreditCurrentBothLAForm 1425 - Military Tax CreditCurrentBothMIMACP-200 - Assessable PremCurrentBothMNCredit Insurance Annual ReportCurrentBothMNIG255 - Premium Tax ReturnCurrentBothNCForm RRG-01 - Registration RenewalCurrentBothNMApplication for RefundCurrentBothNVCaptive Premium Tax ReturnCurrentBothNYApplication for License Article 63CurrentBothNYForm AC2709 - Checklist for Unclaimed PropCurrentBothNYForm FM-11 - Stmt of PremiumsOnline AssistantBothTXMotor Vehicle Crime Prevention Report PE 12-31-2023Web LoginBothTXMotor Vehicle Crime Prevention Report PE 06-30-2024Web LoginBothTXForm 25-105 - Prepayment - Surplus LinesCurrentBothTXForm 25-208 - Reciprocal ExchangeCurrentBothVAForm R02A - Application for Renewal of LicenseWeb LoginBothVAForm R08 - Section 38-2-1342 RptCurrentBothVAForm R09 - Rpt of Assessable OM PremiumCurrentBothDecember 5, 2023FormsPlus Changes ? None. ? Newly Added Forms ? None. ? Annual Statement Checklists and Changes StateForm NameStatusForeign/DomesticAKLife Annual Statement ChecklistCurrentBothAKPC Annual Statement ChecklistCurrentBothAKHealth Annual Statement ChecklistCurrentBothAKTitle Annual Statement ChecklistCurrentBothALLife Annual Statement ChecklistCurrentBothALPC Annual Statement ChecklistCurrentBothALHealth Annual Statement ChecklistCurrentBothALTitle Annual Statement ChecklistCurrentBothCALife Annual Statement ChecklistCurrentBothCAPC Annual Statement ChecklistCurrentBothCAHealth Annual Statement ChecklistCurrentBothCATitle Annual Statement ChecklistCurrentBothCOLife Annual Statement ChecklistCurrentBothCOPC Annual Statement ChecklistCurrentBothCOHealth Annual Statement ChecklistCurrentBothCOTitle Annual Statement ChecklistCurrentBothDCLife Annual Statement ChecklistCurrentBothDCPC Annual Statement ChecklistCurrentBothDCHealth Annual Statement ChecklistCurrentBothDCTitle Annual Statement ChecklistCurrentBothHILife Annual Statement ChecklistCurrentBothHIPC Annual Statement ChecklistCurrentBothHIHealth Annual Statement ChecklistCurrentBothHITitle Annual Statement ChecklistCurrentBothIDLife Annual Statement ChecklistCurrentBothIDPC Annual Statement ChecklistCurrentBothIDHealth Annual Statement ChecklistCurrentBothIDTitle Annual Statement ChecklistCurrentBothINLife Annual Statement ChecklistCurrentBothINPC Annual Statement ChecklistCurrentBothINHealth Annual Statement ChecklistCurrentBothINTitle Annual Statement ChecklistCurrentBothMELife Annual Statement ChecklistCurrentBothMEPC Annual Statement ChecklistCurrentBothMEHealth Annual Statement ChecklistCurrentBothMETitle Annual Statement ChecklistCurrentBothMNLife Annual Statement ChecklistCurrentBothMNPC Annual Statement ChecklistCurrentBothMNHealth Annual Statement ChecklistCurrentBothMNTitle Annual Statement ChecklistCurrentBothNCRisk Annual Statement ChecklistCurrentDomestic OnlyOKLife Annual Statement ChecklistCurrentBothOKPC Annual Statement ChecklistCurrentBothOKHealth Annual Statement ChecklistCurrentBothOKRisk Annual Statement ChecklistCurrentBothOKTitle Annual Statement ChecklistCurrentBothWALife Annual Statement ChecklistCurrentBothWAPC Annual Statement ChecklistCurrentBothWAHealth Annual Statement ChecklistCurrentBothWARisk Annual Statement ChecklistCurrentBothWATitle Annual Statement ChecklistCurrentBothWILife Annual Statement ChecklistCurrentBothWIPC Annual Statement ChecklistCurrentBothWIHealth Annual Statement ChecklistCurrentBothWIHMO Annual Statement ChecklistCurrentBothWITitle Annual Statement ChecklistCurrentBothWVLife Annual Statement ChecklistCurrentBothWVPC Annual Statement ChecklistCurrentBothWVHealth Annual Statement ChecklistCurrentBothWVTitle Annual Statement ChecklistCurrentBothForm Updates and Changes ? StateForm NameStatusForeign/DomesticALAudit & Examination Transmittal FormOPTinsBothALFraud Unit Assessment Transmittal FormOPTinsBothARAntifraud CFRF FeeOPTinsBothAZAuto Theft Auth Assessments PE 06-30OPTinsBothAZAuto Theft Auth Assessments PE 12-31OPTinsBothAZE-178 - Cert of DisclosureEmailBothAZE-AFR GFE - Auto Exemption NotificationEmailDomestic OnlyAZCLDU Experience ReportEmailBothCAAIS - Ann Info Stmt-Stock or Mutual InsurerCurrentBothCAAIS-R - Ann Info Stmt-Reciprocal InsCurrentBothCNFIN 527 - BC Premium TaxCurrentBothCTForm 115NIN - Nonadmitted Ins PE 03-31CurrentDomestic OnlyCTForm 115NIN - Nonadmitted Ins PE 06-30CurrentDomestic OnlyCTForm 115NIN - Nonadmitted Ins PE 09-30CurrentDomestic OnlyCTForm 115NIN - Nonadmitted Ins PE 12-31CurrentDomestic OnlyCTHealthy Homes FundCurrentBothDEAnnual Fees Assessment FormOPTinsForeign OnlyDECaptive Premium Tax ReturnCurrentBothGAWC-10 - Notice of Election or Rejection of WCCurrentBothGAWC-26 - Consolidated Yearly ReportCurrentBothKY74A105 - Unauthorized Insurance Tax ReturnCurrentBothKY74A106 - Captive Premium Tax ReturnCurrentBothKY74A117 - Surcharge Rpt Fire PE 01-31CurrentDomestic OnlyKY74A117 - Surcharge Rpt Fire PE 02-28CurrentDomestic OnlyKY74A117 - Surcharge Rpt Fire PE 03-31CurrentDomestic OnlyKY74A117 - Surcharge Rpt Fire PE 04-30CurrentDomestic OnlyKY74A117 - Surcharge Rpt Fire PE 05-31CurrentDomestic OnlyKY74A117 - Surcharge Rpt Fire PE 06-30CurrentDomestic OnlyKY74A117 - Surcharge Rpt Fire PE 07-31CurrentDomestic OnlyKY74A117 - Surcharge Rpt Fire PE 08-31CurrentDomestic OnlyKY74A117 - Surcharge Rpt Fire PE 09-30CurrentDomestic OnlyKY74A117 - Surcharge Rpt Fire PE 10-31CurrentDomestic OnlyKY74A117 - Surcharge Rpt Fire PE 11-30CurrentDomestic OnlyKY74A117 - Surcharge Rpt Fire PE 12-31CurrentDomestic OnlyKY74A118 - Surcharge Rpt PE 01-31CurrentBothKY74A118 - Surcharge Rpt PE 02-28CurrentBothKY74A118 - Surcharge Rpt PE 03-31CurrentBothKY74A118 - Surcharge Rpt PE 04-30CurrentBothKY74A118 - Surcharge Rpt PE 05-31CurrentBothKY74A118 - Surcharge Rpt PE 06-30CurrentBothKY74A118 - Surcharge Rpt PE 07-31CurrentBothKY74A118 - Surcharge Rpt PE 08-31CurrentBothKY74A118 - Surcharge Rpt PE 09-30CurrentBothKY74A118 - Surcharge Rpt PE 10-31CurrentBothKY74A118 - Surcharge Rpt PE 11-30CurrentBothKY74A118 - Surcharge Rpt PE 12-31CurrentBothLAFiling ChecklistCurrentBothLAUnclaimed Property ReportOnline FilingBothMDAnnual Report of Fraud Related DataCurrentBothMDSIF - Billing Address NotificationOnline AssistantBothMEFraud and Abuse Annual RptSpreadsheetBothMEMGARA Quarterly Report PE 03-31CurrentBothMEMGARA Quarterly Report PE 06-30CurrentBothMEMGARA Quarterly Report PE 09-30CurrentBothMEMGARA Quarterly Report PE 12-31CurrentBothNCForm 51 - Ann Consolidated Fiscal Rpt NCICEmailBothNHUnlicensed Premium Tax - LifeCurrentBothNHUnlicensed Premium Tax - PCCurrentBothOKAnnual Filing Checklist - Domestic LifeOPTinsDomestic OnlyOKAnnual Filing Checklist - Domestic PCOPTinsDomestic OnlyOKAnnual Filing Checklist - Domestic TitleOPTinsDomestic OnlyOKAnnual Filing Checklist - Foreign LifeOPTinsForeign OnlyOKAnnual Filing Checklist - Foreign PCOPTinsForeign OnlyOKAnnual Filing Checklist - Foreign TitleOPTinsForeign OnlyOKExhibit A - Notarized Credit AffidavitOPTinsBothOKExhibit B - Agent Notarized AffidavitCurrentBothOKForm 3000 - WCPR CreditOPTinsBothOKPublication for State of OklahomaOPTinsForeign OnlyVAForm 26A - Ann Rpt of PremiumsCurrentBothWASpecial Liability RptEmailBothWIAudited Financial Stmt Exemption AffidavitCurrentDomestic OnlyWICompulsory and Security Surplus Life PE 03-31Web LoginBothWICompulsory and Security Surplus Life PE 06-30Web LoginBothWICompulsory and Security Surplus Life PE 09-30Web LoginBothWICompulsory and Security Surplus Life PE 12-31Web LoginBothWICompulsory and Security Surplus PC PE 03-31Web LoginBothWICompulsory and Security Surplus PC PE 06-30Web LoginBothWICompulsory and Security Surplus PC PE 09-30Web LoginBothWICompulsory and Security Surplus PC PE 12-31Web LoginBothWICPA Audit ChecklistCurrentDomestic OnlyWIRpt on Executive CompensationCurrentDomestic OnlyWVAccredited Reinsurer AppDo Not FileBothWVAdvertising Cert of ComplianceDo Not FileBothWVExamination Assessment Payment FormDo Not FileBothWVMine Subsidence Ins Fund PE 03-31Online AssistantBothWVMine Subsidence Ins Fund PE 06-30Online AssistantBothWVMine Subsidence Ins Fund PE 09-30Online AssistantBothWVMine Subsidence Ins Fund PE 12-31Online AssistantBothNovember 15, 2023FormsPlus Changes ? None. ? Newly Added Forms ? CNNB Application for Renewal of LicenseCNNS Application for Renewal of LicenseCNNT Form 3 Insurer License ApplicationCNNU Form 3 Insurer License ApplicationCNPEI PC Premium TaxCNPEI PC Premium Tax Quarterly PE 03-31CNPEI PC Premium Tax Quarterly PE 06-30CNPEI PC Premium Tax Quarterly PE 09-30CNPEI PC Premium Tax Quarterly PE 12-31Annual Statement Checklist Updates and Changes ? StateForm NameStatusForeign/DomesticMTLife Annual Statement ChecklistCurrentBothMTPC Annual Statement ChecklistCurrentBothMTHealth Annual Statement ChecklistCurrentBothMTTitle Annual Statement ChecklistCurrentBothTNLife Annual Statement ChecklistCurrentBothTNPC Annual Statement ChecklistCurrentBothTNHealth Annual Statement ChecklistCurrentBothTNTitle Annual Statement ChecklistCurrentBothForm Updates and Changes ? StateForm NameStatusForeign/DomesticAKForm 08-204rrg - Continuation of RegistrationCurrentBothAKForm 08-280 - Persons to ContactCurrentBothAKPerson to Receive Service of ProcessCurrentBothALDental Service PlanCurrentBothALForm AR-1 - Cert of Assuming InsurerCurrentBothALMental Health Parity CostCurrentBothALSmall Group Market DataCurrentBothALUnclaimed Property ReportOnline FilingBothARAccredited Reinsurer Renewal AppCurrentBothARAdvertising Cert of ComplianceCurrentBothARAID FI STDR - Affiliated Transaction PE 03-31CurrentDomestic OnlyARAID FI STDR - Affiliated Transaction PE 06-30CurrentDomestic OnlyARAID FI STDR - Affiliated Transaction PE 09-30CurrentDomestic OnlyARAID FI STDR - Affiliated Transaction PE 12-31CurrentDomestic OnlyARAID PC PGRENEW - Purchasing Group RenewalCurrentBothARHS-31-C - Accident Prevent Service Ann RptCurrentBothARHS-31-D - Accident Prevent Service WkshtCurrentBothAZE-AFR IC - Audited Fin Rpt Internal Control FilingCurrentDomestic OnlyAZE-MG MPP - Mortgage Ins Rpt PE 03-31EmailBothAZE-MG MPP - Mortgage Ins Rpt PE 06-30EmailBothAZE-MG MPP - Mortgage Ins Rpt PE 09-30EmailBothAZE-MG MPP - Mortgage Ins Rpt PE 12-31EmailBothAZE-PC 350 - Producer P&C Ins RptCurrentDomestic OnlyAZE-PC INDINS - Industrial InsuredEmailBothAZE-RRG AS - Foreign and Alien ASWeb LoginForeign OnlyAZCP Experience ReportEmailBothAZHIPAA ReportsWeb LoginBothBSQtrly Filings - Life & Health PE 03-31CurrentBothBSQtrly Filings - Life & Health PE 06-30CurrentBothBSQtrly Filings - Life & Health PE 09-30CurrentBothBSQtrly Filings - Life & Health PE 12-31CurrentBothBSQtrly Filings - Other Than Life PE 03-31CurrentBothBSQtrly Filings - Other Than Life PE 06-30CurrentBothBSQtrly Filings - Other Than Life PE 09-30CurrentBothBSQtrly Filings - Other Than Life PE 12-31CurrentBothBSQtrly Premium Tax Pmt PE 03-31CurrentBothBSQtrly Premium Tax Pmt PE 06-30CurrentBothBSQtrly Premium Tax Pmt PE 09-30CurrentBothBSQtrly Premium Tax Pmt PE 12-31CurrentBothCAFAD 26 - Material Transactions PE 01-31Web LoginBothCAFAD 26 - Material Transactions PE 02-28Web LoginBothCAFAD 26 - Material Transactions PE 03-31Web LoginBothCAFAD 26 - Material Transactions PE 04-30Web LoginBothCAFAD 26 - Material Transactions PE 05-31Web LoginBothCAFAD 26 - Material Transactions PE 06-30Web LoginBothCAFAD 26 - Material Transactions PE 07-31Web LoginBothCAFAD 26 - Material Transactions PE 08-31Web LoginBothCAFAD 26 - Material Transactions PE 09-30Web LoginBothCAFAD 26 - Material Transactions PE 10-31Web LoginBothCAFAD 26 - Material Transactions PE 11-30Web LoginBothCAFAD 26 - Material Transactions PE 12-31Web LoginBothCAFAD 107 - Auth for DisclosureWeb LoginBothCAFAD 151 - AH Insurers with WC ExposuresCurrentBothCAInsurer's Cert - Life Insurer ValuationCurrentBothCNAT2095 - AB Premium TaxWeb LoginBothCNMG-1750E - MB Fires Prevention FundWeb LoginBothCNMG-1753 - MB Premium TaxWeb LoginBothCNNL Ins Business Tax Return - AnnualCurrentBothCNNS Fire Prevention TaxCurrentBothCNNS Life Premium TaxCurrentBothCNNS Life Premium Tax PE 03-31CurrentBothCNNS Life Premium Tax PE 06-30CurrentBothCNNS Life Premium Tax PE 09-30CurrentBothCNNS PC Premium TaxCurrentBothCNNS PC Premium Tax PE 03-31CurrentBothCNNS PC Premium Tax PE 06-30CurrentBothCNNS PC Premium Tax PE 09-30CurrentBothCNNT Premium TaxCurrentBothCNNU Premium TaxCurrentBothCNSK Premium TaxCurrentBothCNYT Premium TaxCurrentBothCOApp for Accredited ReinsurerCurrentBothCOCATPA Assessment Fee Pymt - JanCurrentBothCOCATPA Assessment Fee Pymt - JulyCurrentBothCONotice of Intent to ContributeCurrentBothCTEFT-1 - Electronic Funds Trans AuthCurrentBothCTRpt of Commercial Risk InsCurrentBothDCAnnual Anti-Fraud Statistical ReportEmailBothDCApp For Accredited ReinsuranceCurrentBothDCPoint of ContactOnline FilingBothDCQtrly Premium Surcharge Pymt PE 03-31CurrentBothDCQtrly Premium Surcharge Pymt PE 06-30CurrentBothDCQtrly Premium Surcharge Pymt PE 09-30CurrentBothFLAgents' Balances Cert PE 03-31Web LoginBothFLAgents' Balances Cert PE 06-30Web LoginBothFLAgents' Balances Cert PE 09-30Web LoginBothFLAgents' Balances Cert PE 12-31Web LoginBothFLOIR-A1-1229 - Growth Rpt PE 01-31Web LoginBothFLOIR-A1-1229 - Growth Rpt PE 02-28Web LoginBothFLOIR-A1-1229 - Growth Rpt PE 03-31Web LoginBothFLOIR-A1-1229 - Growth Rpt PE 04-30Web LoginBothFLOIR-A1-1229 - Growth Rpt PE 05-31Web LoginBothFLOIR-A1-1229 - Growth Rpt PE 06-30Web LoginBothFLOIR-A1-1229 - Growth Rpt PE 07-31Web LoginBothFLOIR-A1-1229 - Growth Rpt PE 08-31Web LoginBothFLOIR-A1-1229 - Growth Rpt PE 09-30Web LoginBothFLOIR-A1-1229 - Growth Rpt PE 10-31Web LoginBothFLOIR-A1-1229 - Growth Rpt PE 11-30Web LoginBothFLOIR-A1-1229 - Growth Rpt PE 12-31Web LoginBothFLOIR-B1-586 - Ann Rate Filing TransmittalWeb LoginBothFLOIR-B1-588 - Individual Rated Risks PE 03-31CurrentBothFLOIR-B1-588 - Individual Rated Risks PE 06-30CurrentBothFLOIR-B1-588 - Individual Rated Risks PE 09-30CurrentBothFLOIR-B1-588 - Individual Rated Risks PE 12-31CurrentBothFLOIR-B2-1117 - Emp Health Enrollment PE 03-31Web LoginBothFLOIR-B2-1117 - Emp Health Enrollment PE 06-30Web LoginBothFLOIR-B2-1117 - Emp Health Enrollment PE 09-30Web LoginBothFLOIR-B2-1117 - Emp Health Enrollment PE 12-31Web LoginBothFLOIR-B2-1552 - Rescission Reporting FormCurrentBothFLOIR-B2-1553 - Claims Denial Reporting FormCurrentBothFLOIR-B2-1555 - Replacement and Lapse FormCurrentBothFLOIR-C1-144 - Service of Process ConsentCurrentBothFLOIR-D0-308 - Cal Year ExperienceWeb LoginBothFLOIR-D0-516 - Registration StmtWeb LoginBothFLOIR-D0-1433 - Reins Summary StmtWeb LoginBothFLQUASR-Certificate of Information PE 03-31Web LoginBothFLQUASR-Certificate of Information PE 06-30Web LoginBothFLQUASR-Certificate of Information PE 09-30Web LoginBothFLQUASR-Certificate of Information PE 12-31Web LoginBothFLRTS-71 - Concurrent Employment PE 03-31CurrentBothFLRTS-71 - Concurrent Employment PE 06-30CurrentBothFLRTS-71 - Concurrent Employment PE 09-30CurrentBothFLRTS-71 - Concurrent Employment PE 12-31CurrentBothFLUnclaimed Property ReportOnline FilingBothGUChecklist Renewal of Cert of AuthCurrentBothGUForm I-1 - App for Cert of Authority RenewalCurrentBothGUForm I-3 - Insurance Company BondCurrentBothGUForm I-4 - Deposit Agreement In Lieu of BondCurrentBothGUForm I-6 - Renewal of Gen Agents LicenseCurrentBothGUForm I-7 - Affidavit of ComplianceCurrentBothGUForm I-8 - Stmt of Comm & Ind Liab PremsCurrentBothGUForm I-9 - Tax Clearance ApplicationCurrentBothHIAccredited Reinsurers Filing ReqCurrentBothHIFIHC-1 - Holding Company RegistrationCurrentBothIDContact FormCurrentBothIDIC-36 Rpt of Outstanding Awards PE 03-31CurrentBothIDIC-36 Rpt of Outstanding Awards PE 06-30CurrentBothIDIC-36 Rpt of Outstanding Awards PE 09-30CurrentBothIDIC-36 Rpt of Outstanding Awards PE 12-31CurrentBothIDIC 327 - WC Indemnity PaymentsCurrentBothIDIC 4008 - Semi-Annual Rpt PE 12-31-23CurrentBothIDIC 4008 - Semi-Annual Rpt PE 06-30-24CurrentBothIDInsurance Co Address UpdateOnline FilingBothILDomestic Corporation Annual ReportCurrentDomestic OnlyILForeign Corporation Annual ReportCurrentForeign OnlyILMine Subsidence Ins Fund PE 03-31CurrentBothILMine Subsidence Ins Fund PE 06-30CurrentBothILMine Subsidence Ins Fund PE 09-30CurrentBothILMine Subsidence Ins Fund PE 12-31CurrentBothILUnclaimed Property ReportOnline FilingBothINAdvertising Cert of ComplianceCurrentBothINBasic Property Ins Underwriting AssocWeb LoginBothINBasket Clause InvestmentsCurrentDomestic OnlyINForeign Invest & Mortgage RptCurrentDomestic OnlyINForeign Invest & Sec RptCurrentDomestic OnlyINForm 1143 - Non-Life Stmt of ConditionCurrentForeign OnlyINForm 3887 - Life Stmt of ConditionCurrentForeign OnlyINForm AR-1 - Cert of Assuming InsurerCurrentBothINMine Subsidence Ins Fund PE 03-31CurrentBothINMine Subsidence Ins Fund PE 06-30CurrentBothINMine Subsidence Ins Fund PE 09-30CurrentBothINMine Subsidence Ins Fund PE 12-31CurrentBothKYCHP-2B - Annual Call For DataCurrentBothKYDomestic - Captive Check Remittance FormCurrentDomestic OnlyKYForeign - OAR - SL Check Remittance FormCurrentForeign OnlyKYForm 143 - Detail Listing of Security PE 03-31CurrentBothKYForm 143 - Detail Listing of Security PE 06-30CurrentBothKYForm 143 - Detail Listing of Security PE 09-30CurrentBothKYForm 143 - Detail Listing of Security PE 12-31CurrentBothKYForm 440 - Advertising Cert of ComplianceCurrentBothKYForm 450 - Affidavit Covering Finance CommitteeCurrentDomestic OnlyKYForm 495 - KY Supplemental Sch PE 03-31CurrentDomestic OnlyKYForm 495 - KY Supplemental Sch PE 06-30CurrentDomestic OnlyKYForm 495 - KY Supplemental Sch PE 09-30CurrentDomestic OnlyKYForm 800 - Service of ProcessCurrentBothKYForm 916 - Surplus Line Ins Info SheetCurrentBothKYForm CI-150 - Direct Economic ImpactCurrentDomestic OnlyKYHIPMC-GAP-AFF-1 - GAP AffidavitEmailBothKYHIPMC-GAPQR-2 - Support Ins PE 03-31EmailBothKYHIPMC-GAPQR-2 - Support Ins PE 06-30EmailBothKYHIPMC-GAPQR-2 - Support Ins PE 09-30EmailBothKYHIPMC-GAPQR-2 - Support Ins PE 12-31EmailBothKYMine Subsidence Ins Fund PE 03-31CurrentBothKYMine Subsidence Ins Fund PE 06-30CurrentBothKYMine Subsidence Ins Fund PE 09-30CurrentBothKYMine Subsidence Ins Fund PE 12-31CurrentBothKYSIU - Contacts FormCurrentBothLAForm LWC-WC-1000 - Annual Report of WC CostCurrentBothLAHIPAA Assessment WorksheetWeb LoginBothMAAnnual App For Renewal RRGsCurrentBothMDAdvertising Cert of ComplianceEmailBothMDApp for Insurer's Cert Of AuthCurrentBothMDApplication for AuthorizationCurrentBothMDApplication for Renewal - RRGCurrentBothMDAR-1 Cert of Assuming InsurerCurrentBothMDForm CL-21 - Credit Life Ins Stat RptCurrentBothMEAddress Change FormEmailBothMEAnnual Rpt Supp - 945 Rpt LongSpreadsheetBothMEAnnual Rpt Supp - 945 Rpt ShortSpreadsheetBothMECertificate of Compliance - AdvertisementCurrentBothMEConsumer Complaint Contact UpdateCurrentBothMEForm AR-1 - Cert of Assuming InsurerCurrentBothMEForm Bltn286-A - Supp Health Ins RptSpreadsheetBothMEHealth Report Card SurveyEmailBothMEManaging General Agent ReportingCurrentBothMERule 940 Annual Data RptSpreadsheetBothMIFIS 0174 - AR-1 Cert of Assuming InsurerCurrentBothMIFIS 0362 - Purchasing Grps Ann Rnwl RptCurrentBothMINo Experience Verification Form - CAOMOnline AssistantBothMNIG260 - Surplus Line Premium Tax PE 12-31-23CurrentBothMNLong Tail Casualty Reinsurance CertCurrentBothMO375-0076 - Life & Health Basket ClauseCurrentDomestic OnlyMO375-0079 - App for Cert of Authority RenewalCurrentBothMO375-0097 - P&C Basket ClauseCurrentDomestic OnlyMO375-0307-Medicare Supplement Ins ExpCurrentBothMO375-0317 - Supplement to Ann Stmt Holding CoCurrentBothMO375-0359 - Comm Liab ReportCurrentBothMO375-0558 - App for Cert of AuthorityCurrentBothMO375-1663 - Products Liab Closed ClaimCurrentBothMOAdvertising Cert of ComplianceCurrentBothMOThird Party Administrator AffidavitCurrentDomestic OnlyMOWC-240 Affidavit of Zero ReportingCurrentBothMPAnnual Corporation ReportCurrentBothMPApplication for Business LicenseCurrentBothMPForm I-A - App for Cert of AuthorityCurrentBothMPForm I-A1 - Affidavit of ComplianceCurrentBothMPForm I-B - Power of AttorneyCurrentBothMPForm I-C - Appointment of General AgentCurrentBothMSForm AR-1 - Cert of Assuming InsurerWeb LoginBothMSReport of Direct PlacementCurrentBothMSReport of Premiums - Rating BureauWeb LoginBothMSResidential Prop UnderwritersWeb LoginBothMSUnclaimed Property ReportOnline FilingBothMSWindstorm Underwriters Insurer ReportWeb LoginBothMTWC Expenditure Rpt PE 03-31CurrentBothMTWC Expenditure Rpt PE 06-30CurrentBothMTWC Expenditure Rpt PE 09-30CurrentBothMTWC Expenditure Rpt PE 12-31CurrentBothMTWC Surcharge Remittal PE 03-31CurrentBothMTWC Surcharge Remittal PE 06-30CurrentBothNCAccredited Reinsurer Renewal AppCurrentForeign OnlyNCAuthorized Reinsurer Contact InformationCurrentForeign OnlyNCMortgage Guaranty Insurer's Rpt PE 03-31CurrentBothNCMortgage Guaranty Insurer's Rpt PE 06-30CurrentBothNCMortgage Guaranty Insurer's Rpt PE 09-30CurrentBothNCMortgage Guaranty Insurer's Rpt PE 12-31CurrentBothNCPledged Asset Supplement PE 03-31CurrentBothNCPledged Asset Supplement PE 06-30CurrentBothNCPledged Asset Supplement PE 09-30CurrentBothNCPledged Asset Supplement PE 12-31CurrentBothNCSurplus Lines Renewal AppCurrentBothNDSFN 4802 - Abstract of StmtOnline FilingBothNDSFN 7832 - Fire Ins Prem LossCurrentBothNDSFN 17118 - Med Malpractice Rpt PE 12-31-23CurrentBothNDSFN 17118 - Med Malpractice Rpt PE 06-30-24CurrentBothNDSFN 51663 - Dec of Comp Auto AccCurrentBothNDSFN 54180 - Large Group Health InsCurrentBothNDSFN 54357 - Cert Ins Auto WarrantyCurrentBothNEFraud Contact - Dept of InsCurrentBothNHApp for Surplus Lines AuthorityCurrentBothNHForm AR-1 - Cert of Assuming InsurerCurrentBothNHRSA 405-46 III Credit Reinsurance AppCurrentBothNIForm 12 - Uniform Consent to Service of ProcessCurrentBothNJAppointment of AttorneyCurrentBothNJForm AR-1 - Cert of Assuming InsurerCurrentBothNJReport and Reconciliation of NJPLIGACurrentBothNVComplaint Report FormWeb LoginBothNVForm AR-1 - Cert of Assuming InsurerOnline FilingBothNVPublication of Annual StatementCurrentBothNYFire Insurance Fee PE 03-31CurrentBothNYFire Insurance Fee PE 06-30CurrentBothNYFire Insurance Fee PE 09-30CurrentBothNYFire Insurance Fee PE 12-31CurrentBothNYForm CR-1 - Certificate of Cert ReinsCurrentBothNYMV Law Enforcement Fee PE 01-31CurrentBothNYMV Law Enforcement Fee PE 02-28CurrentBothNYMV Law Enforcement Fee PE 03-31CurrentBothNYMV Law Enforcement Fee PE 04-30CurrentBothNYMV Law Enforcement Fee PE 05-31CurrentBothNYMV Law Enforcement Fee PE 06-30CurrentBothNYMV Law Enforcement Fee PE 07-31CurrentBothNYMV Law Enforcement Fee PE 08-31CurrentBothNYMV Law Enforcement Fee PE 09-30CurrentBothNYMV Law Enforcement Fee PE 10-31CurrentBothNYMV Law Enforcement Fee PE 11-30CurrentBothNYMV Law Enforcement Fee PE 12-31CurrentBothNYPublic Motor Vehicle Security Fund PE 03-31CurrentBothNYPublic Motor Vehicle Security Fund PE 06-30CurrentBothNYPublic Motor Vehicle Security Fund PE 09-30CurrentBothNYPublic Motor Vehicle Security Fund PE 12-31CurrentBothOKWC-10 - MITF Assessment Rpt PE 03-31CurrentBothOKWC-10 - MITF Assessment Rpt PE 06-30CurrentBothORForm 440-3431 - Report of Prompt PaymentCurrentBothORForm 3118 - Quarterly Enrollment Rpt PE 03-31Web LoginBothORForm 3118 - Quarterly Enrollment Rpt PE 06-30Web LoginBothORForm 3118 - Quarterly Enrollment Rpt PE 09-30Web LoginBothORForm 3118 - Quarterly Enrollment Rpt PE 12-31Web LoginBothORForm B - Holding Company Ann Registration StmtCurrentBothPAForm QR-1 - Cert of Assuming InsurerCurrentBothPRCert of Investment in PR SecCurrentBothPRLife Ins Miscellaneous ReportCurrentBothPRReport of Premiums PE 03-31Export & EmailBothPRReport of Premiums PE 06-30Export & EmailBothPRReport of Premiums PE 09-30Export & EmailBothPRReport of Premiums PE 12-31Export & EmailBothRIUnclaimed Property ReportWeb LoginBothSCForm 1008 - Affidavit of ComplianceCurrentBothSCFR-290 - Uninsured Motor Fund PE 03-31CurrentBothSCFR-290 - Uninsured Motor Fund PE 06-30CurrentBothSCFR-290 - Uninsured Motor Fund PE 09-30CurrentBothSCFR-290 - Uninsured Motor Fund PE 12-31CurrentBothSDForm AR-1 - Cert of Assuming InsurerCurrentBothSDStatement of DepositsCurrentDomestic OnlySDWC Filing Fees PE 03-31CurrentBothSDWC Filing Fees PE 06-30CurrentBothSDWC Filing Fees PE 09-30CurrentBothSDWC Filing Fees PE 12-31CurrentBothTNAdvertising Cert of ComplianceCurrentBothTNCompensation to Creditor AffidavitCurrentBothTNUnclaimed Property ReportWeb LoginBothTXForm AS004 - Overhead Assessment ExemptionCurrentBothTXForm DWC109 - Accident Prevention RptEmailBothTXForm FIN302 - App for Cert of Authority - HMOCurrentBothTXForm FIN415 - Annual Agent Rpt - RRGCurrentBothTXForm FIN416 - Appointment of CommissionerCurrentBothTXForm FIN419 - Registration of a Foreign-Alien RRGCurrentForeign OnlyTXForm FIN420 - RRG ChecklistCurrentForeign OnlyTXForm FIN422 - Surplus Insurers Checklist - ForeignCurrentForeign OnlyUTPremium Tax - Directly Placed InsCurrentBothVAForm 190-ASpreadsheetBothVAForm R05Q - Cert of Assuming Insurer Qrtly PE 03-31Web LoginBothVAForm R05Q - Cert of Assuming Insurer Qrtly PE 06-30Web LoginBothVAForm R05Q - Cert of Assuming Insurer Qrtly PE 09-30Web LoginBothVAForm R05Q - Cert of Assuming Insurer Qrtly PE 12-31Web LoginBothVIContact Person FormCurrentBothVTHealth Care Claims TaxWeb LoginBothVTLiquor Liability Ins ReportOnline FilingBothVTWCAF Insurer's Assessment Stmt PE 03-31-24CurrentBothVTWCAF Insurer's Assessment Stmt PE 06-30-24CurrentBothVTWCAF Insurer's Rec Stmt YE 12-31-23CurrentBothWAAnti-Fraud Annual ReportCurrentBothWAReport of Premiums to WSRBEmailBothWIAuthorized Reinsurer AppCurrentBothWIDirectly Placed Unauthorized Tax RptCurrentBothWIWCRB Business Contact FormOnline FilingBothWVAlien Surplus Lines AppDo Not FileForeign OnlyWVForeign Surplus Lines AppDo Not FileForeign OnlyWVForm IA-1 - Annual Attorney in FactWeb LoginBothWVInsurance Company Fraud ContactDo Not FileBothWYAppointment of Agent - RRGCurrentForeign OnlyWYForm RR3602 - Foreign Liability RRGCurrentForeign OnlyWYHealth Care Malpractice Rpt GeneralRemoveBothWYHealth Care Malpractice Rpt IndividualRemoveBothWYReport of Title Insurance CBTCurrentBoth2022-2023 FormsPlusJanuary 11, 2024New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticMEWC Quarterly Report PE 12-31RevisedBothJanuary 9, 2024New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticCTForm SIF001 - Second Injury Fund PE 12-31CurrentBothJanuary 2, 2024New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticMEWC Quarterly Report PE 12-31CurrentBothDecember 12, 2023New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticGAGID-012C-PT - Captive Premium Tax ReturnRevisedBothOctober 31, 2023New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticDCQtrly Premium Surcharge Pymt PE 12-31CurrentBothOctober 17, 2023New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticHILicense & Certificate ExtensionRevisedBothKY74A118 - Surcharge Rpt PE 09-30RevisedBothOctober 10, 2023New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticARARRUA - Rural Risk Underwriting AssessmentCurrentBothCTForm SIF001 - Second Injury Fund PE 09-30CurrentBothMTWC Surcharge Remittal PE 12-31CurrentBothSeptember 26, 2023New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticHIAnnual Premium QuotationsSpreadsheetBothHILicense & Certificate ExtensionOPTinsBothMTWC Surcharge Remittal PE 09-30CurrentBothNJWC Surcharge Return PE 09-30CurrentBothNJWC Surcharge Return PE 12-31CurrentBothSeptember 7, 2023New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticGALife Annual Statement ChecklistRevisedBothGAHealth Annual Statement ChecklistRevisedBothGATitle Annual Statement ChecklistRevisedBothILWC Assessment Transmittal PE 06-30-23CurrentBothMEAddress Change FormRevisedBothMEWC Quarterly Report PE 09-30CurrentBothMNIG262 - Fire Safety Mutual PE 09-30RevisedBothMNIG262 - Fire Safety Mutual PE 12-31RevisedBothRIUnclaimed Property ReportOnline FilingBothTXDisallowed Expense RptSpreadsheetBothAugust 22, 2023New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticMEWC Annual Reconciliation RptCurrentBothNVSummary of Prem Earned PE 06-30-23CurrentBothJuly 25, 2023New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticCOCATPA Assessment Reporting FormCurrentBothCTForm SIF001 - Second Injury Fund PE 06-30CurrentBothNJCAFé - Mid Year Rpt of PremiumsCurrentBothJuly 13, 2023New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticTXAuto Burglary & Theft Report PE 06-30-2023Web LoginBothJune 29, 2023New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticNJCAFé - Household Employee CoverageCurrentBothJune 22, 2023New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticMEWC Quarterly Report PE 06-30CurrentBothNDSFN 17118 - Med Malpractice Rpt PE 06-30-23CurrentBothNVCommerce Tax ReturnWeb LoginBothVTWCAF Insurer's Assessment Stmt PE 09-30-23CurrentBothVTWCAF Insurer's Assessment Stmt PE 12-31-23CurrentBothWVExamination Assessment Payment FormDo Not FileBothWVForm IA-1 - Annual Attorney in FactWeb LoginBothJune 6, 2023New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticCOWC113 - WC Surcharge PE 06-30-23CurrentBothNCForm 51 - Ann Consolidated Fiscal Rpt NCICEmailBothNYApplication for License Article 63CurrentBothPRApp for Certification of Authority RenewalRevisedBothTXForm 53-119 - Unclaimed Property ReportOnline FilingBothTXSpecial Data Call for Comm PropCurrentBothMay 23, 2023New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticCALASLI Checklist for Alien InsurersRevisedForeign OnlyCALASLI Checklist for Foreign InsurersRevisedForeign OnlyCALASLI Verification - NAICRevisedBothCALASLI Verification - Previously FiledRevisedBothCALASLI Verification - Regulatory Disclosure StmtRevisedBothCALASLI Verification StatementRevisedBothMONotice of Administrative SurchargeDo Not FileBothOKWC-10 - MITF Assessment Rpt PE 09-30CurrentBothOKWC-10 - MITF Assessment Rpt PE 12-31CurrentBothVIAnn Rpt on Domestic or Foreign CorpOnline FilingBothMay 16, 2023New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticARAntifraud CFRF FeeCorrectedBothMay 2, 2023New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticCASI-550 - Statement of InformationCurrentForeign OnlyCTForm SIF001 - Second Injury Fund PE 03-31CurrentBothIDReport of Premiums WrittenCurrentBothILMine Subsidence Ins Fund PE 03-31CurrentBothILMine Subsidence Ins Fund PE 06-30CurrentBothILMine Subsidence Ins Fund PE 09-30CurrentBothILMine Subsidence Ins Fund PE 12-31CurrentBothNJReport of Comp PaidCurrentBothOKAnti-Fraud Claims AssessmentOPTinsBothWVMine Subsidence Ins Fund PE 03-31Online AssistantBothWVMine Subsidence Ins Fund PE 06-30Online AssistantBothWVMine Subsidence Ins Fund PE 09-30Online AssistantBothWVMine Subsidence Ins Fund PE 12-31Online AssistantBothApril 18, 2023New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticCALASLI Checklist for Alien InsurersCurrentForeign OnlyCALASLI Checklist for Foreign InsurersCurrentForeign OnlyCALASLI Verification - NAICCurrentBothCALASLI Verification - Previously FiledCurrentBothCALASLI Verification - Regulatory Disclosure StmtCurrentBothCALASLI Verification StatementCurrentBothNHLife Annual Statement ChecklistRevisedBothNHPC Annual Statement ChecklistRevisedBothNHHealth Annual Statement ChecklistRevisedBothNHTitle Annual Statement ChecklistRevisedBothApril 4, 2023New Forms ? None. ? FormsPlus Changes ? None. ? Form Updates and Changes ? StateForm NameStatusForeign/DomesticINForm 12386B - Cert for WC 2nd InstallRevisedBothNCNC-478 Pass-throughCurrentBothNCNC-478 Summary of Tax CreditsCurrentBothNHData LOB Survey - Accident and HealthOnline FilingBothNYForm FM-11 - Stmt of PremiumsOnline AssistantBothNYForm GA-2.1 - WC Carriers Remittance PE 03-31Online FilingBothNYForm GA-2.1 - WC Carriers Remittance PE 06-30Online FilingBothNYForm GA-2.1 - WC Carriers Remittance PE 09-30Online FilingBothNYForm GA-2.1 - WC Carriers Remittance PE 12-31Online FilingBothNYForm GA-2 - WC Carriers Remittance Form PE 03-31EmailBothNYForm GA-2 - WC Carriers Remittance Form PE 06-30EmailBothNYForm GA-2 - WC Carriers Remittance Form PE 09-30EmailBothNYForm GA-2 - WC Carriers Remittance Form PE 12-31EmailBothSDCovered Lives - Market Survey ReportEmailBoth ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download