Premium Tax Forms

For the Year Ended December 31, 2016

ALL FORMS HAVE BEEN UPDATED. PLEASE REVIEW THE NEW FORMS CAREFULLY.

This site contains the majority of the Premium Tax forms that are required to be filed with the Department. However, certain company types were not included as options for download. A complete packet will be mailed the first week of January 2017 to those company types that do not fall under Property & Casualty, Life & Health, HMO, or Title types. If you do not find the Premium Tax packet for your company and you do not receive a tax packet from the Department by January 15, 2017, please contact Martha Hettenbaugh either by e-mail at Martha.Hettenbaugh@nebraska.gov or calling 402-471-2201.

If you need to look up your SBS Company I.D. Number, click here. This number will be identified as Company #.

IF FILING ELECTRONICALLY, YOU MUST USE THE FORMS ON THE OPTINS WEBSITE

Please choose your company's line of insurance from the following list. Each form is a separate file and must be downloaded separately. If you do not find your line of insurance, please contact Martha Hettenbaugh at 402-471-2201.

Domestic Intergovernmental Risk Management Pools