Information for Companies

Annual Filing & Premium Tax Forms

Accredited Reinsurer
Attorney-in-Fact

Submit Form 08-210AIF postmarked on or before March 1 of each year with the annual continuation fee of $200 (resident) or $500 (nonresident) to:

Rebecca Nesheim, Tax Auditor
Alaska Division of Insurance
P. O. Box 110805
Juneau, AK 99811-0805

Please make checks payable to: Alaska Division of Insurance

Automobile Service Corporation
Fraternal Benefit Society
Health Maintenance Organization
Hospital and Medical Service Corporation
Joint Title Plant

Submit Form 08-210JTP postmarked on or before June 30 of each year with the annual continuation fee of $600 to:

Rebecca Nesheim, Tax Auditor
Alaska Division of Insurance
P. O. Box 110805
Juneau, AK 99811-0805

Please make checks payable to: Alaska Division of Insurance

Life/Health Insurer
Multiple Employer Welfare Organization (MEWA)
Property/Casualty Insurer
Purchasing Group

Submit Form 08-1246 postmarked on or before January 31 of each year with the annual continuation fee of $200 to:

Jeff Bodine
Alaska Division of Insurance
P. O. Box 110805
Juneau, AK 99811-0805
jeff.bodine@alaska.gov

Please make checks payable to Alaska Division of Insurance

Risk Retention Group
  • Annual Renewal of Registration and Instructions
  • Annual Renewal Form
    Submit Form 08-204rrg postmarked on or before December 31 of each year with the annual continuation fee of $200 to:

    Rebecca Nesheim
    Alaska Division of Insurance
    P. O. Box 110805
    Juneau, AK 99811-0805

    Please make checks payable to: Alaska Division of Insurance

  • Annual Premium Tax Forms and Instructions
Reciprocal Insurer
Surplus Lines Insurer

Submit the material required in the Eligibility Continuation Letter postmarked on or before June 30 of each year to:

Doug Hartman
Alaska Division of Insurance
550 West 7th Avenue, Suite 1560 
Anchorage, Alaska 99501-3567

Eligibility Continuation Letter

Title Insurer
Trust Reinsurer

A reinsurer that meets the requirements of AS 21.12.020(a)(4) and wants to be recognized as an assuming alien insurer in Alaska should submit the following items by March 1 of each year:

1. Statements showing the balance of the trust and listing the trust's investments at the end of the preceding year

2. Certification of the date of termination of the trust, if so planned, or certification that the trust does not expire before the following December 31

3. Financial Statement substantially the same as the NAIC format

4. Certificate of Assuming Insurer (AR-1): Form 08-238

The filings required annually should be sent with $100 to:

Financial Examination Section
Alaska Division of Insurance
550 West 7th Avenue, Suite 1560
Anchorage, AK 99501-3567

Unauthorized Insurer's Tax Form

Questions: Rebecca Nesheim
rebecca.nesheim@alaska.gov
907-465-2584