For Insurers

Foreign life and disability companies - 2021 premium tax filing instructions

New for 2021

There are no changes from the 2020 for the foreign life and disability tax forms.

The Office of Insurance Commissioner (OIC) provides a resource to aid foreign companies in retaliatory reporting. The list is not all-inclusive, but does provide common fees, assessments, and surcharges that must be reported.

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Filing requirements

All life and disability insurance companies licensed in the State of Washington during the calendar year must file an online tax form, as provided by this office, even if no business was actually transacted within Washington during that time. Alternate filing methods are not accepted.

Due date

The completed online form and payment must be received by the OIC on or before March 1 following the end of the calendar year. When the due date falls on a Saturday or Sunday, the form and payment are considered timely if received the next business day.

 Caution: Do not mail a paper version of the form or any attachments to our office.

Completing your premium tax form

Tax is generally due on all premiums, unless specifically exempted on the tax form. If you have questions, please contact us.

Premiums reported must be on the same basis as required on the Annual Statement.

The Washington state tax rate is 2%. Calculations for the Washington portion of the form will be completed automatically.

Selecting "Print" will print your form exactly as it appears on the screen, even if you have not saved your work.

Clicking the "Save Progress" button does not check for errors.

 Remember: Save your work before moving away from the form; your work is not automatically saved.

Premium Reporting section

Premiums and Annuities as Reported on the Annual Statement

Life and annuity premiums entered in this section should, with few exceptions, match premiums reported for Washington on the corresponding lines of the Life Insurance (state) page filed with the National Association of Insurance Commissioners (NAIC).

Accident and health premiums entered in this section should, with few exceptions, match premiums reported for Washington on the corresponding lines of the Accident and Health Insurance (state) page filed with the NAIC.

Premiums and Annuities- Additional Detail

Premiums reported in this section are not in addition to premiums reported in the previous section; they are a subset of those premiums.

The purpose of breaking out the premiums is to allow us to accurately apply taxes and tax exemptions to the proper premiums. Premiums reported in this section capture detail not available on the Life Insurance and Accident and Health Insurance (state) pages of the Annual Statement. These premiums are carried through to the appropriate schedules.

Non-Exchange Premiums

  • Qualified Life premiums are certain products issued that are exempt or qualified under certain sections of the internal revenue code.
  • Qualified Life Dividends are from certain products issued that are exempt or qualified under certain sections of the internal revenue code.
  • Qualified Annuity premiums are certain products issued that are exempt or qualified under certain sections of the internal revenue code.
  • Qualified Annuity Dividends are from certain products issued that are exempt or qualified under certain sections of the internal revenue code.
  • Adult Dental premiums entered are used to reduce the taxable premiums on Schedule C.
  • Qualified Pediatric Dental Kids Only premiums are for informational purposes only.
  • Qualified Stand-Alone Family Dental - Individual Market premiums are for informational purposes only.
  • Qualified Stand-Alone Family Dental - Small Group Market premiums are for informational purposes only.
  • Qualified Stand-Alone Family Dental - Large Group Market premiums entered are used to reduce the taxable premiums on Schedule C.
  • Non-Qualified Pediatric Dental premiums entered are used to reduce the taxable premiums on Schedule C.

Exchange Premiums

Tax revenue from all WA Exchange premiums is required to be deposited into an account separate from other tax revenue at the state treasury.

  • Qualified Health Plan premiums reflect plans offered through the WA Exchange and are taxed on Schedule D.
  • Adult Dental premiums reflect plans offered through the WA Exchange and reduces the taxable premium on Schedule D.
  • Qualified Pediatric Dental Kids Only premiums reflect plans offered through the WA Exchange and are taxed on Schedule D.
  • Qualified Stand-Alone Family Dental - Individual Market premiums reflect plans offered through the WA Exchange and are taxed on Schedule D.
  • Qualified Stand-Alone Family Dental - Small Group Market premiums reflect plans offered through the WA Exchange and are taxed on Schedule D.
  • Qualified Stand-Alone Family Dental - Large Group Market premiums entered are used to reduce the taxable premiums on Schedule D.

Schedule A - Life Premium Taxes

Some fields on this schedule are populated from the Premium Reporting section of the tax form.

Editable fields are indicated on the tax form by a border around the field. Refer to the table below for entry details for these fields.

Schedule A instructions for foreign life and disability companies

Line name

State of domicile

State of Washington

Army and Air Force Exchange Service (AAFES) Group Life Premiums

Enter AAFES Group Life premiums received

Enter AAFES Group Life premiums received

Qualified Life Premiums

Report qualified life premiums your state of domicile allows to be claimed

Populated from Premium Reporting section

Other Deductions (specify)
(two rows)

Provide description and amount of deduction allowed, if any

n/a

Life Tax Rate

Pre-populated by the OIC with highest allowable tax rate

Pre-populated by the OIC

Variable tax rate adjustment

If editable, enter an adjustment that results in the correct tax calculation on the final line of the schedule

n/a

Schedule B - Annuity Taxes

Some fields on this schedule are populated from the Premium Reporting section of the tax form.

Editable fields are indicated on the tax form by a border around the field. Refer to the table below for entry details for these fields.

Schedule B instructions for foreign life and disability companies

Line name

State of domicile

State of Washington

Qualified Annuities

Report qualified annuity premiums your state of domicile allows to be claimed

Populated from Premium Reporting section

Other Deductions (specify)

Provide description and amount of deduction allowed, if any

n/a

Annuity Tax Rate

Pre-populated by the OIC with highest allowable tax rate

Pre-populated by the OIC

Variable tax rate adjustment

If editable, enter an adjustment that results in the correct tax calculation on the final line of the schedule

n/a

Schedule C - Non-Exchange Accident and Health Taxes

Some fields on this schedule are populated from the Premium Reporting section of the tax form.

Editable fields are indicated on the tax form by a border around the field. Refer to the table below for entry details for these fields.

Schedule C instructions for foreign life and disability companies

Line name

State of domicile

State of Washington

AAFES Group Accidental Death and Dismemberment Premiums

Enter AAFES Group Accidental Death and Dismemberment premiums received

Enter AAFES Group Accidental Death and Dismemberment premiums received

Other Deductions (specify)
(two rows)

Provide description and amount of deduction allowed, if any

n/a

Adult Dental (Non-Exchange)

Report Adult Dental premiums your state of domicile allows to be claimed

Populated from Premium Reporting section

Qualified Stand-Alone Family Dental - Large Group Market (Non-Exchange)

Report Qualified Stand-Alone Family Dental - Large Group Market premiums your state of domicile allows to be claimed

Populated from Premium Reporting section

Non-Qualified Pediatric Dental (Non-Exchange)

Report Non-Qualified Pediatric Dental premiums your state of domicile allows to be claimed

Populated from Premium Reporting section

Health Pool Assessment

Enter Health Pool Assessment your state of domicile allows to be claimed

Pre-populated by the OIC (see note below)

Accident and Health Tax Rate

Pre-populated by the OIC with highest allowable tax rate

Pre-populated by the OIC

Variable tax rate adjustment

If editable, enter an adjustment that results in the correct tax calculation on the final line of the schedule

n/a

Note: The Health Pool Assessment Available is displayed on this schedule. If the credit available would reduce taxable premiums below zero, the excess credit is carried to Schedule D. If there are no premiums reported on Schedule D, the excess credit is carried forward to the next tax year.

Schedule D - Exchange Accident and Health Taxes

Some fields on this schedule are populated from the Premium Reporting section of the tax form.

Editable fields are indicated on the tax form by a border around the field. Refer to the table below for entry details for these fields.

Schedule D instructions for foreign life and disability companies

Line Name

State of Domicile

State of Washington

Adult Dental

Report Adult Dental Exchange premiums your state of domicile allows to be claimed

Populated from Premium Reporting section

Qualified Stand-Alone Family Dental - Large Group Market

Report Qualified Stand-Alone Family Dental - Large Group Market Exchange premiums your state of domicile allows to be claimed

Populated from Premium Reporting section

Other Deductions (specify)
(two rows)

Provide description and amount of deduction allowed, if any

n/a

Health Pool Assessment

Enter Health Pool Assessment your state of domicile allows to be claimed

Pre-populated by the OIC (see note below)

Accident and Health Tax Rate

Pre-populated by the OIC with highest allowable tax rate

Pre-populated by the OIC

Variable tax rate adjustment

If editable, enter an adjustment that results in the correct tax calculation on the final line of the schedule

n/a

Note: The Health Pool Assessment Available, after being applied in Schedule C, is displayed on this schedule. If the credit available would reduce taxable premiums below zero, the excess credit is carried forward to the next tax year.

Schedule E - Other Taxes and Credits

Schedule E instructions for foreign life and disability companies

Line name

State of domicile

State of Washington

Other Taxes Assessed (Specify)
(two rows)

Provide a specific description and amount of taxes assessed, if any (see note below)

n/a

Other Credit Allowed (Specify)
(two rows)

Provide a specific description and amount of credit allowed, if any

n/a

Note: Examples of taxes to report here may include, but are not limited to, franchise tax or a minimum tax.

Schedule F - Life and Disability Assessment Credits

The assessment credit is pre-populated by the OIC and cannot be edited. The assessment credit is prorated at 20% per year for five years, unless the credit balance falls under $1,000.

Example: Your company pays an assessment of $2,000 in Year 1.

Year 1: Credit of $400 used, balance of $1,600.

Year 2: Credit of $400 used, balance of $1,200.

Year 3: Credit of $400 used, balance of $800.

Year 4: Credit of $800 used, balance of $0.

Schedule F instructions for foreign life and disability companies

Tax year

State of domicile

State of Washington

2021 - 2017

Enter L&D Assessment your state domicile allows to be claimed

Pre-populated by the OIC

Other

Enter L&D assessment credit prior to 2017 your state of domicile allows to be claimed

n/a

Schedule G - Filing and Miscellaneous Fees

If your company is no longer active in Washington and this is your final return, enter $0 in both columns for the Renewal Fee.

    Schedule G instructions for foreign life and disability companies

    Line name

    State of domicile

    State of Washington

    Renewal Fee

    Enter the Certificate of Authority renewal fee your state of domicile charges foreign insurers

    Pre-populated by the OIC

    Annual Statement Filing Fee

    Enter the annual statement filing fee your state of domicile charges foreign insurers

    Pre-populated by the OIC

    Fraud Fee

    If editable, enter the fraud fee/assessment from your state of domicile

    n/a

    Operating Fee

    If editable, enter the operating fee/assessment your state of domicile would charge a foreign insurer

    n/a; the Regulatory Surcharge cannot be claimed on the premium tax return

    Other Misc Fees (specify)
    (two lines)

    Provide description and amount of other fees/assessments/surcharges charged by your state of domicile (see note below)

    n/a

    Note: Examples of Other Misc Fees to report on this schedule may include, but are not limited to, cost containment fees, exam fees, or annual service fees. Please review the List of fee, assessments and surcharges subject to retaliation for further guidance.

    Summary

    All fields in this section are populated from other areas of the tax form.

    Premium tax overpayments, if any, will be applied to prepayments due in the current calendar year. Overpayments in excess of those prepayments due will be processed as refunds and sent to the attention of the tax contact we have on file.

    Declaration and final submission

    Review the declaration and, if necessary, update the contact information.

    The contact information listed here is the insurance commissioner's only point of contact for premium taxes and regulatory surcharge purposes; please make sure the information is accurate.

    Enter the name and title of the officer that has examined the form and declares that to the best of this officer’s knowledge and belief, the information is entirely true, accurate and complete.

    Submit your form to the insurance commissioner by clicking "Final Submission."