Annual Filing & Premium Tax Forms Accredited Reinsurer Annual Renewal Instruction Letter Certificate of Assuming Insurer (AR-1): Form 08-238 Assuming Alien Insurer (Trust Reinsurer) A reinsurer that meets the requirements of AS 21.12.020(a)(4) and wants to be recognized as an assuming alien insurer in Alaska should submit the following items by March 1 of each year: 1. Statements showing the balance of the trust and listing the trust's investments at the end of the preceding year 2. Certification of the date of termination of the trust, if so planned, or certification that the trust does not expire before the following December 31 3. Financial Statement substantially the same as the NAIC format 4. Certificate of Assuming Insurer (AR-1): Form 08-238 The filings required annually should be sent to: Financial Examination Section Alaska Division of Insurance 550 West 7th Avenue, Suite 1560 Anchorage, AK 99501-3567 Attorney-in-Fact Annual Renewal Instruction Letter Submit Form 08-210AIF postmarked on or before March 1 of each year with the annual continuation fee of $200 (resident) or $500 (nonresident) to: Rebecca Nesheim, Tax Auditor Alaska Division of Insurance P. O. Box 110805 Juneau, AK 99811-0805 Please make checks payable to: Alaska Division of Insurance If you would like to pay by credit card and file by email, contact rebecca.nesheim@alaska.gov. Automobile Service Corporation Annual Renewal of Certificate of Authority Annual Filings Checklist Certified Reinsurer Form CR-F: For Property/Casualty Reinsurers Form CR-S: For Life and Health Reinsurers Fraternal Benefit Society Annual Renewal of Certificate of Authority Annual Filings Checklist Health Insurer Annual Renewal of Certificate of Authority Domestic Foreign Annual Filings Checklist Health Survey Instructions Health Maintenance Organization Annual Renewal of Certificate of Authority Domestic Foreign Annual Filings Checklist Hospital and Medical Service Corporation Annual Renewal of Certificate of Authority Annual Filings Checklist Joint Title Plant Submit Form 08-210JTP postmarked on or before June 30 of each year with the annual continuation fee of $600 to: Rebecca Nesheim, Tax Auditor Alaska Division of Insurance P. O. Box 110805 Juneau, AK 99811-0805 Please make checks payable to: Alaska Division of Insurance If you would like to pay by credit card and file by email, contact rebecca.nesheim@alaska.gov. Life/Health Insurer Annual Renewal of Certificate of Authority Annual Filings Checklist Minimum Asset Reserve Report - Alaska Domestic Insurer Multiple Employer Welfare Organization (MEWA) Annual Statement Quarterly Statement Annual Renewal of Certificate of Authority Annual Filings Checklist Property/Casualty Insurer Annual Renewal of Certificate of Authority Domestic Foreign Annual Filings Checklist Minimum Asset Reserve Report - Alaska Domestic Insurer Purchasing Group Submit Form 08-1246 postmarked on or before January 31 of each year with the annual continuation fee of $200 to, or you may submit online through OPTins: Sonnet Reddoor Alaska Division of Insurance P. O. Box 110805 Juneau, AK 99811-0805 sonnet.reddoor@alaska.gov Please make checks payable to Alaska Division of Insurance. If you would like to pay by credit card, contact Jeff Bethel. Risk Retention Group Annual Renewal of Registration and Instructions Annual Renewal Form Submit Form 08-204 postmarked on or before December 31 of each year with the annual service of process continuation fee of $200 or may be filed OPTins to: Rebecca Nesheim Alaska Division of Insurance P. O. Box 110805 Juneau, AK 99811-0805 Please make checks payable to: Alaska Division of Insurance. If you would like to pay by credit card and file by email, contact rebecca.nesheim@alaska.gov. Annual Premium Tax Forms and Instructions pdf excel Reciprocal Insurer Annual Renewal of Certificate of Authority Domestic Foreign Annual Filings Checklist Minimum Asset Reserve Report - Alaska Domestic Insurer Reciprocal Jurisdiction Reinsurer A reinsurer that meets the requirements of AS 21.12.020 and 3 AAC 21.659 and wants to be recognized as a reciprocal jurisdiction reinsurer in Alaska should submit the following items by December 31 of each year: The completed Uniform Checklist for Reciprocal Jurisdictional Reinsurers available at www.naic.org under Listing of Certified and Reciprocal Jurisdiction Reinsurers. The completed Form RJ-1 Certificate of Reinsurer Domiciled in Reciprocal Jurisdiction available at www.naic.org under Listing of Certified and Reciprocal Jurisdiction Reinsurers. Lead State Approval/Authorization Letter. The filings required annually should be sent to: Financial Examination Section Alaska Division of Insurance 550 West 7th Avenue, Suite 1560 Anchorage, AK 99501-3567 Or via email: Sonnet Reddoor 907-269-7537 Surplus Lines Insurer Submit the material required in the Eligibility Continuation Letter postmarked on or before June 30 of each year to: Jeffery Bethel Alaska Division of Insurance 550 West 7th Avenue, Suite 1560 Anchorage, Alaska 99501-3567 Eligibility Continuation Letter Title Insurer Annual Renewal of Certificate of Authority Annual Filings Checklist Unauthorized Insurer's Tax Form Alaska’s preferred method of receiving the form and payment is through OPTins. If by paper, the Tax Report Form 08-1240 is to be postmarked on or before March 1 of each year with the tax payment. If you would like to pay by credit card and file by email, contact rebecca.nesheim@alaska.gov. Otherwise, make check payable to the Alaska Division of Insurance. Questions Contact Rebecca Nesheim (907) 465-2584.