The forms listed below are financial filing statements for: Life, Accident and Health Insurers/Fraternal Benefit Societies/United States Branches of Non-US 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.
- FIS 0063
Valuation of Section 411 Trusteed Assets Under Section 901 - Life and A&H
- FIS 0079
Fraternal Benefit Society Qualifying Assets Under Section 901
- FIS 0081
Life, Accident and Health 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.