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Accounting Division

Phone:  (501) 371-2605

Fax:  (501) 371-2629

Email:  insurance.accounting@arkansas.gov

WE DO NOT ACCEPT SOFTWARE COMPANY FORMS
MUST FILE ON OUR FORMS

 

File Quarterly Premium Tax Online by EFT

File Annual Premium Tax Online by EFT

 

 

2006 QUARTERLY PREMIUM TAX FORMS

 

EST-Q             ESTIMATED INSURANCE PREMIUM TAX

(FOR USE BY ALL INSURERS THAT FILE QUARTERLY)

 

FPRF-Q          ESTIMATED FIRE PROTECTION PREMIUM TAX

(PROPERTY/CASUALTY INSURERS)

 

Forms & payments are due:            1st Quarter: Due May 15       

2nd Quarter: Due August 15

3rd Quarter: Due November 15

 

Mail form & payment to:          Arkansas Insurance Department

                                                Accounting Division

                                                1200 West Third Street

                                                Little Rock AR  72201-1904

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2005 ANNUAL PREMIUM TAX FORMS

 

Forms & payments are due by March 1st each year.

 

Mail form & payment to:          Arkansas Insurance Department

                                                Accounting Division

                                                1200 West Third Street

                                                Little Rock AR  72201-1904

 

LD-T       INSTRUCTIONS & FORM FOR FOREIGN LIFE & ACCIDENT & HEALTH INSURERS

 

PC-T      INSTRUCTIONS & FORM FOR FOREIGN PROPERTY & CASUALTY INSURERS

 

FPRF     FORM FOR P&C INSURERS FOR THE FIRE PROTECTION PREMIUM TAX FUND

Pursuant to ACA 11-9-303, the 2005 additional workers’ compensation taxes (Schedule WC) payments will be made directly to the Workers’ Compensation Commission.   To access the Workers’ Compensation Commission website for the form and instructions, please click on this link http://www.awcc.state.ar.us/premiumtax.html  If you have any questions, please contact Leah Campbell at the Workers’ Compensation Commission at (501) 682-3737 or by email at lcampbell@awcc.state.ar.us

PC-T(D)    INSTRUCTIONS & FORM FOR DOMESTIC PROPERTY & CASUALTY INSURERS

 

LD-T(D)     INSTRUCTIONS & FORM FOR DOMESTIC LIFE & ACCIDENT & HEALTH INSURERS

 

HMO-T       INSTRUCTIONS & FORM FOR HEALTH MAINTENCE ORGANIZATIONS

 

FMAA-T      INSTRUCTIONS & FORM FOR FARMERS MUTUAL AID ASSOCIATIONS

 

HM-T          INSTRUCTIONS & FORM FOR HOSPITAL/MEDICAL SERVICE CORPORATIONS

 

TI-T            INSTRUCTIONS & FORM FOR TITLE & AVIATION TITLE INSURANCE COMPANIES

 

CI-T           INSTRUCTIONS & FORM FOR CAPTIVE INSURERS

 

RRG-T      INSTRUCTIONS & FORM FOR REGISTERED RISK RETENTION GROUPS

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2005 ANNUAL CONTINUATION FEES

 

Forms & payments are due by March 1st each year.

 

Mail form & payment to:          Arkansas Insurance Department

                                                Accounting Division

                                                1200 West Third Street

                                                Little Rock AR  72201-1904

 

 

FBS           INSTRUCTIONS & FORM FOR LICENSED FRATERNAL BENEFIT SOCIETIES

 

SLI-T         INSTRUCTIONS & FORM FOR APPROVED FOREIGN SURPLUS LINES INSURANCE COMPANIES

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