Vermont Annual Statement Filing Instructions For Domestic Risk Retention Groups and Association Captives Filing The NAIC Statement

If you are a risk retention group not domiciled in Vermont, please go to Foreign Risk Retention Group Filing Instructions.

 

* Risk Retention Groups are also required to file with the NAIC per 8 VSA, Chapter 141, Section 6007.

* Note: Only electronic submissions will be accepted. Due Date
DELIVERY INSTRUCTIONS  
Electronic Submissions only.
Electronic Address: DFR.CaptiveFinancialFilings@state.vt.us
   
   
NAIC FINANCIAL STATEMENTS  
Annual Statement (8 ½ " x 14") *Note: Copy of tax return to be included with the annual report filing to the Department. prior to 3/1
Quarterly Statement (8 ½ " x 14") Not applicable to Association Captives 5/15, 8/15, 11/15
   
NAIC SUPPLEMENTS  
Supplemental Compensation Exhibit prior to 3/1
Risk-Based Capital Report prior to 3/1
Reinsurance Summary Supplemental Filing prior to 3/1
Reinsurance Attestation Supplement prior to 3/1
Stockholder Information Supplement prior to 3/1
Supplement A (Medical Malpractice Supplement) prior to 3/1
Insurance Expense Exhibit 4/1
Management Discussion & Analysis 4/1
Investment Risk Interrogatories 4/1
   
AUDITED FINANCIAL STATEMENTS  
Audited Financial Statements 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 Workpapers On or before 6/30
   
CERTIFICATION OF LOSS RESERVES AND LOSS EXPENSE RESERVES  
Statement of Actuarial Opinion On or before 6/30
Actuarial Opinion Summary- filed with VT DRF only 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@state.vt.us

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 Department of Financial Regulation 4/1