This page contains tax filing, annual filing, premium filing, registration, and other reporting forms for Risk Retention Groups, Risk Purchasing Groups, Independently Procured Insurance (Surplus Lines), and Direct Placement/Self Procured Insurance (Licensed Companies).
Annual Statement Filing Requirements
Listed below are the Annual Statement Filing Requirements. Each link includes the National Association of Insurance Commissioners (NAIC) Checklist for the filing of the Annual Statement, including all subsequent supplements, licensing information, premium tax information, and the Mississippi Insurance Department state filing requirements. The NAIC Checklist indicates which documents should be filed with the Mississippi Insurance Department and with the NAIC.
- Accredited Reinsurer Annual Statement Filing Requirements (pdf) Updated 12/2024
- Alien Surplus Lines Companies Annual Filing Requirements (pdf) Updated 12/2023
- Automobile Club Annual Statement Filing Requirements (pdf) Updated 12/2024
- Burial Associations Annual Statement Filing Requirements (pdf) Updated 12/2024
- Foreign Surplus Lines Companies Annual Statement Filing Requirements (pdf) Updated 12/2024
- Fraternal Societies Annual Statement Filing Requirements (pdf) Updated 01/2025
- Health Insurers Annual Statement Filing Requirements (pdf) Updated 12/2024
- Health Maintenance Organization Annual Statement Filing Requirements (pdf) Updated 01/2025
- Life Health and Accident Companies Annual Statement Filing Requirements (pdf) Updated 01/2025
- Property Casualty Companies Annual Statement Filing Requirements (pdf) Updated 12/2024
- Reciprocal Jurisdiction Reinsurers Initial and Annual Filing Requirements (pdf) Updated 12/2024
- Risk Retention Groups Annual Statement Filing Requirements (pdf) Updated 12/2024
- Third Party Administrator Annual Statement Filing Requirements (pdf) Updated 01/2025
- Title Companies Annual Statement Filing Requirements (pdf) Updated 12/2024
- Trusteed Reinsurer Annual Statement Filing Requirements (pdf) Updated 12/2024
New Company Licensing Requirements
- Foreign Company Expansion Applications – Only electronic filing submissions are accepted. Upon receipt of a complete application, an invoice for the filing fees will be emailed to the contact person associated with the application.
- Domestic Company Primary Applications – Please contact the Financial & Market Regulation Division for further information at Regulation@mid.ms.gov
Company License Amendments
Foreign Company Corporate Amendment Applications – Only electronic filing submissions are accepted via the UCAA Electronic Application. Upon receipt of a complete application, an invoice for the filing fees will be emailed to the contact person associated with the application.
For questions regarding UCAA Corporate Amendment Applications, please contact Compliance@mid.ms.gov.
Company License Annual Fee Requirements
Pursuant to Miss. Code Ann. § 83-5-71, the Mississippi Insurance Department will issue an invoice on or around January 15th of each year with a due date of March 1st to each Company reflecting the fees that are required in order to keep the Company’s license/certificate of authority current. Surplus Lines, Accredited Reinsurers and Trusteed Reinsurers are not subject to being licensed but will still be required to pay the fees on or before March 1st of each year
Company Annual Assessments
Pursuant to Miss. Code Ann. §§ 83-2-33 and 83-5-72, all property and casualty insurance, life, health and accident insurance companies and health maintenance organizations doing business in this state shall contribute annually, at such times as the Insurance Commissioner shall determine, in proportion to their gross premiums collected with the State of Mississippi during the preceding calendar year. The amount to be contributed annually shall be fixed each year by the Insurance Commissioner at a percentage of the gross premiums so collected during the preceding calendar year.
The annual company assessment invoice will be emailed out to the Company/License Fees contact on file with the Department on or around July 15th of each year. Please refer to the Electronic State Invoice Payment Service for Company Invoice Fees link under the Companies webpage for further instructions regarding electronic payment.
Questions regarding annual company assessments should be addressed to accounting@mid.ms.gov.
Surplus Lines Insurance Registration
- Surplus Lines Eligibility Application
- Surplus Lines Name/Address Change
- Surplus Lines Premium Taxes are collected by the Mississippi Surplus Lines Association. Telephone: 601-713-1111. Website: http://www.msla.org.
Risk Retention Group Forms
- Annual Risk Retention Group Premium Filing Form
- Risk Retention Group Annual Statement Filing Requirements
- Risk Retention Group Registration Checklist
- Risk Retention Group Reporting Form
- For Annual and Quarterly Tax Filing Information contact the MID Accounting Division at 601-359-2310.
Risk Purchasing Group Forms
- Annual Risk Purchasing Group Premium Filing Form
- Risk Purchasing Group Registration Checklist
- Risk Purchasing Group Reporting Form
- NAIC Uniform Service of Process Form
- For Annual and Quarterly Tax Filing Information contact the MID Accounting Division at 601-359-2310.
Direct Placement/Self Procured Insurance (Licensed Company) Forms
- Direct Placement/Self Procured Insurance Form (Licensed Company)
- For Annual and Quarterly Tax Filing Information contact the MID Accounting Division at 601-359-2310.
Independently Procured Insurance Forms
- Independently Procured Insurance Form
- For Annual and Quarterly Tax Filing Information contact the MID Accounting Division at 601-359-2310.
Automobile Clubs
Auto Club Licensing – Instructions, License Application, Questionnaire, Surety Bond Application
Insurance Premium Tax
Insurance premium tax filings are made through the Mississippi Department of Revenue. To obtain insurance premium tax forms, please visit the Insurance Premium Tax portion of their web site. If you have any questions regarding the filing of insurance premium taxes call 601-923-7700 or email derrick.barnes@dor.ms.gov
Other Entity Renewal Dates
License Type | Renewal Date |
---|---|
Auto Club | April 1st |
Blood Plan | January 1st |
Burial | March 1st |
Fraternal | January 1st |
Legal | March 1st |