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Property and Casualty Insurers

Forms for Filing Financial Statements 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.

Forms for Filing Financial Statements

GRANTS-055

Auto Theft Prevention Authority Annual Assessment

Assessable Premium Calculation for the Michigan Assigned Claims Plan

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

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.