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Financial Statement Filings Checklist and Other Required Filings for Insurance Companies

 

This page contains all of the required Arkansas Specific forms due in 2017.

Download each form separately. Each section is color coded and lists all of the required forms for each type of insurance company.

 

UPDATED DECEMBER 29, 2016

 

For any questions on filing requirements below, please contact Kimberly.Johnson@arkansas.gov or at: 501-371-2680.

The Department has discontinued production of the Annual Statement Reporting Guidance Letter for our Domestic Insurers.  Please refer to the Financial Statement Filing

and Step Through Guide page on the National Association of Insurance Commissioners’ website http://naic.org/industry_financial_filing.htm for links to publications and

guidance.   For assistance with statutory accounting and reporting questions, please contact Steve Kilgore, Assistance Manager of Financial Analysis, at Steven.Kilgore@Arkansas.gov .

 

LIFE & HEALTH COMPANIES


Financial Statement and Other Filings Checklist- (PDF)

 

Premium Tax Filing Forms

Company Financial Regulation Fee (CFRF)

Anti Fraud Assessment

Advertising Certificate of Compliance

 AR Domestic Insurers- Affiliated Transaction Form

 

                   ANTI-FRAUD PLAN – Insurance companies licensed in Arkansas must submit an antifraud plan pursuant to [A.C.A. §23-66-510 (a)].  Questions should be directed to Dan Reber at 501-371-2790 or dan.reber@arkansas.gov.  [Also reference:  Bulletin No. 7-97 and Rule and Regulation 66.]

 

PROPERTY & CASUALTY COMPANIES

 

Financial Statement and Other Filings Checklist-  (PDF)

 

Premium Tax Filing Forms

Company Financial Regulation Fee (CFRF)

Anti Fraud Assessment

Property and Casualty Guaranty Fund Form

ARRUA Premium Reporting Form- Due Annually, March 1st

ARRUA Assessment- Due Annually December 31st

Earthquake Market Analysis – Due Annually April 1st

Consumer Credit and Credit Scoring Report- Due annually March 31st

AR Domestic Insurers- Affiliated Transaction Form

 

                  ANTI-FRAUD PLAN – Insurance companies licensed in Arkansas must submit an antifraud plan pursuant to [A.C.A. §23-66-510 (a)].  Questions should be directed to Dan Reber at 501-371-2790 or dan.reber@arkansas.gov.  [Also reference:  Bulletin No. 7-97 and Rule and Regulation 66.]

 

FRATERNAL COMPANIES

Financial Statement and Other Filings Checklist-(PDF)

Annual Continuation Form

Company Financial Regulation Fee (CFRF)

Anti Fraud Assessment

Advertising Certificate of Compliance-

 

ANTI-FRAUD PLAN – Insurance companies licensed in Arkansas must submit an antifraud plan pursuant to [A.C.A. §23-66-510 (a)].  Questions should be directed to Dan Reber at 501-371-2790 or dan.reber@arkansas.gov.  [Also reference:  Bulletin No. 7-97 and Rule and Regulation 66.]

 

TITLE COMPANIES

Financial Statement and Other Filings Checklist-  (PDF)

Premium Tax Filing Forms

Company Financial Regulation Fee (CFRF)

AR Domestic Insurers- Affiliated Transaction Form

 

ANTI-FRAUD PLAN – Insurance companies licensed in Arkansas must submit an antifraud plan pursuant to [A.C.A. §23-66-510 (a)].  Questions should be directed to Dan Reber at 501-371-2790 or dan.reber@arkansas.gov.  [Also reference:  Bulletin No. 7-97 and Rule and Regulation 66.]

HEALTH COMPANIES


Financial Statement and Other Filings Checklist- (PDF)

Premium Tax Filing Forms

Company Financial Regulation Fee (CFRF)

Anti Fraud Assessment

AR Domestic Insurers- Affiliated Transaction Form

 

                  ANTI-FRAUD PLAN – Insurance companies licensed in Arkansas must submit an antifraud plan pursuant to [A.C.A. §23-66-510 (a)].  Questions should be directed to Dan Reber at 501-371-2790 or dan.reber@arkansas.gov.  [Also reference:  Bulletin No. 7-97 and Rule and Regulation 66.]

 

RISK RETENTION GROUPS

 

 

Contact Person: Kimberly Johnson

Financial Statement and Other Filings Checklist- (PDF)
Premium Tax Filing Forms

 

ACCREDITED AND TRUSTEED REINSURERS

 

Contact Person: Kimberly Johnson

Accredited Renewal Information

Trusteed Renewal Information

 

Note: Renewal email notifications will be sent to insurers

 30 days prior to renewal.

 

 

AUTOMOBILE / MOTOR CLUBS AND/OR ASSOCIATIONS

Contact Person: Amanda Shirley

License Renewal Information- Due Annually April 1st

 

Note: Renewals are due on April 1st each year.

DOMESTIC SURPLUS LINES COMPANIES

Domestic Surplus Lines - Financial Statement and Other Filings Checklist-  (PDF)

Foreign Surplus Lines insurers no longer have to file any financial statement filings, renewal fees or state specific filings with our state since the Nonadmitted and Reinsurance Reform Act of 2010 (NRRA).

 

If you have any questions, just email Kimberly.Johnson@arkansas.gov