Mississippi Annual Assessment Report Form(s) for Insurance Companies & Self-Insurers

• Category: Mississippi Workers Compensation - Official
• State: Mississippi
• Control #: MS-SKU-0330
• Format: PDF

Description

Annual Assessment Report Form(s) for Insurance Companies & Self-Insurers The Mississippi Annual Assessment Report Form(s) for Insurance Companies & Self-Insurers are forms that must be filed annually by both insurance companies and self-insured entities in order to report their financial information and pay assessments to the Mississippi Insurance Department (MID). The forms are used to assess the financial condition of the insurer or self-insured entity, and the amount of the assessment is based on the total assets and liabilities of the entity. The forms must be filed by the filing deadlines, which are determined by the MID. The forms are divided into two categories: insurance companies and self-insurers. For insurance companies, the forms needed are: 1. Mississippi Annual Statement of Financial Condition Form (Form B-1) 2. Mississippi Annual Statement of Loss Reserves Form (Form B-2) 3. Mississippi Annual Statement of Surplus Notes Form (Form B-3) 4. Mississippi Annual Assessment Fee Form (Form B-4) For self-insurers, the forms needed are: 1. Mississippi Self-Insurer Financial Statement Form (Form SI-1) 2. Mississippi Self-Insurer Assessment Fee Form (Form SI-2) The Mississippi Annual Assessment Report Forms must be completed and submitted by the filing deadlines in order for the MID to assess the financial condition of the insurer or self-insured entity and collect the assessment fees. Failure to file the report or pay the assessment fees on time may result in penalties imposed by the MID.

The Mississippi Annual Assessment Report Form(s) for Insurance Companies & Self-Insurers are forms that must be filed annually by both insurance companies and self-insured entities in order to report their financial information and pay assessments to the Mississippi Insurance Department (MID). The forms are used to assess the financial condition of the insurer or self-insured entity, and the amount of the assessment is based on the total assets and liabilities of the entity. The forms must be filed by the filing deadlines, which are determined by the MID. The forms are divided into two categories: insurance companies and self-insurers. For insurance companies, the forms needed are: 1. Mississippi Annual Statement of Financial Condition Form (Form B-1) 2. Mississippi Annual Statement of Loss Reserves Form (Form B-2) 3. Mississippi Annual Statement of Surplus Notes Form (Form B-3) 4. Mississippi Annual Assessment Fee Form (Form B-4) For self-insurers, the forms needed are: 1. Mississippi Self-Insurer Financial Statement Form (Form SI-1) 2. Mississippi Self-Insurer Assessment Fee Form (Form SI-2) The Mississippi Annual Assessment Report Forms must be completed and submitted by the filing deadlines in order for the MID to assess the financial condition of the insurer or self-insured entity and collect the assessment fees. Failure to file the report or pay the assessment fees on time may result in penalties imposed by the MID.