For the Year Ended December 31, 2021
Please select your company type from the following list. Within each company type will be the appropriate forms, a premium tax filing FAQ with information regarding the filing process, and the annual filing checklist. Each form is a separate file and must be downloaded separately. If you do not find your line of insurance, please contact the Department at DOI.PremiumTax@nebraska.gov.
Property and Casualty Insurer
Producer Controlled Annual Report (Nebraska domiciled companies only)
Health Maintenance Organization OR Life and Health Insurer
Title Insurers, Risk Retention Groups