Skip to main content
Arizona Department of Insurance Logo
  • Home
    • Español
    • About the DIFI
    • Enforcement Actions
    • Fee Schedule
    • Laws and Rules
    • Public Meetings
    • Record Requests/Service of Process
    • Reports
    • Regulatory Bulletins
    • Rulemaking
  • Consumers
  • Producers
  • Insurers
    • Licensing/Registration
      • Acquisition and Holding Company Registration
      • Captive Insurer/Domestic RRG
      • Insurer
      • Life Care Provider
      • Life Settlement Provider
      • Premium Finance Company
      • Purchasing Group
      • Rate Service Organization
      • Rating Organization
      • Reinsurer
      • Risk Retention Group - Domestic (Captive Insurer)
      • Risk Retention Group - Foreign
      • Senior Residential Entrance Fee Contract Provider
      • Service Company
      • Surplus Lines Insurer
      • Third Party Administrator (Life/Health)
      • Utilization Review Agent
    • Trust Deposits
    • Financial Reporting for Domestic Entities
      • Acquisition/Holding Company Registration
      • Captive Insurer
      • Health Care Services Organization
      • HMDO Service Corporation
      • Life & Disability Reinsurer
      • Life Care Provider
      • Life/Disability Insurer Filing on a Health Blank
      • Life/Disability Insurer Not Filing on a Health Blank
      • Mechanical Reimbursement Reinsurer
      • Mortgage Guaranty Insurer
      • Prepaid Dental Plan Organization
      • Property/Casualty Insurer Filing on a Health Blank
      • Property/Casualty Insurer Not Filing on a Health Blank
      • Risk Retention Group
      • Title Insurer
      • Senior Residential Entrance Fee Contract Provider
      • Unaffiliated Credit Life & Disability Reinsurer
    • Financial Reporting for Foreign/Alien Entities
      • Accredited Reinsurer
      • Fraternal Benefit Society
      • Health Care Services Organization
      • Life Care Provider
      • Life/Disability Insurer Filing on a Health Form
      • Life/Disability Insurer Not Filing on a Health Blank
      • Mortgage Guaranty Insurer
      • Mutual Aid Association
      • Prepaid Legal Insurer
      • Property/Casualty Insurer Filing on a Health Blank
      • Property/Casualty Insurer Not Filing on a Health Blank
      • Reinsurer
      • Risk Retention Group
      • Title Insurer
    • Life & Health Rates, Forms & Compliance
      • Health Care Appeals
      • Life/Health/Annuity Form Filing Requirements
      • Life/Health/Annuity Advertising Filing Requirements
      • Life/Health/Annuity Rate Filing Requirements
      • Long-term Care
      • Credit Insurance
      • Life Settlement Provider
      • Health Plans Survey (Annual)
      • HIPAA Data Reporting
      • Market Conduct Exam Reports
    • Property & Casualty Rates, Forms & Compliance
      • P&C Rate & Form Filing Requirements
      • Examinations and Analysis Program
      • Market Conduct Exam Reports
      • Motor Vehicle Non-renewals Report
    • Laws, Rules and Bulletins
      • Laws and Rules
      • Rules & Rulemaking
      • Regulatory Bulletins
    • Insurance Fraud
    • Taxes
      • Domestic Insurers
      • Foreign Insurers
        • Accredited Reinsurer
        • Employee Benefit Trust/Association
        • Fraternal Benefit Society
        • Health Care Services Organization
        • HMDO Service Corporation
        • Life/Disability/Health Insurer
        • Property/Casualty Insurer
        • Mortgage Guaranty Insurer
        • Prepaid Legal Insurer
        • Risk Retention Group
        • Service Corporation
        • Title Insurer
        • Unaffiliated Credit Life & Disability Reinsurer
      • AHCCCS Contractors
      • Surplus Lines Brokers / Industrial Insureds
    • File a Health Care Appeal
  • PROVIDERS
  • LICENSE SEARCH
  • CONTACT US
  • Home
  • Insurers
  • Taxes
  • Foreign Insurers
  • FOREIGN INSURER: Health Care Services Organization

FOREIGN INSURER: Health Care Services Organization

Taxes | Foreign Insurers | HCSO


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
DATE DESCRIPTION
1/13/2021 Updated 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.

DATE DESCRIPTION
Recent Document Updates
1/05/2021 New 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.
DATE DESCRIPTION
Recent Document Updates
1/05/2021 Updated 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
DATE DESCRIPTION
1/05/2021 Uploaded new version
Arizona Retaliation Guide

Use this guide when completing Form E-RT to help identify and calculate the taxes, fees, assessments and other obligations that the insurer's domicile imposes upon Arizona insurers. 

Date Description

Recent Document Updates

01/12/21 Updated version posted.

 

Retaliation: Wisconsin-domiciled Insurers

A Wisconsin-domiciled insurer must, for Arizona retaliation purposes, complete the Wisconsin tax and retaliation report the same way that Wisconsin requires an Arizona-domiciled insurer to complete it. 

Form E-RT: Retaliation Report

If the insurer is domiciled in Hawaii, Massachusetts, Minnesota, New York, or Rhode Island, do not complete or file Form E-RT.

For all other foreign/alien insurers, filing complete and correct retaliation reports will allow us serve you efficiently, and with minimal hassle.

Before proceeding with completing the Retaliation Report (Form E-RT):

  • Use the Arizona Retaliation Guide to assist you in identifying taxes, fees and assessments to which Arizona-domiciled insurers are subject in your domicile.
  • Resolve all errors in forms.  Do not submit a form if it contains cells highlighted with a yellow background or red error text.

NOTE:  The Arizona Department of Insurance no longer publishes an Annual Taxes and Fees Data Sheet.

Form Updates

Date Description
1/05/2021 Posted new version

 

Form E-TAX-AGENTS:

You must complete this form if the insurer's domicile requires Arizona insurers to pay appointment fees, appointment renewal fees, appointment termination fees, license fees or license renewal fees. Make sure to post the total from this form to Form E-RT.

2020 Additions to the Rates of Tax

Insurers domiciled in Alabama, Florida, Georgia, Kentucky, Louisiana, Mississippi, South Carolina and West Virginia must include the applicable addition to the rate of tax in the insurer's retaliation calculation. 

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

2016 Additions to the Rates of Tax

Only use this document as needed to amend a 2016 retaliation report.

2014 Additions to the Rate of Tax

Only use this document as needed to amend a 2014 retaliation report.

2015 Additions to the Rates of Tax

Only use this document as needed to amend a 2015 retaliation report.

HOW DID WE DO?

Please Provide Your Feedback

  • To report errors with forms or instructions, or to suggest ways to improve them, please send e-mail to our Tax Unit at [email protected]

Insurers

  • Licensing/Registration
    • Acquisition and Holding Company Registration
    • Captive Insurer/Domestic RRG
    • Insurer
    • Life Care Provider
    • Life Settlement Provider
    • Premium Finance Company
    • Purchasing Group
    • Rate Service Organization
    • Rating Organization
    • Reinsurer
    • Risk Retention Group - Domestic (Captive Insurer)
    • Risk Retention Group - Foreign
    • Senior Residential Entrance Fee Contract Provider
    • Service Company
    • Surplus Lines Insurer
    • Third Party Administrator (Life/Health)
    • Utilization Review Agent
  • Trust Deposits
  • Financial Reporting for Domestic Entities
    • Acquisition/Holding Company Registration
    • Captive Insurer
    • Health Care Services Organization
    • HMDO Service Corporation
    • Life & Disability Reinsurer
    • Life Care Provider
    • Life/Disability Insurer Filing on a Health Blank
    • Life/Disability Insurer Not Filing on a Health Blank
    • Mechanical Reimbursement Reinsurer
    • Mortgage Guaranty Insurer
    • Prepaid Dental Plan Organization
    • Property/Casualty Insurer Filing on a Health Blank
    • Property/Casualty Insurer Not Filing on a Health Blank
    • Risk Retention Group
    • Title Insurer
    • Senior Residential Entrance Fee Contract Provider
    • Unaffiliated Credit Life & Disability Reinsurer
  • Financial Reporting for Foreign/Alien Entities
    • Accredited Reinsurer
    • Fraternal Benefit Society
    • Health Care Services Organization
    • Life Care Provider
    • Life/Disability Insurer Filing on a Health Form
    • Life/Disability Insurer Not Filing on a Health Blank
    • Mortgage Guaranty Insurer
    • Mutual Aid Association
    • Prepaid Legal Insurer
    • Property/Casualty Insurer Filing on a Health Blank
    • Property/Casualty Insurer Not Filing on a Health Blank
    • Reinsurer
    • Risk Retention Group
    • Title Insurer
  • Life & Health Rates, Forms & Compliance
    • Health Care Appeals
    • Life/Health/Annuity Form Filing Requirements
    • Life/Health/Annuity Advertising Filing Requirements
    • Life/Health/Annuity Rate Filing Requirements
    • Long-term Care
    • Credit Insurance
    • Life Settlement Provider
    • Health Plans Survey (Annual)
    • HIPAA Data Reporting
    • Market Conduct Exam Reports
  • Property & Casualty Rates, Forms & Compliance
    • P&C Rate & Form Filing Requirements
    • Examinations and Analysis Program
    • Market Conduct Exam Reports
    • Motor Vehicle Non-renewals Report
  • Laws, Rules and Bulletins
    • Laws and Rules
    • Rules & Rulemaking
    • Regulatory Bulletins
  • Insurance Fraud
  • Taxes
    • Domestic Insurers
    • Foreign Insurers
      • Accredited Reinsurer
      • Employee Benefit Trust/Association
      • Fraternal Benefit Society
      • Health Care Services Organization
      • HMDO Service Corporation
      • Life/Disability/Health Insurer
      • Property/Casualty Insurer
      • Mortgage Guaranty Insurer
      • Prepaid Legal Insurer
      • Risk Retention Group
      • Service Corporation
      • Title Insurer
      • Unaffiliated Credit Life & Disability Reinsurer
    • AHCCCS Contractors
    • Surplus Lines Brokers / Industrial Insureds
  • File a Health Care Appeal

Contact Info

Tax Unit

100 N. 15th Avenue, Suite 261
Phoenix, AZ 85007-2630
[email protected]
602-364-3997
Arizona State Seal

Footer Utility

  • Statewide Policies
  • Site Map
  • Privacy Policy

Footer Nav

  • Statewide Policies
  • Site Map