Fillable Form Ig263 - Joint Self-Insurance Tax Return

2012 Form IG263 Instructions

For insurance tax laws, see Minnesota Statutes, Chapter 297I.01 – 297I.95 at

Who Must File?

Payments

unpaid tax for any part of the first 30 days

the payment is late, and 5 percent for each

File Form IG263 for the following joint self-

Electronic Payments

additional 30-day period, up to a maximum

insurance plans:

If your total insurance taxes and surcharges

of 15 percent.

• any property and/or casualty or automo-

for the last 12-month period ending June 30

Late Filing. Add a late filing penalty to

bile liability (M.S. Chapter 60F),

is $10,000 or more, you are required to pay

the late payment penalty if your return is

• certain employer health coverage ar-

your tax electronically.

not filed by the due date. The penalty is 5

rangements (M.S. Chapter 62H).

You must also pay electronically if you’re

percent of the unpaid tax. When added to

For plans operating under Chapter 60F,

required to pay any Minnesota business tax

the late payment penalty, the maximum

the tax is equal to 2 percent of the total

electronically, such as sales or withholding

combined penalty is 20 percent.

amount of claims paid during the fund

tax.

Payment Method. If you are required to

year, with no deductions for claims wholly

To pay over the Internet, go to the depart-

pay electronically and do not, an additional

or partially reimbursed through stop-loss

ment’s website at

5 percent penalty applies to payments not

insurance.

and login to e-Services. If you don’t have

made electronically, even if a paper check is

For plans operating under Chapter 62H,

Internet access, call 1-800-570-3329 to

sent on time.

the tax is equal to 2 percent of the total

pay by phone. You’ll need your user name,

amount of claims paid during the fund’s

Line 5 — Interest

password and bank routing and account

fiscal year, with no deductions for claims

numbers. When paying electronically, you

You must pay interest on the unpaid tax

wholly or partially reimbursed through

must use an account not associated with any

plus penalty from the due date until the

stop-loss insurance.

foreign banks.

total is paid. The interest rate for calendar

year 2013 is 3 percent. The interest rate may

Before You File

If you use other electronic payment

change for future years.

methods, such as ACH credit method or

You Need a Minnesota Tax ID

Fed Wire, instructions are available on our

To figure how much interest you owe, use

Your Minnesota tax ID is the seven-digit

website or by calling Business Registration

the following formula with the appropriate

number you’re assigned when you register

Office at 651-282-5225 or 1-800-657-3605.

interest rate:

with the Department of Revenue. You must

Interest = (tax + penalty) × # of days late ×

include your Minnesota tax ID on your

Check Payment (Form PV59)

interest rate ÷ 365

return so that your filing and any payments

If you are not required to pay electroni-

you make are properly credited to your

cally and choose to pay by check, complete

Business Information

account.

a PV59 payment voucher and mail it with

Changes

your check. Write your Minnesota tax ID

If you don’t have a Minnesota tax ID, apply

Be sure to let us know within 30 days if you

number on your check.

online at or call

change mailing addresses, phone numbers,

651-282-5225 or 1-800-657-3605.

When you pay by check, your check autho-

or any other business information. To do

rizes us to make a one-time electronic fund

It is also important to enter your federal ID

so, go to our website and click “Update

transfer from your account, and you may

number, but not in place of your Minnesota

business info” from the e-Services menu. By

not receive your canceled check.

tax ID number.

notifying us, we will be able to let you know

of any changes in Minnesota tax laws and

Line Instructions

Due Date

filing requirements.

File Form IG263 and pay any tax due by

Check Boxes

March 1 of each year.

Information and Assistance

At the top of the form, check if the return is:

• an Amended Return: Check only if you

Website:

The U.S. postmark date, or date recorded or

are amending a previously filed return

marked by a designated delivery service, is

Email: insurance.taxes@state.mn.us

for the same period. Include all original

considered the filing date (private postage

Phone: 651-556-3024 (TTY: Call 711 for

and corrected premiums on the amended

meter marks are not valid). When the due

Minnesota Relay)

return.

date falls on a Saturday, Sunday or legal

We’ll provide information in other formats

• for No Activity: Check only if you did not

holiday, returns and payments electroni-

upon request to persons with disabilities.

have any tax activity during the period.

cally made or postmarked the next business

day are considered timely. When a return

For questions about licensing and regula-

Also check the appropriate box on the front

or payment is late, the date it is received at

tions, contact the Minnesota Department of

of the form to indicate your type of entity.

the Department of Revenue is treated as the

Commerce:

date filed or paid.

Line 4 — Penalty

Website:

Late Payment. If you don’t pay the entire

Extension for Filing Return. If good cause

Email:

companylic.commerce@state.mn.us

tax by the due date, a late payment pen-

exists, you may request a filing extension.

Phone: 651-296-6319 or 1-800-657-3602

alty is due. The penalty is 5 percent of the

(

: Call Minnesota Relay at 711)

TTY

Form Ig263 - Joint Self-Insurance Tax Return - 2012 Page 2

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