Arkansas Insurance Department

     AID Home
     Accounting Home

Accounting Division

Phone:  (501) 371-2605

Fax:  (501) 682-6679

Email:  insurance.accounting@arkansas.gov


TO FILE ANNUAL PREMIUM TAX FORMS AND SUBMIT WITH A CHECK, PLEASE DO THE FOLLOWING:

 

·         CLICK THE APPROPRIATE LINK BELOW, COMPLETE THE FORM ONLINE,
 PRINT, SIGN, & MAIL WITH YOUR CHECK TO THE ACCOUNTING
 DIVISION.  PLEASE SIGN FORM IN BLUE INK.  ALL BLANKS ON THE
 FORM MUST BE COMPLETED.
 

·         YOU MUST FILE A FORM EVEN IF IT IS “NONE”.

·         If you need a copy of our W-9, you can print one from our
 Accounting Division webpage.

·         Forms & payments are due by March 1st each year. You must
 complete our form on our website. ALL FORMS AUTO-CALCULATE
 THE AMOUNT DUE.

 

Send form & payment to:      Arkansas Insurance Department
                                                   Accounting Division

                                                   1200 West Third Street

                                                   Little Rock AR  72201-1904

 

2015 ANNUAL PREMIUM TAX FORMS

 

FORM AID AC LD-T

INSTRUCTIONS & FORM FOR FOREIGN LIFE & ACCIDENT & HEALTH INSURERS

 

FORM AID AC PC-T

INSTRUCTIONS & FORM FOR FOREIGN PROPERTY & CASUALTY INSURERS

 

FORM AID AC FPRF 

INSTRUCTIONS & FORM FOR P&C INSURERS

 

FORM AID AC PC-T(D)

INSTRUCTIONS & FORM FOR DOMESTIC PROPERTY & CASUALTY INSURERS

 

FORM AID AC LD-T(D)

INSTRUCTIONS & FORM FOR DOMESTIC LIFE & ACCIDENT & HEALTH INSURERS

 

FORM AID AC HMO-T

INSTRUCTIONS & FORM FOR HEALTH MAINTENCE ORGANIZATIONS

 

FORM AID AC FMAA-T 

INSTRUCTIONS & FORM FOR FARMERS MUTUAL AID ASSOCIATIONS

 

FORM AID AC HM-T 

INSTRUCTIONS & FORM FOR HOSPITAL/MEDICAL SERVICE CORPORATIONS

 

FORM AID AC TI-T 

INSTRUCTIONS & FORM FOR TITLE & AVIATION TITLE INSURANCE COMPANIES

 

FORM AID AC CI-T

INSTRUCTIONS & FORM FOR CAPTIVE INSURERS

 

FORM AID AC RRG-T

INSTRUCTIONS & FORM FOR REGISTERED RISK RETENTION GROUPS