Insurance Premiums Tax Forms and Instructions

2019

2019

Form Tax Year Description Electronic Options
IB -14 2019 Installment Payment - Life, Accident, Health and Title Companies Pay by EFT
IB- 34 2019 Installment Payment - Property and Casualty Companies Pay by EFT
IB -44 2019 Installment Payment - Self-Insured Workers' Compensation Corporation Pay by EFT
IB- 54 2019 Installment Payment - Self-Insured Workers' Compensation Group, Health Maintenance Organization, Hospital or Dental Service Corporation Pay by EFT

 

2018

2018

 

Form Tax Year Description Electronic Options
IB-13 2018 Gross Premiums Tax Return - Life, Accident, Health and Title Companies Pay by EFT
IB-33 2018 Gross Premiums Tax Return - Property and Casualty Companies Pay by EFT
IB-43 2018 Gross Premiums Tax Return - Self-Insured Workers' Compensation Corporation - rates table instructions Pay by EFT
IB-53 2018 Gross Premiums Tax Return - Self-Insured Workers' Compensation Group, Health Maintenance Organization, Hospital or Dental Service Corporation Pay by EFT
IB-83 2018 Gross Premiums Tax Return - Risk Purchasing Group Pay by EFT
IB-4A1 2018 Gross Premiums Tax Return - All Captive Insurance Companies except Protected Cell Captive Insurance Companies and Consolidated Groups - instructions Pay by EFT
IB-4A2 2018 Gross Premiums Tax Return - Protected Cell Captive Insurance Companies - instructions Pay by EFT
IB-4A3 2018 Gross Premiums Tax Return - Captive Insurance Companies Filing as a Consolidated Group - instructions Pay by EFT

 

 

2017

2017

Form Tax Year Description Electronic Options
IB-13 2017 Gross Premiums Tax Return - Life, Accident, Health and Title Companies Pay by EFT
IB-33 2017 Gross Premiums Tax Return - Property and Casualty Companies Pay by EFT
IB-43 2017 Gross Premiums Tax Return - Self-Insured Workers' Compensation Corporation - rates tableinstructions Pay by EFT
IB-53 2017 Gross Premiums Tax Return - Self-Insured Workers' Compensation Group, Health Maintenance Organization, Hospital or Dental Service Corporation Pay by EFT
IB-83 2017 Gross Premiums Tax Return - Risk Purchasing Group Pay by EFT
IB-4A1 2017 Gross Premiums Tax Return - All Captive Insurance Companies except Protected Cell Captive Insurance Companies and Consolidated Groups - instructions Pay by EFT
IB-4A2 2017 Gross Premiums Tax Return - Protected Cell Captive Insurance Companies - instructions Pay by EFT
IB-4A3 2017 Gross Premiums Tax Return - Captive Insurance Companies Filing as a Consolidated Group - instructions Pay by EFT

 

2016

2016

Form Tax Year Description Electronic Options
IB-13 2016 Gross Premiums Tax Return - Life, Accident, Health and Title Companies Pay by EFT
IB-33 2016 Gross Premiums Tax Return - Property and Casualty Companies Pay by EFT
IB-43 2016 Gross Premiums Tax Return - Self-Insured Workers' Compensation Corporation - rates tableinstructions Pay by EFT
IB-53 2016 Gross Premiums Tax Return - Self-Insured Workers' Compensation Group, Health Maintenance Organization, Hospital or Dental Service Corporation Pay by EFT
IB-83 2016 Gross Premiums Tax Return - Risk Purchasing Group Pay by EFT
IB-4A1 2016 Gross Premiums Tax Return - All Captive Insurance Companies except Protected Cell Captive Insurance Companies and Consolidated Groups - instructions Pay by EFT
IB-4A2 2016 Gross Premiums Tax Return - Protected Cell Captive Insurance Companies - instructions Pay by EFT
IB-4A3 2016 Gross Premiums Tax Return - Captive Insurance Companies Filing as a Consolidated Group - instructions Pay by EFT

 

Traditional Web Form Instructions

  • You must print this form and complete it by hand.

  • Do not mix pges from traditional web forms with pages from other types of forms such as software generated forms, preprinted forms or forms from booklets.

  • Do not use red ink (use black or blue).

  • Do not submit photocopies of returns. Submit original returns only.

  • Do not select "no graphics" options on your printer.

  • Set Page Scaling to "none". The Auto-Rotate and Center checkbox should be unchecked.

2015

2015

Form Tax Year Description Electronic Options
IB-13 2015 Gross Premiums Tax Return - Life, Accident, Health and Title Companies Pay by EFT
IB-33 2015 Gross Premiums Tax Return - Property and Casualty Companies Pay by EFT
IB-43 2015 Gross Premiums Tax Return - Self-Insured Workers' Compensation Corporation - rates tableinstructions Pay by EFT
IB-53 2015 Gross Premiums Tax Return - Self-Insured Workers' Compensation Group, Health Maintenance Organization, Hospital or Dental Service Corporation Pay by EFT
IB-83 2015 Gross Premiums Tax Return - Risk Purchasing Group Pay by EFT
IB-4A1 2015 Gross Premiums Tax Return - All Captive Insurance Companies except Protected Cell Captive Insurance Companies and Consolidated Groups - instructions Pay by EFT
IB-4A2 2015 Gross Premiums Tax Return - Protected Cell Captive Insurance Companies - instructions Pay by EFT
IB-4A3 2015 Gross Premiums Tax Return - Captive Insurance Companies Filing as a Consolidated Group - instructions Pay by EFT

Traditional Web Form Instructions

  • You must print this form and complete it by hand.

  • Do not mix pges from traditional web forms with pages from other types of forms such as software generated forms, preprinted forms or forms from booklets.

  • Do not use red ink (use black or blue).

  • Do not submit photocopies of returns. Submit original returns only.

  • Do not select "no graphics" options on your printer.

  • Set Page Scaling to "none". The Auto-Rotate and Center checkbox should be unchecked.

 

2014

2014

Form Tax Year Description Electronic Options
IB-13 2014 Gross Premiums Tax Return - Life, Accident, Health and Title Companies Pay by EFT
IB-33 2014 Gross Premiums Tax Return - Property and Casualty Companies Pay by EFT
IB-43 2014 Gross Premiums Tax Return - Self-Insured Workers' Compensation Corporation - rate tables - instructions Pay by EFT
IB-53 2014 Gross Premiums Tax Return - Self-Insured Workers' Compensation Group, Health Maintenance Organization, Hospital or Dental Service Corporation Pay by EFT
IB-83 2014 Gross Premiums Tax Return - Risk Purchasing Group Pay by EFT
IB-4A1 2014 Gross Premiums Tax Return - All Captive Insurance Companies except Protected Cell Captive Insurance Companies and Consolidated Groups  Pay by EFT
IB-4A2 2014 Gross Premiums Tax Return - Protected Cell Captive Insurance Companies Pay by EFT
IB-4A3 2014 Gross Premiums Tax Return - Captive Insurance Companies Filing as a Consolidated Group Pay by EFT

Traditional Web Form Instructions

  • You must print this form and complete it by hand.

  • Do not mix pges from traditional web forms with pages from other types of forms such as software generated forms, preprinted forms or forms from booklets.

  • Do not use red ink (use black or blue).

  • Do not submit photocopies of returns. Submit original returns only.

  • Do not select "no graphics" options on your printer.

  • Set Page Scaling to "none". The Auto-Rotate and Center checkbox should be unchecked.

2013

2013

Form Tax Year Description Electronic Options
IB-13 2013 Gross Premiums Tax Return - Life, Accident, Health and Title Companies Pay by EFT
IB-33 2013 Gross Premiums Tax Return - Property and Casualty Companies Pay by EFT
IB-43 2013 Gross Premiums Tax Return - Self-Insured Workers' Compensation Corporation - rates table - instructions Pay by EFT
IB-53 2013 Gross Premiums Tax Return - Self-Insured Workers' Compensation Group, Health Maintenance Organization, Hospital or Dental Service Corporation Pay by EFT
IB-83 2013 Gross Premiums Tax Return - Risk Purchasing Group Pay by EFT
IB-4A1 2013 Gross Premiums Tax Return - All Captive Insurance Companies except Protected Cell Captive Insurance Companies and Consolidated Groups  Pay by EFT
IB-4A2 2013 Gross Premiums Tax Return - Protected Cell Captive Insurance Companies Pay by EFT

 

Traditional Web Form Instructions

  • You must print this form and complete it by hand.

  • Do not mix pges from traditional web forms with pages from other types of forms such as software generated forms, preprinted forms or forms from booklets.

  • Do not use red ink (use black or blue).

  • Do not submit photocopies of returns. Submit original returns only.

  • Do not select "no graphics" options on your printer.

  • Set Page Scaling to "none". The Auto-Rotate and Center checkbox should be unchecked.

2012

2012

Form Tax Year Description Electronic Options
IB-13 2012 Gross Premiums Tax Return - Life, Accident, Health and Title Companies Pay by EFT
IB-33 2012 Gross Premiums Tax Return - Property and Casualty Companies Pay by EFT
IB-43 2012 Gross Premiums Tax Return - Self-Insured Workers' Compensation Corporation - rates table - instructions Pay by EFT
IB-53 2012 Gross Premiums Tax Return - Self-Insured Workers' Compensation Group, Health Maintenance Organization, Hospital or Dental Service Corporation Pay by EFT
IB-83 2012 Gross Premiums Tax Return - Risk Purchasing Group Pay by EFT

 

Traditional Web Form Instructions

  • You must print this form and complete it by hand.
  • Do not mix pages from traditional web forms with pages from other types of forms such as software generated forms, preprinted forms or forms from booklets.
  • Do not use red ink (use black or blue).
  • Do not submit photocopies of returns. Submit original returns only.
  • Do not select "no graphics" options on your printer.
2011

2011

Form Tax Year Description Electronic Options
IB-13 2011 Gross Premiums Tax Return - Life, Accident, Health and Title Companies Pay by EFT
IB-33 2011 Gross Premiums Tax Return - Property and Casualty Companies Pay by EFT
IB-43 2011 Gross Premiums Tax Return - Self-Insured Workers' Compensation Corporation - rates table - instructions Pay by EFT
IB-53 2011 Gross Premiums Tax Return - Self-Insured Workers' Compensation Group, Health Maintenance Organization, Hospital or Dental Service Corporation Pay by EFT
IB-83 2011 Gross Premiums Tax Return - Risk Purchasing Group Pay by EFT

 

Traditional Web Form Instructions

  • You must print this form and complete it by hand.
  • Do not mix pages from traditional web forms with pages from other types of forms such as software generated forms, preprinted forms or forms from booklets.
  • Do not use red ink (use black or blue).
  • Do not submit photocopies of returns. Submit original returns only.
  • Do not select "no graphics" options on your printer.
2010

2010

Form Tax Year Description Electronic Options
IB-13 2010 Gross Premiums Tax Return - Life, Accident, Health and Title Companies Pay by EFT
IB-33 2010 Gross Premiums Tax Return - Property and Casualty Companies Pay by EFT
IB-43 2010 Gross Premiums Tax Return - Self-Insured Workers' Compensation Corporation - rates table - instructions Pay by EFT
IB-53 2010 Gross Premiums Tax Return - Self-Insured Workers' Compensation Group, Health Maintenance Organization, Hospital or Dental Service Corporation Pay by EFT
IB-83 2010 Gross Premiums Tax Return - Risk Purchasing Group Pay by EFT

 

Traditional Web Form Instructions

  • You must print this form and complete it by hand.
  • Do not mix pages from traditional web forms with pages from other types of forms such as software generated forms, preprinted forms or forms from booklets.
  • Do not use red ink (use black or blue).
  • Do not submit photocopies of returns. Submit original returns only.
  • Do not select "no graphics" options on your printer.

 

2009

2009

Form Tax Year Description Electronic Options
IB-13 2009 Gross Premiums Tax Return - Life, Accident, and Health Companies Pay by EFT
IB-23 2009 Gross Premiums Tax Return - Title Companies Pay by EFT
IB-33 2009 Gross Premiums Tax Return - Property and Casualty Companies Pay by EFT
IB-53 2009 Gross Premiums Tax Return - Self-Insured Workers' Compensation Group Pay by EFT
IB-63 2009 Gross Premiums Tax Return - Health Maintenance Organization Pay by EFT
IB-73 2009 Gross Premiums Tax Return - Hospital or Dental Service Corporation Pay by EFT
IB-83 2009 Gross Premiums Tax Return - Risk Purchasing Group Pay by EFT

 

Traditional Web Form Instructions

  • You must print this form and complete it by hand.
  • Do not mix pages from traditional web forms with pages from other types of forms such as software generated forms, preprinted forms or forms from booklets.
  • Do not use red ink (use black or blue).
  • Do not submit photocopies of returns. Submit original returns only.
  • Do not select "no graphics" options on your printer.
2008

2008

Form Tax Year Description Electronic Options
IB-13 2008 Gross Premiums Tax Return - Life, Accident, Health and Title Companies Pay by EFT
IB-23 2008 Gross Premiums Tax Return - Title Companies Pay by EFT
IB-33 2008 Gross Premiums Tax Return - Property and Casualty Companies Pay by EFT
IB-53 2008 Gross Premiums Tax Return - Self-Insured Workers' Compensation Group Pay by EFT
IB-63 2008 Gross Premiums Tax Return - Health Maintenance Organization  Pay by EFT
IB-73 2008 Gross Premiums Tax Return - Hospital or Dental Service Corporation Pay by EFT
IB-83 2008 Gross Premiums Tax Return - Risk Purchasing Group Pay by EFT

 

Traditional Web Form Instructions

  • You must print this form and complete it by hand.
  • Do not mix pages from traditional web forms with pages from other types of forms such as software generated forms, preprinted forms or forms from booklets.
  • Do not use red ink (use black or blue).
  • Do not submit photocopies of returns. Submit original returns only.
  • Do not select "no graphics" options on your printer.

 

2007

2007

Form Tax Year Description Electronic Options
IB-13 2007 Gross Premiums Tax Return - Life, Accident, and Health Companies Pay by EFT
IB-23 2007 Gross Premiums Tax Return - Title Companies Pay by EFT
IB-33 2007 Gross Premiums Tax Return - Property and Casualty Companies Pay by EFT
IB-53 2007 Gross Premiums Tax Return - Self-Insured Workers' Compensation Group Pay by EFT
IB-63 2007 Gross Premiums Tax Return - Health Maintenance Organization Pay by EFT
IB-73 2007 Gross Premiums Tax Return - Hospital or Dental Service Corporation Pay by EFT
IB-83 2007 Gross Premiums Tax Return - Risk Purchasing Group Pay by EFT

 

Traditional Web Form Instructions

  • You must print this form and complete it by hand.
  • Do not mix pages from traditional web forms with pages from other types of forms such as software generated forms, preprinted forms or forms from booklets.
  • Do not use red ink (use black or blue).
  • Do not submit photocopies of returns. Submit original returns only.
  • Do not select "no graphics" options on your printer.

 

2006

2006

Form Tax Year Description Electronic Options
IB-53 2006 Gross Premiums Tax Return - Self-Insured Workers' Compensation Group Pay by EFT
IB-63 2006 Gross Premiums Tax Return - Health Maintenance Organization Pay by EFT
IB-73 2006 Gross Premiums Tax Return - Hospital or Dental Service Organization Pay by EFT
IB-83 2006 Gross Premiums Tax Return - Risk Purchasing Group Pay by EFT

 

Traditional Web Form Instructions

  • You must print this form and complete it by hand.
  • Do not mix pages from traditional web forms with pages from other types of forms such as software generated forms, preprinted forms or forms from booklets.
  • Do not use red ink (use black or blue).
  • Do not submit photocopies of returns. Submit original returns only.
  • Do not select "no graphics" options on your printer.