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 DIFS at 517-284-8762 or toll free at 877-999-6442.
Auto Theft Prevention Authority Annual Assessment
- Assessable Premium Calculation for the Michigan Assigned Claims Plan
Please note that the Assigned Claims Plan will now be managed by the Michigan Automobile Insurance Placement Facility. If you do not have snowmobile and/or motorcycle premiums to report do not submit this or any form to the Michigan Assigned Claims Plan. http://www.michacp.org/assessment.aspx
- Assessable Premium Calculation For Michigan Basic Property
Also available on www.mbpia.com by clicking the Member Companies button
- FIS 0063
Valuation of Section 411 Trusteed Assets Under Section 901 - Life and A&H
- FIS 0075
MCCA Annual Assessment Determination
- FIS 0076
Property & Casualty Insurers Qualifying Assets Under Section 901
- FIS 0082
Non-Insurance Entity Qualifying Assets Under Section 901(1)
- FIS 0318
Complaint and Grievance Summary for Health Carriers FIS 319 was merged into FIS 0318.
- FIS 0322
Michigan Health Insurance Enrollment, Premiums and Losses
NOTE: DIFS no longer accepts paper copies of FIS 0322. Companies must submit via DIFS Online Services portal.