For Insurers

Trusteed Alien Insurers - 2015 premium tax filing instructions

Filing requirements

All trusteed alien reinsurers licensed in the State of Washington during the calendar year must file an electronic tax tax form, even if no business was actually transacted within Washington during that time. The filing of any form other than the online one provided by this office is not accepted.

Due date

The completed online form and payment must be received by the Office of Insurance Commissioner 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 on the next business day.

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

Completing your premium tax form

The Washington tax rate is 2 percent. 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.

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

Trusteed Alien Reinsurer Premiums and Fees

Premiums as Reported on the Annual Statement

Premiums entered in this section must match premiums reported for Washington on the State Page Exhibit filed with the National Association of Insurance Commissioners (NAIC).

Line nameState of domicileState of Washington
Tax RateIf editable, enter your state of domicile trusteed alien reinsurer tax ratePre-populated by the Office of Insurance Commissioner
Trusteed Alien Reinsurer TaxIf editable, enter taxes due to your state of domicileAuto-calculated

Fee Details

If your company is no longer active in Washington and this is your final return, enter $0 in both columns as the:

  • Certificate of Authority Renewal Fee; and
  • Annual Statement Filing Fee.
Line nameState of domicileState of Washington
Certificate of Authority Renewal FeeEnter the Certificate of Authority renewal fee your state of domicile charges foreign insurersPre-populated by the Office of the Insurance Commissioner
Annual Statement filing feeEnter the annual statement filing fee your state of domicile charges foreign insurersPre-populated by the Office of the Insurance Commissioner
Other Misc Fees (specify)Provide description and amount of other fees 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.

Summary

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

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."