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
| SUBMISSION FORMAT | DUE DATE | |
|---|---|---|
| DELIVERY ADDRESS | ||
|
Hard copy mailed to : Department of Financial Regulation, Electronic Address: CaptiveMail@state.vt.us |
||
| VERMONT CAPTIVE ANNUAL REPORT | ||
| Annual Report (Copy of tax return to be included with the annual report filing.) | Hard Copy (8 ½ " x 14") |
Prior to 3/1 |
| AUDITED FINANCIAL STATEMENT | ||
| Audited Financial Statement | Electronic | 6/30 |
| Report of Evaluation of Internal Controls | Electronic | 6/30 |
| Accountant's Letter | Electronic | 6/30 |
| Certification of Review of Audit Work Papers | Electronic | 6/30 |
| CERTIFICATION OF LOSS RESERVES AND LOSS EXPENSE RESERVES | ||
| Statement of Actuarial Opinion | Electronic | 6/30 |
| OTHER REQUIRED FILINGS | ||
|
Premium tax return and payment mailed to: Premium tax checks payable to: *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: |
4/1 |