Marcia Hultman

Cabinet Secretary

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Division of Insurance


Premium Tax Information

(The following forms are presented in Adobe PDF format.)

Premium Tax and Captive Supervision Fee Information

2018 Filing Information (Annual Premium Tax Letter)

2018 Quarterly Premium Tax Voucher

2017 Year End Premium Tax Information for Licensed Companies

Payment Voucher for P/C, L/H, and Bail Bonds

Payment Voucher for Captive Companies

Payment Voucher for Fraternal Companies

Non-Licensed Companies

Surplus Lines

Risk Retention Groups


Contact the Division of Insurance