Marcia Hultman

Cabinet Secretary

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Division of Insurance


Premium Tax Information

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


2017 Premium Tax and Captive Supervision Fee Information

2017 Filing Information (Annual Premium Tax Letter)

2017 Quarterly Premium Tax Voucher

2016 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 and Retention Groups


Contact the Division of Insurance