Use the index below to go directly to a particular section on this page:
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.
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Risk Retention Group Forms
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Risk Purchasing Group Forms
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Direct Placement/Self Procured Insurance (Licensed Company) Forms
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Independently Procured Insurance Forms
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Surplus Lines Insurance Forms
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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
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