NEW ADDRESS Starting January 27, 2020

Arizona Department of Insurance

100 North 15th Avenue, Suite 261

Phoenix, AZ  85007-2630

VISITORS

Citizens, license applicants, process servers:

  • We will continue to provide assistance from Suite 102 through Friday, January 24, 2020. 
  • We will be up and running in Suite 261 starting Monday, January 27, 2020.

 

    MAIL

    Send mail to our new suite number effective immediately (before January 27, 2020). 

    Please make sure to update our address in your contact lists and information systems.

    Form E-LRTF: Local and Regional Taxes and Fees; Survey of Arizona Domestic Insurers

    Updated 1/18/2019.

    Arizona Administrative Code ("AAC") R20-6-205 requires all Arizona domestic insurers to file a complete and accurate response to this survey.

    • Complete all the questions on the INSTRUCTIONS page and furnish the information specified in the "WHAT NEEDS TO BE SUBMITTED" section. 
    • All insurers other than captive insurers must use the NAIC OPTins system (https://www.optins.org) to submit files.
    • A captive insurer has the option of submitting files on a CD-ROM containing the captive insurer's name and NAIC number, or uploading files into the NAIC OPTins system (https://www.optins.org).  The NAIC charges a small fee to file using the OPTins system, but filing by OPTins is easier and saves on postage and the hassle of saving files to a CD-ROM.
    • Files you save on a CD-ROM or upload into an OPTins filing must have filenames that conform to the instructions provided in the NAMING FILES section.

    Data from the Survey are used to compute additions to the rates of tax that foreign and alien insurers must use when computing their retaliation obligations.  Therefore, it is absolutely critical that Arizona domestic insurers accurately complete the survey.  Insurers that fail to file timely, complete and accurate responses to the Survey may be subject to administrative action.

    Beginning for Tax Year 2015, Arizona-domiciled insurers are not subject to tax/fee retaliation in Hawaii, Massachusetts, Minnesota, New York or Rhode Island, and insurers domiciled in those states are not subject to tax/fee retaliation in Arizona.  Therefore, we are no longer requested information about any of those states in the E-LRTF workbook.

    Insurers with questions about the survey should contact the Insurance Tax Unit.

    Priority: 
    TAX20500