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  1. comptroller.texas.gov › forms › 25-105Form 25-105, Texas Insurance Prepayment Form - Surplus Lines

    Prepayments of surplus lines taxes are required to be filed by the 15th of the month following the month in which the agent accrues $70,000 or more in premium taxes. The prepayment amount must equal the accrued liability at the end of the month in which the agent accrues $70,000 or more.

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  2. comptroller.texas.gov › taxes › insuranceTexas Insurance Tax Forms

    Texas Insurance Tax Forms The forms listed below are PDF files. They include graphics, fillable form fields, scripts and functionality that work best with the free Adobe Reader.

  3. www.tdi.texas.gov › forms › formlistingListing of all TDI forms - Texas Department of Insurance

    Form to be completed by each individual named on Form PF2. Disclosure form/notice regarding interest charges incurred when purchasing liability insurance through the Texas Automobile Insurance Plan Association (TAIPA), if paid through a monthly installment plan.

    Tdi Form Number
    Description
    Format
    Language
    AH001
    Group Health Product Requirements ...
    PDF
    English
    AH002
    Group Health Large and Small Employer ...
    PDF
    English
    AH003
    Group Health Non-Employer or Member ...
    PDF
    English
    AH005
    Group Health Discretionary Group ...
    PDF
    English

    See full list on tdi.texas.gov

  4. www.templateroller.com › template › 2037078Form 25-105 Texas Insurance Prepayment Form - Texas

    Fill out and download the Form 25-105 Texas Insurance Prepayment Form online for free. Save time and hassle with our convenient form template.

  5. www.tdi.texas.gov › forms › indexTDI Forms Index - Texas Department of Insurance

    • Administrative Operations
    • Customer Operations
    • Financial Regulation
    • Life, Accident, and Health
    • Property and Casualty Forms
    • State Fire Marshal's Office
    • Workers' Compensation Forms
    • Notice About Certain Information Laws and Practices

    Administrative Operations– Overhead Assessment Exemption form, Insurance Agent / Agency Order form and Historically Underutilized Businesses (HUB) forms

    See full list on tdi.texas.gov

    Agent and Adjuster Licensing– Agent, Adjuster, and Agency forms
    Title Licensing– Title Manual forms and Licensing and Examination forms

    See full list on tdi.texas.gov

    Company Licensing and Registration – Forms and filing requirements for licensing or registering authorized/admitted insurers and registered/non-admitted entities.
    Financial Analysis– Annual Statement and Required Filing Forms, NAIC checklists
    Rehabilitation & Liquidation Oversight
    Holding Companies

    See full list on tdi.texas.gov

    Filing & Operations– Advertising Compliance, Transmittal checklists and forms
    Life & Health– Data Collection, HMO Forms and HMO Form Filings, Resource Guide and Disclosure Forms for Life, Accident, Health and Annuity Products and Optional forms
    Managed Care Quality Assurance– HMO, URA, IRO, Sample forms, Texas Standardized Credentialing Application – checklists and forms

    See full list on tdi.texas.gov

    General– Appraisal Umpire and Mediator forms
    Inspections– Loss Control and Amusement Inspection forms
    Personal Lines– Mold Remediation, Credit Information Disclosure and Residential Inspection forms
    Rate Filing and Exhibit forms

    See full list on tdi.texas.gov

    Listing of Applications, forms and guides
    Alarm
    Extinguisher
    Fire Standard Compliant Cigarettes

    See full list on tdi.texas.gov

    Division of Workers' Compensation– Workers' Compensation forms
    Workers' Compensation Health Care Networks

    See full list on tdi.texas.gov

    With few exceptions, you are entitled to be informed about the information that the Texas Department of Insurance (TDI) collects about you. Under sections 552.021 and 552.023 of the Texas Government Code, you have a right to review or receive copies of information about yourself, including private information. However, TDI may withhold information ...

    See full list on tdi.texas.gov

  6. www.formsbank.com › template › 316887Fillable Form 25-105 - Texas Insurance Prepayment Form ...

    View, download and print fillable 25-105 - Texas Insurance Prepayment in PDF format online. Browse 391 Texas Comptroller Forms And Templates collected for any of your needs.

  7. comptroller.texas.gov › taxes › insuranceInsurance Taxes Frequently Asked Questions

    You can use Webfile to prepay, or you can submit the prepayment on Form 25-105, Texas Insurance Prepayment Form (Surplus Lines) (PDF), if not required to pay taxes electronically. Our surplus lines agency had a large policy cancel, generating returned premium and tax.