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PREMIUM TAX INFO & FORM ACCESS

WHO FILES WHICH FORMS?

PREMIUM TAX FORMS:

FORM AID AC EST-Q:

ONLY LIFE/HEALTH, PROPERTY/CASUALTY, HMO, FMAA, HM, & TITLE INSURERS FILE THIS FORM

FORM AID AC FPRF-Q:

ONLY PROPERTY & CASUALTY COMPANIES FILE THIS FORM

FORM AID AC LD-T:

ONLY FOREIGN LIFE & ACCIDENT & HEALTH INSURERS FILE THIS FORM

FORM AID AC PC-T:

ONLY FOREIGN PROPERTY & CASUALTY INSURERS FILE THIS FORM

FORM AID AC FPRF:

ALL DOMESTIC & FOREIGN PROPERTY & CASUALTY INSURERS FILE THIS FORM

FORM AID AC PC-T(D):

ONLY DOMESTIC PROPERTY & CASUALTY INSURERS FILE THIS FORM

FORM AID AC LD-T(D):

ONLY DOMESTIC LIFE & ACCIDENT & HEALTH INSURERS FILE THIS FORM

FORM AID AC HMO-T:

ONLY HEALTH MAINTENCE ORGANIZATIONS FILE THIS FORM

FORM AID AC FMAA-T:

ONLY FARMERS MUTUAL AID ASSOCIATIONS FILE THIS FORM

FORM AID AC HM-T:

ONLY HOSPITAL/MEDICAL SERVICE CORPORATIONS FILE THIS FORM

FORM AID AC TI-T:

ONLY TITLE & AVIATION TITLE INSURANCE COMPANIES FILE THIS FORM

FORM AID AC CI-T:

ONLY CAPTIVE INSURERS FILE THIS FORM

FORM AID AC RRG-T:

ONLY REGISTERED RISK RETENTION GROUPS FILE THIS FORM

ANNUAL CONTINUATION FEES:

FORM AID AC FBS:

ONLY LICENSED FRATERNAL BENEFIT SOCIETIES FILE THIS FORM

FORM AID AC SLI-T(D):

ONLY DOMESTIC SURPLUS LINES INSURANCE COMPANIES FILE THIS FORM

WHEN ARE THE FILINGS DUE?

ALL ANNUAL FILINGS ARE DUE BY MARCH 1^ST EACH YEAR.

ALL QUARTERLY FILINGS:

1^ST QUARTER IS DUE BY MAY 15^TH

2^ND QUARTER IS DUE BY AUGUST 15^TH

3^RD QUARTER IS DUE BY NOVEMBER 15^TH

WHERE DO YOU SEND THE COMPLETED FILING & PAYMENT?

SEND TO THE ACCOUNTING DIVISION OF THE ARKANSAS INSURANCE DEPARTMENT.

SENDING THE FILING & PAYMENT TO ANY OTHER DIVISION, DELAYS RECEIPT & PROCESSING OF THE FILING & PAYMENT.

OUR ADDRESS IS: ARKANSAS INSURANCE DEPARTMENT

ACCOUNTING DIVISION

1200 WEST THIRD STREET

LITTLE ROCK AR 72201-1904

GENERAL INFORMATION:

ALL FORMS & PAYMENTS MUST BE RECEIVED IN OUR OFFICE ON OR BEFORE

THE DUE DATE OR THE FILING WILL BE CONSIDERED LATE.

LATE PENALTIES OF $100.00 A DAY FOR EVERY DAY LATE APPLY TO ALL

FILINGS.

WE DO NOT ACCEPT SOFTWARE COMPANY FORMS FOR ANY FILING.

ALL HARDCOPY FORMS MUST BE COMPLETED ON OUR WEBSITE,

PRINTED OFF, SIGNED, AND SENT IN WITH A CHECK.

PLEASE SIGN ALL FORMS IN BLUE INK.

DETAILED INSTRUCTIONS ARE INCLUDED WITH EACH FORM.

QUARTERLY PAYMENTS MAY BE BASED ON ANY METHOD YOU CHOOSE.

WE SUGGEST TAKING THE ANNUAL PAYMENT AND DIVIDING IT, BUT THE

CHOICE IS LEFT UP TO EACH COMPANY.

EFT FORMS ARE TO BE COMPLETED ONLINE AND FUNDS SENT AS CLOSELY

TOGETHER AS POSSIBLE. FUNDS & FORMS MUST BE RECEIVED BY THE DUE

DATE. FUND PROCESSING MAY TAKE UP TO 48 HOURS TO BE RECEIVED IN

THE INSURANCE DEPT.

FORMS MUST BE SENT EVEN IF THERE IS NO MONEY DUE.

TO FILE PREMIUM TAX:

CLICK HERE TO FILE ANNUAL PREMIUM TAX BY CHECK

CLICK HERE TO FILE QUARTERLY PREMIUM TAX BY CHECK

CLICK HERE TO FILE ANNUAL CONTINUATION FEES BY CHECK

CLICK HERE TO FILE PREMIUM TAX BY EFT

CLICK HERE FOR PREVIOUS YEARS TAX FORMS

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