California Form 570 Draft - Nonadmitted Insurance Tax Return - 2012 Page 4

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Instructions for Form 570
Nonadmitted Insurance Tax Return
References in these instructions are to the California Revenue and Taxation Code (R&TC) and the California Insurance Code.
What’s New
• Multistate risk – means a risk covered by a
• Gross premiums on businesses governed by
nonadmitted insurer with insured exposures in
provisions of Insurance Code Section 1760.5
Assembly Bill (AB) 315, effective July 21, 2011,
more than one state.
(reinsurance of the liability of an admitted
conforms California law to the Nonadmitted
insurer and marine, aircraft, and interstate
The total gross premium paid or to be paid for
and Reinsurance Reform Act (NRRA) that is
railroad insurance).
all nonadmitted insurance placed in a single
part of the Dodd-Frank Wall Street Reform and
• Insurance coverage for which a tax on the
transaction with one underwriter or group of
Consumer Protection Act of 2010, enacted last
gross premium is due or has been paid by risk
underwriters, whether in one or more policies,
year by the federal government and authorizes the
retention groups pursuant to Insurance Code
in that calendar quarter during which the taxable
collection of tax on 100 percent of the premiums
Section 132.
insurance contract or contracts took effect or
of California home state insured policies. Thus,
were renewed, is now the entire gross premium
Agents or brokers with a valid power of attorney
if a person is determined to be a California home
charged on all nonadmitted insurance for the
to file a return on behalf of the insured must enter
state insured, then all premiums related to all
California home state insured.
the requested information in the space below
insurance policies obtained from a nonadmitted
line 15.
insurer are subject to tax, whether or not the
General Information
insurance coverage is associated with California.
C Tax Rate
The NRRA only allows one state to tax a home
A user of this form may have to file up to four
state insured, so proration of premiums among
The tax rate is three percent (.03). This rate is
Form 570 tax returns in one year if the user
the states for taxation no longer occurs.
applied to the gross premium paid or to be paid,
purchases nonadmitted insurance contracts in
less premiums returned because of cancellation
Go to ftb.ca.gov and search for nonadmitted
each of the quarters.
or reduction of premium on which a tax has been
insurance tax for information about:
Round Cents to Dollars – Round cents to the
paid. Do not include a stamping fee.
• California Revenue and Taxation Code
nearest whole dollar. For example, round $50.50
• California Insurance Code
up to $51 or round $25.49 down to $25. If you
D When and Where to File
• AB 315
do not round, the Franchise Tax Board (FTB) will
• Tax forms and publications
disregard the cents.
File Form 570-A on or before the first day of the
third month following the close of any calendar
Go to ftb.ca.gov and search for subscription
Private Mail Box (PMB) – Include the PMB in
quarter during which a nonadmitted insurance
services to receive information by email.
the address field. Write “PMB” first, then the box
contract took effect or was renewed:
number. Example: 111 Main Street PMB 123.
Definitions:
Contract effective date
Return due date
Foreign Address – Enter the information in the
• Home state – the state where the insured
January - March
June 1
following order: City, Country, Province/Region,
maintains its principal place of business, or if
April - June
September 1
and Postal Code. Follow the country’s practice for
individual, the individual’s principal residence;
July - September
December 1
entering the postal code. Do not abbreviate the
if 100% of the insured risk is located in a
October-December
March 1
country’s name.
state outside the insured’s principal place
Mail Form 570-A and payment to:
of business or principal residence, then it is
Electronic Funds Transfer (EFT) – To submit
where the greatest percent of the insured’s
your nonadmitted insurance tax payment using
FRANCHISE TAX BOARD
taxable premium for that insurance contract is
Electronic Funds Transfer (EFT), please use the
PO BOX 942867
allocated.
following tax type code, EFT code 02020. You
SACRAMENTO CA 94267-065
• Principal place of business – the state
must use the correct EFT code to ensure proper
where the insured maintains its headquarters
E Amended Returns
credit to your FTB account.
and where the insured’s high-level officers
Use Form 570 to file an amended return. File an
direct, control, and coordinate the business
A Purpose
amended return to correct an error on the original
activities; or if the insured’s high-level officers
Use Form 570-A, Nonadmitted Insurance Tax
return or to claim a refund.
direct, control, and coordinate the business
Return, to determine the tax on premiums paid or
activities in more than one state, the state in
Check the “Amended” box at the top of the form.
to be paid to nonadmitted insurers on contracts
which the greatest percentage of the insured’s
Attach a copy of the original return behind the
covering risks. Also, use Form 570-A to file
taxable premium for that insurance contract
amended return and write “copy” in red across
an amended return. See Section E, Amended
is allocated; or if the insured maintains its
the face of the original return. When completing
Returns, for more information.
headquarters or the insured’s high-level
line 1 through line 15 of the amended return, use
officers direct, control, and coordinate the
the amounts that should have been reported on
B Who Must Pay Nonadmitted
business activities outside the U.S., the
the original return.
state to which the greatest percentage of the
Insurance Tax
Amended returns must be filed within four years
insured’s taxable premium for that insurance
of the original due date or within one year from
The tax is imposed on a home state insured who
contract is allocated.
the date of the overpayment, whichever period
independently purchases or renews an insurance
• Principal residence – the state where the
expires later.
contract during the calendar quarter from an
insured resides for the greatest number of
Attach copies of all contracts for changes to
insurer, including wholly-owned subsidiaries,
days during a calendar year; or if the insured’s
correct an error on the original return or to claim
not authorized to transact insurance business in
principal residence is located outside the U.S.,
California.
a refund.
the state to which the greatest percentage
of the insured’s taxable premium for that
Do not file an amended return to claim returned
If you do not know if the insurer is authorized
insurance contract is allocated.
premiums. See the Specific Line Instructions for
to conduct business in California, call the FTB
• Home state insured – or “home state insured
Nonadmitted Insurance Desk at 916.845.4098.
line 5.
applicant” – a person whose home state is
The tax will not be imposed on any of the following:
F Third Party Designee
California and who has received a certificate
• Insurance coverage for which a tax on the
or evidence of coverage as set forth in Section
If the entity wants to allow the FTB to discuss its
gross premium is due or has been paid by
1764 of the Insurance Code or a policy as
surplus line brokers pursuant to Insurance
2012 return with the paid preparer who signed
issued by an eligible surplus line insurer, or a
it, check the “Yes” box in the signature area of
Code Section 1775.5 (surplus lines tax).
person who is an applicant.
the return. This authorization applies only to the
Form 570 Instructions 2011 Page 

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