Premium Taxes can now be paid electronically thru Optins.org

 

http://www.optins.org/

• Life Annual Premium Tax Form [pdf]
• Life Quarterly Premium Tax Form [pdf]
• Other than Life Annual Premium Tax Form [pdf]
• Other than Life Quarterly Premium Tax Form [pdf]
• HMO Annual Premium Tax Form [pdf]
• HMO Quarterly Premium Tax Form [pdf]
• PLHSO Annual Premium Tax Form [pdf]
• PLHSO Quarterly Premium Tax Form [pdf]
• Fraternal Benefit Society Form (due March 1) [pdf]
• Limited Capital Reinsurer Form (due April 1) [pdf]
• Limited Capital Reinsurer Form (due September 1) [pdf]
• Industrial Insured Statement of Premiums and Tax Payment
• Procedures for Filing Surplus Lines Electronic Affidavits (e-mail questions or request a spreadsheet )
• (Business written on or After June 11, 2011) Affidavit for Placing Surplus Lines Insurance and Procedures for Filing Surplus Lines Affidavits
• (Business written on or before June 10, 2011) Affidavit for Placing Surplus Lines Insurance and Procedures for Filing Surplus Lines Affidavits
• Surplus Lines Statement of Premiums and Tax Payment and Procedures for Paying Surplus Lines Taxes
• Purchasing Group Premium Tax Form [pdf]
• Captive Annual Premium Tax Form [pdf]
• Risk Retention Group Premium Tax Form [pdf]
• County Mutual Annual Premium Tax Form [pdf]
• County Mutual Quarterly Premium Tax Form [pdf]
• Accredited Reinsurer Retalitory Calculation Form
• Accredited Reinsurer/Surplus Lines Retalitory Calculation Form
• Trusted Reinsurers Not Licensed in TN
• Group Self-Insured Pool Premium Tax Forms
  • Group Self Insured Workers' Compensation Investment Schedule
  • Group Self Insured Premium Tax Return
  • Group Self Insured Cover Letter

Unless otherwise indicated, files are Adobe Reader® Files [pdf], 6.0 or higher. You may need to DOWNLOAD a free copy of Adobe Reader® be able to view these files.