Financial Statement, Tax and Fee Filings
Forms/Instructions by Company Type

Available January 1, 2012. Click on form for link to OPTins for easy,
efficient electronic filing.
- Advisory Organizations
- County Mutual Fire Insurers
- Fraternal Benefit Society
- Health Insurers
- Hospital/Professional Service Corporation
- Life, Accident and Health Companies
- Managed Care Organizations (MCO)
- Petroleum Clean Water Trust Fund
- Property or Casualty Companies
- Purchasing Group
- Rating Organizations
- Reinsurance Only Companies
- Risk Retention Group
- Self-Funded Health Care Plan
- Self-Procured-Unauthorized Premium Tax Statement / Instructions
- Surplus Line Insurer
- Surplus Line Brokers
- Title Companies
- Trusteed Reinsurer Only Companies
- Unauthorized Insurance Companies / Instruction
Other Forms/Instructions
- Back Tax Due
- Domestic Insurers - Business in Jurisdictions Not Licensed / Instructions
- Electronic Fund Payment Guide
- Guaranty Association Filings
- Market Conduct Annual Statement (MCAS)
- Premium Tax and Fee Statements/Instructions
- Prepayment for Quarterly Estimated Installments / Instructions (2010 Revised)
- Small Group and Individual Assessment Base Survey for Licensed Disability Insurers
- Worker’s Compensation Tax Credit / Instructions
Contacts
- Tax and Fee: Kathy Miller
- Annual Statements: Carol Anderson
- Small Group and Individual Assessment Base Survey: Scott Frost
- Market Conduct Annual Statement: Arlene Barrie
- Idaho Surplus Lines Association: Wendy Tippetts
- Idaho Life & Health Insurance Guaranty Assn.: Candie Kinch
- Western Guaranty Fund Service
Some of the information offered on this site is provided in PDF format (Portable
Document Format) and requires Adobe
Acrobat Reader to view or print. You can download the free reader directly from Adobe.
