Beginning January 1, 2018, all insurers must use the NAIC OPTins system (or a system interfaced with NAIC OPTins) to report and pay insurance premium taxes and installment payments 

  • The Department of Insurance no longer publishes an "Annual Taxes and Fees Data Sheet."
  • Download and read the E-TAX-I instructions before preparing forms.
  • Make sure to post amounts from other tax reporting documents (E-TC, etc.) to the appropriate locations on Form E-TAX.
  • If Form E-TAX calculates a refund due to you (on Line 9), file the tax report forms without including a payment. 
  • If Form E-TAX calculates an amount owed (on Line 9), only pay the Line 9 amount owed with your tax report forms. Do not pay any other amount
Form E-TAX-I: Annual Tax and Fees Report Instructions

If the insurer's Data Sheet instructs the insurer to complete Form E-TAX, please READ THESE INSTRUCTIONS before proceeding.

Recent Document Updates
DATE DESCRIPTION
Updated 01/26/24 Updated instructions uploaded
Form E-TAX: Annual Tax and Fees Report

You must use the NAIC OPTins (www.optins.org) system, or a system that is interfaced to provide reports and payments through the NAIC OPTins system, to file insurance premium tax reports and payments.  Reports and payments filed through the mail will be voided and returned, and will be considered not to have been filed.

Before proceeding with your OPTins tax/fee filing and payment:

  • Please read E-TAX-I instructions.
  • Resolve all errors in forms.  Do not submit a form if it contains cells highlighted with a yellow background or red error text.

Please only use the newest version of tax forms, which are continuously improved from tax preparer feedback and which are configured for use with OPTins.

DATE DESCRIPTION
Recent Document Updates
Updated 01/26/24 New version

 
Form E-SGHI: Accountable Health Plan Small-employer Group Health Insurance Plan Premium

An insurer may only report small-employer major medical premium as being tax exempt if

  • the insurer is an accountable health plan AND
  • the insurer issued (major medical) health benefit plans to small employers AND
  • the insurer notified the small employers of the reduction to the premium tax because of the tax exemption (ARS § 20-2304(J)) AND
  • the insurer complied with all other provisions of ARS §§ 20-2301 et seq.
DATE DESCRIPTION
Recent Document Updates
Updated 01/26/24 Updated version

 
Form E-TC: Tax Credits

Use this form for an insurer that earned in the current year, carried forward from a prior year or carried forward to a future year a tax credit or offset.

Recent Document Updates
DATE DESCRIPTION
Updated 01/26/24 Uploaded new version
Form E-LRTF: Local and Regional Taxes and Fees; Survey of Arizona Domestic Insurers

Updated 01/26/24

Arizona Administrative Code ("AAC") R20-6-205 requires all Arizona domestic insurers to file a complete and accurate response to this survey.

  • Complete all the questions on the INSTRUCTIONS page and furnish the information specified in the "WHAT NEEDS TO BE SUBMITTED" section. 
  • All insurers other than captive insurers must use the NAIC OPTins system (https://www.optins.org) to submit files.
  • A captive insurer has the option of submitting files on a CD-ROM containing the captive insurer's name and NAIC number, or uploading files into the NAIC OPTins system (https://www.optins.org).  The NAIC charges a small fee to file using the OPTins system, but filing by OPTins is easier and saves on postage and the hassle of saving files to a CD-ROM.
  • Files you save on a CD-ROM or upload into an OPTins filing must have filenames that conform to the instructions provided in the NAMING FILES section.

Data from the Survey are used to compute additions to the rates of tax that foreign and alien insurers must use when computing their retaliation obligations.  Therefore, it is absolutely critical that Arizona domestic insurers accurately complete the survey.  Insurers that fail to file timely, complete and accurate responses to the Survey may be subject to administrative action.

Beginning for Tax Year 2015, Arizona-domiciled insurers are not subject to tax/fee retaliation in Hawaii, Massachusetts, Minnesota, New York or Rhode Island, and insurers domiciled in those states are not subject to tax/fee retaliation in Arizona.  Therefore, we are no longer requested information about any of those states in the E-LRTF workbook.

Insurers with questions about the survey should contact the Insurance Tax Unit.
Form E-INSTALL: Tax Installment Report

Updated 01/26/24

Each insurer that has a tax liability during the prior calendar year of $50,000 or more must file an installment payment by the 15th of each month, March through August, of the current year equal to 15% of the prior calendar year tax liability.  ARS § 20-224(F). 

Including Form E-INSTALL with your OPTins filing is optional, but recommended if payment is past due in order to calculate late fees. 

Insurers MUST use the NAIC OPTins system to pay Arizona tax installments.  ARS § 20-224(K).
Insurance Fee Schedule Fees are nonrefundable upon payment.  ARS § 20-167(A)

INSURER (Domestic): Health Care Services Organization