Form 25-100 - Texas Annual Insurance Premium Tax Report Page 2

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Form 25-100 (Back)(Rev.2-13/24)
Instructions for Completing the Texas Annual Insurance Premium Tax Report
(Licensed Insurance Companies and Miscellaneous Organizations)
Chapters 221, 222, 223 and 224, Texas Insurance Code (TIC), provide for
the collection of an annual premium tax on gross premiums from Jan. 1
through Dec. 31. All licensed insurance companies, including reinsurers
and HMOs, must file this report. Reinsurance Companies must file a zero
report if they do not have any direct written premiums during the taxable
The report and any additional
year on property or risk located in Texas.
payment are due on March 1 of each year for the preceding tax year
or on the due date of your Annual Statement filed with the Texas
Department of Insurance (TDI).
NOTE: When completing tax reports using National Association of Insurance Commissioners (NAIC) information, any reported information must
be complete and consistent with Texas tax statutes and rule requirements.
Specific Instructions
Electronic reporting and payment options
are available 24 hours a day, 7 days a week.
SECTION I: Life Insurance Premiums and Health Maintenance
Have this form available when you log on.
Organization (HMO) Revenues (TIC, Chapter 222)
Item 1 Gross life premiums or HMO revenues -
Enter the gross amount
of life insurance premiums, membership fees, assessments, dues
Item 17
title insurers are subject to the premium receipts tax; however,
and any other consideration received during the year for policies
(cont.)
the State of Texas facilitates the collection of the premium tax on
or contracts covering persons located in Texas; OR the gross
the premium retained by the agent by setting the division of the
amount of HMO revenues collected during the year for the
premium between insurer and agent so that the insurer receives
issuance of HMO certificates or contracts covering persons living
the premium tax due on the agent's portion of the premium and
in Texas. The primary HMO is responsible for the tax on revenues
remits it to the state.
when the HMO arranges for health care services directly or
Item 18 Non-taxable premiums -
indirectly through contracts and subcontracts with other providers
Enter the total non-taxable property
and physicians. Premiums and revenues received from the State
and casualty premiums from the Computation of Non-Taxable
Treasury for insurance coverage on Medicaid and the Children's
Premiums worksheet (Form 25-205), Item 14, Column D.
Health Insurance Program (CHIP) are subject to premium tax.
Item 20 Tax rate -
Property and Casualty insurers use 1.6% or 0.016.
Item 2
Non-taxable premiums -
Enter the total non-taxable life
Reciprocal and Interinsurance Exchange use 1.7% or 0.017,
premiums or the total non-taxable HMO revenues from the
unless the insurer has filed an election to be taxed as a property
appropriate column of the Computation of Non-Taxable Premiums
and casualty insurer as provided in Chapter 224, TIC.
worksheet (Form 25-205), Item 14, Column A or B.
Title insurers use 1.35% or .0135.
Item 6 & Item 9
If the tax due is less than zero, enter the negative number.
SECTION IV: Credits
SECTION II: Accident and Health Insurance Premiums (TIC, Chapter 222)
Item 23 Credits -
(TIC, Chapters 221, 222, 223, 401 and 803).
Item 11 Gross accident and health premiums -
Enter the gross amount
Effective Jan. 1, 2012, SB 1, 82nd Legislature, 1st Called
of accident and health insurance premiums, membership fees,
Session, Article 2,
suspends premium tax credits previously
assessments, dues and any other consideration received during
allowed for examination and overhead expenses paid directly to
the year for policies or contracts covering persons living in Texas.
the Department of Insurance (TDI) by licensed insurance
Item 12 Employee contributions for benefit plans -
Enter the total
companies under Insurance Code Sections 221.006, 222.007
premiums received from insurers' employees for accident and
and 223.009 for the 2012 and 2013 tax (calendar) years.
if not included in Item 11.
health
Without further action by the Legislature, the ability to report
Item 13 Non-taxable premiums -
Enter the total non-taxable accident and
premium tax credits for examination and overhead expenses will
health premiums from the Computation of Non-Taxable Premiums
be restored after the 2013 tax year.
worksheet (Form 25-205), Item 14, Column C.
Enter the total of the examination expenses paid to the TDI,
Item 16 Total tax due -
Life, Accident and Health insurance companies: If
another State of Texas agency authorized to conduct an
the total tax due is less than zero, enter the negative number.
examination, or expenses paid to a third party specifically
Property & Casualty insurance companies writing accident and
plus
required as part of a TDI examination
any overhead
health insurance: If the total tax due is less than zero, enter zero.
not
assessment paid to the TDI during the tax year. Credits will
be allowed for the following:
SECTION III: Property and Casualty Insurance Premiums (TIC, Chapter
examination expenses incurred by representatives of the TDI
221), Certified Self-Insurance Group Premiums (TLC, Sec. 407A.304)
that are directly attributable to an examination of the books,
and Title Insurance Premiums (TIC, Chapter 223)
records, accounts or principal offices of a domestic insurance
company located outside this state;
examination expenses or fees paid to a state other than this
state; or
examination expenses paid in a different tax year.
The credit is limited to the TOTAL PREMIUM TAX DUE on Item 22.
Item 24 Assessment and CAPCO credits (TIC, Chapters 228, 462,
463, 2203 and 2602) -
Enter credits up to the PREPRINTED
maximum available. CAPCO credits are included in the
The credit is limited to
preprinted maximum amount available.
the total premium tax due on Item 22.
Item 17 Gross property and/or casualty, certified self-insurance group
Item 28 Penalty and interest (Subtitle B, Title 2, Tax Code, 111.060
or title premiums -
property and
Enter the gross amount of
and 111.061)
casualt
certified self-insurance group
y insurance premiums,
1-30 days late: Enter penalty of 5% (.05) of Item 27.
premiums, membership fees, assessments, dues and any other
31-60 days late: Enter penalty of 10% (.10) of Item 27.
consideration written during the year for policies or contracts
Over 60 days late: Enter penalty of 10% (.10) of Item 27
covering property or risk located in Texas; OR enter the gross
plus
title
amount of
insurance premiums, membership fees, dues and
interest. Calculate interest at the rate published
any other consideration received during the year for policies or
online at , or call the Comptroller at
1-877-447-2834, for the applicable interest rate.
contracts covering property located in Texas. Both title agents and

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