Vermont Annual Statement Filing Instructions for Domestic Association Captive Insurance Companies

Note: if you are an Association captive filing the NAIC statement, please go to Vermont Annual Statement Filing Instructions for Domestic Risk Retention Groups and Association Captives Filing the NAIC Statement

  DUE DATE
DELIVERY ADDRESS  
Electronic Submissions only.
Electronic Address: DFR.CaptiveFinancialFilings@vermont.gov
 
   
VERMONT CAPTIVE ANNUAL REPORT  
Annual Report  (Copy of tax return to be included with the annual report filing.) Prior to 3/1
   
AUDITED FINANCIAL STATEMENT  
Audited Financial Statement On or before 6/30
Report of Evaluation of Internal Controls On or before 6/30
Accountant's Letter of Qualifications On or before 6/30
Certification of Review of Audit Work Papers On or before 6/30
   
CERTIFICATION OF LOSS RESERVES AND LOSS EXPENSE RESERVES   
Statement of Actuarial Opinion On or before 6/30
   
OTHER REQUIRED FILINGS  

Premium tax return and payment mailed to:
Vermont Department of Taxes
Miscellaneous Tax Division
133 State Street 
P.O. Box 547
Montpelier, VT 05601-0547
802-828-2551
tax-corpincome@vermont.gov

Premium tax checks payable to:
The Vermont Department of Taxes

*Note: Copy of tax return to be included with the annual report filing to the Department.

2/28
   

License Renewal Fees of $500 payable to:
The Department of Financial Regulation

4/1