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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 |
| Issuers Offering Individual ACA-compliant Health Insurance Plans On- and Off-Exchange | PY2026 Mental Health Parity and Addiction Equity Act (MHPAEA) Self-Compliance Questionnaire | Bulletin 25-02 |
| Insurance Innovation Waivers | Innovation Waiver Application Form
|
58-48 |
| Life, Accident, and Health Insurers and Fraternal Insurers | Checklist for Filings in 2026 | 58-6 |
| Property Casualty | Checklist for Filings in 2026 | 58-6 |
| Health Entities | Checklist for Filings in 2026 | 58-6 |
| Title Companies | Checklist for Filings in 2026 | 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 | Covered Lives Market Survey: This annual filing has been discontinued. Information will be at the call of the director, if deemed necessary. | |
| Life & Health | Publication Statement |
58-6-76 |
| Fire & Casualty | 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 | Complete through NIPR | 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 | Farm Mutual Annual Statement Instructions Farm Mutual Annual Statement Worksheet A - Unearned Premium Reserve Liability Farm Mutual Tax Return (Annual fees & Fire Marshal taxes) |
|
| Workers' Compensation Policy Fee | Completed via OPTins by creating a new filing using the Fee Payment Voucher in the State Provided Forms area. | 10-44-2 (4) |
| Certificate of Authority* | ||
| Certificate of Authority for Foreign Limited Liability Companies* | ||
|
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Medical Malpractice Claim Report Form (See Bulletin 09-04 for specific information on filing requirements and timeframes.)
|
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* South Dakota Secretary of State forms