Arizona Department of Insurance
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.

    DOMESTIC INSURER: HMDO Service Corporation

    Wed, 07/23/2014 - 07:39

    Taxes | Domestic | HMDO

    Beginning January 1, 2018, all insurers must use the NAIC OPTins system (or a system interfaced with NAIC OPTins) to report and pay insurance premium taxes and installment payments 

    • The Department of Insurance no longer publishes an "Annual Taxes and Fees Data Sheet."
    • Download and read the E-TAX-I instructions before preparing forms.
    • Make sure to post amounts from other tax reporting documents (E-TC, etc.) to the appropriate locations on Form E-TAX.
    • If Form E-TAX calculates a refund due to you (on Line 9), file the tax report forms without including a payment. 
    • If Form E-TAX calculates an amount owed (on Line 9), only pay the Line 9 amount owed with your tax report forms. Do not pay any other amount.
    Form E-TAX-I: Annual Tax and Fees Report Instructions

    If the insurer's Data Sheet instructs the insurer to complete Form E-TAX, please READ THESE INSTRUCTIONS before proceeding.

    Recent Document Updates
    DATEDESCRIPTION
    1/18/2019Updated instructions uploaded
    Form E-TAX: Annual Tax and Fees Report

    You must use the NAIC OPTins (www.optins.org) system, or a system that is interfaced to provide reports and payments through the NAIC OPTins system, to file insurance premium tax reports and payments.  Reports and payments filed through the mail will be voided and returned, and will be considered not to have been filed.

    Before proceeding with your OPTins tax/fee filing and payment:

    • Please read E-TAX-I instructions.
    • Resolve all errors in forms.  Do not submit a form if it contains cells highlighted with a yellow background or red error text.

    Please only use the newest version of tax forms, which are continuously improved from tax preparer feedback and which are configured for use with OPTins.

    DATEDESCRIPTION
    Recent Document Updates
    1/18/2019New OPTins compliant version

     
    Form E-SGHI: Accountable Health Plan Small-employer Group Health Insurance Plan Premium

    An insurer may only report small-employer major medical premium as being tax exempt if

    • the insurer is an accountable health plan AND
    • the insurer issued (major medical) health benefit plans to small employers AND
    • the insurer notified the small employers of the reduction to the premium tax because of the tax exemption (ARS § 20-2304(J)) AND
    • the insurer complied with all other provisions of ARS §§ 20-2301 et seq.
    DATEDESCRIPTION
    Recent Document Updates
    1/18/2019Updated version

     
    Form E-TC: Tax Credits

    Use this form for an insurer that earned in the current year, carried forward from a prior year or carried forward to a future year a tax credit or offset.

    Recent Document Updates
    DATEDESCRIPTION
    1/18/2019Uploaded new version
    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.
    Form E-AMEND: Summary to Changes to Taxes and Fees

    Include this form with an amended Annual Tax and Fee Report.
    Form E-INSTALL: Tax Installment Report

    Each insurer that has a tax liability during the prior calendar year of $50,000 or more must file an installment payment by the 15th of each month, March through August, of the current year equal to 15% of the prior calendar year tax liability.  ARS § 20-224(E). 

    Completing Form E-INSTALL is optional.  It does not need to be included with your OPTins filing.

    Insurers MUST use the NAIC OPTins system to pay Arizona tax installments.  ARS § 20-224(K).

    Historical Documents

    Annual Tax and Fees Data Sheet for 2015

    Only use this document if needed to amend a 2015 tax report.
    Annual Tax and Fees Data Sheet for 2016

    Only use this document if needed to amend a 2016 tax report.
    Annual Taxes and Fees Data Sheet for 2017

    Use this document FIRST in order to determine your filing requirement.  Read the first page of the document, then find the one or two pages that contains information specific to the insurer.
    Annual Tax and Fees Data Sheet for 2014

    Only use this document if needed to amend a 2014 tax report.

    HOW DID WE DO?

    Thu, 08/07/2014 - 16:21

    Please Provide Your Feedback

    • To report errors with forms or instructions, or to suggest ways to improve them, please send e-mail to Premium Tax Administrator Susan Yepez ([email protected]).