LARA - Forms for Filing Financial Statements

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Forms for Filing Financial Statements Introduction
The forms listed below are financial filing statements for: Property and Casualty/Title Insurers/United States Branches of Non-Insurers

For questions about the annual statements, quarterly statements, and Michigan supplemental forms, contact OFIR at (517) 241-4490 or toll free at (877) 999-6442.

Authorized Reinsurers

• Companies for which Reinsurance Credits are Allowed PDF icon

Forms for Filing Financial Statements

• EX-055 PDF icon
Auto Theft Prevention Authority Annual Assessment

• FIS 0065 PDF icon
Assessable Premium Calculation for Michigan Assigned Claims Facility

• FIS 0075 PDF icon
MCCA Annual Assessment Determination

• FIS 0076 PDF icon
Property & Casualty Insurers Qualifying Assets Under Section 901

• FIS 0082 PDF icon
Non-Insurance Entity Qualifying Assets Under Section 901(1)

• Assessable Premium Calculation For Michigan Basic Property PDF icon
Also available on www.mbpia.com by clicking the Member Companies button

• FIS 0118 PDF icon
Municipal/Liquor Liability Report of Premiums and Losses for Michigan

• FIS 0318 PDF icon
Complaint and Grievance Summary for Health Carriers FIS 319 was merged into FIS 0318.

• FIS 0322 PDF icon
Michigan Health Insurance Enrollment, Premiums and Losses


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