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Division of Insurance
Company Filings and Forms
The forms are available in Adobe PDF format unless otherwise noted.
For each listing, if applicable, the specific chapter of South Dakota Codified Law (SDCL) associated with the requirement is cited.
| Company Type | Form | SDCL |
| Application for Licensure | ||
| UCAA Corporate Amendments Application Information webpage | ||
| All Insurance Companies | Market Conduct Annual Statement (MCAS) | Bulletin 16-04 |
| Insurance Innovation Waivers | Application and Information | 58-48 |
| Life, Accident, and Health Insurers and Fraternal Insurers | Checklist for Filings in 2025 | 58-6 |
| Property Casualty | Checklist for Filings in 2025 | 58-6 |
| Health Entities | Checklist for Filings in 2025 | 58-6 |
| Title Companies | Checklist for Filings in 2025 | 58-6 |
| Holding Company | Form A | 58-5A |
| Holding Company | Form B | 58-5A |
| Holding Company | Form C | 58-5A |
| Holding Company | Form D | 58-5A |
| Holding Company | Form E | 58-5A |
| Holding Company | Form F | 58-5A |
| Licensed Insurance Companies with Active Status Health Line of Authority | 2025 Covered Lives-Market Survey Report Form will be made available on or around April 1 (Adobe Sign format - complete and submit online) Due date: May 15, 2024 |
|
| Life & Health | Publication Statement (See list of companies required to complete the Publication Statement.) |
58-6-76 |
| Fire & Casualty | Publication Statement (See list of companies required to complete the Publication Statement.) |
58-6-76 |
| Property Casualty, Life/Health, Title | Statement of Deposit | 58-7 |
| Health Maintenance Organization | Statement of Deposit | 58-7 |
| Nonprofit Agricultural Organization Health Benefit Plan (Self-funded) | 58-1-3.4 | |
| Multiple Employer Trust (MET) | MET Application for Authorization |
& |
Reinsurer: Accredited, Qualified, Certified, or Reciprocal Jurisdiction |
Reinsurer Application and Filing Information |
|
| Risk Retention Group | 58-6A | |
| Risk Purchasing Group | Registration Packet | 58-6A |
| Surplus Lines | ||
| Company Appointments and Terminations | Producer or Business Entity Multi Appointment Form | 58-30 |
| Company Appointments and Terminations | Notice of Termination of Company Appointment | 58-30 |
| Insurance Companies | Premium Tax Return Filing Information webpage | |
| Insurance Companies | Premium Tax Refund Form | 10-44-2 and 10-55A-6 |
| Health | Rate & Form Filing Requirements (webpage) | |
| Property Casualty | Rate & Form Filing Requirements (webpage) | |
| Captive Insurance Companies | Captive Insurance Company Application | |
| Farm Mutuals | Annual Statement & Tax Return | |
| Medical Malpractice Reporting (webpage) | ||