Information

Annual Reports for Captives
Before March first of each year, all captive insurance companies, Risk Retention Groups: Domestic, and Special Purpose Financial Captives must submit annual reports of their financial condition to the department.

In some instances, a captive insurance company may make written application to file on a fiscal year end that is consistent with the parent company’s fiscal year. If an alternative reporting date is granted, the annual report is due sixty days after the fiscal year end.

Also, in order to provide sufficient detail to support the premium tax return, the pure captive insurance company must file pages one through seven of the "Captive Annual Report" before March first yearly for each calendar year end.

Captives
  1. Annual Report
    When opening program, if you receive a dialog box asking for a password, cancel the dialog box and the document will open.
  2. Annual Report Instructions
  3. Attestation Report (Only required if you are not completing Annual Report 2013 in the Excel format provided in 1. above.) (Fillable Excel Spreadsheet)
    When opening program, if you receive a dialog box asking for a password, cancel the dialog box and the document will open.
  4. Economic Impact Report Fillable
  5. Industrial Insured Group (RRG) Captive and Association Captive Required Filings
Risk Retention Groups: Domestic
  1. Annual Statement
  2. Attestation Report (Fillable Excel Spreadsheet)
    When opening program, if you receive a dialog box asking for a password, cancel the dialog box and the document will open.
  3. Economic Impact Report Fillable
Special Purpose Financial Captives
  1. SPFC Annual Statement
    The SPFC Annual Statement must be filed on the NAIC blank. Please contact the NAIC directly for this form.
  2. SPFC Attestation Report
  3. Economic Impact Report Fillable