Form preview

Get the free Premium Tax and Fees Report - delawareinsurance

Get Form
This document is a report for the State of Delaware's Department of Insurance, detailing premium taxes and fees due from domestic insurers for the calendar year 2003. It includes sections on gross
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign premium tax and fees

Edit
Edit your premium tax and fees form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your premium tax and fees form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing premium tax and fees online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit premium tax and fees. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.
It's easier to work with documents with pdfFiller than you can have ever thought. You may try it out for yourself by signing up for an account.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out premium tax and fees

Illustration

How to fill out Premium Tax and Fees Report

01
Gather all necessary financial documents related to premiums and fees.
02
Complete the identification section with your name, address, and tax identification number.
03
List all applicable premiums received during the reporting period.
04
Calculate the total premiums by summing up individual premiums.
05
Document any exemptions or adjustments to premiums according to regulations.
06
Fill out the fees section with respective amounts required.
07
Double-check all calculations for accuracy.
08
Sign and date the report to certify its authenticity.
09
Submit the report to the appropriate tax authority by the due date.

Who needs Premium Tax and Fees Report?

01
Insurance providers operating in the jurisdiction requiring the report.
02
Employers offering health insurance to employees in areas regulated by premium tax.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
55 Votes

People Also Ask about

You do not have to send your Form 1095-A to the IRS with your tax return when you file and claim the premium tax credit. However, using the information on your Form 1095-A you must complete and file Form 8962, Premium Tax Credit.
Form 1095-C provides information about the health coverage offered by your employer and, in some cases, about whether you enrolled in this coverage. Use Form 1095-C to help determine your eligibility for the premium tax credit.
Financial eligibility for the premium tax credit, most categories of Medicaid, and the Children's Health Insurance Program (CHIP) is determined using a tax-based measure of income called modified adjusted gross income (MAGI). The following Q&A explains what income is included in MAGI.
Whether you get financial help or not, health insurance is part of filing your taxes. Unless you report that you had health insurance, you may have to pay a state tax penalty. If you received federal or state financial help, you'll report that as well.
You will receive a 1095-A form, which shows how much Covered California paid to your insurance company to help with the cost of your health coverage. You will use the information on your 1095-A to fill out IRS Form 8962. The IRS will use this to ensure the amount of APTC you received is correct.
Form 8962, Premium Tax Credit Use IRS Form 8962 to find out if you used the right amount of premium tax credit during the year. Use the form to compare the advance amount you use to the amount you qualify for based on your final income. If you used too much, you'll repay it via taxes.
The amount of APTC you'll have to repay will depend on how much excess APTC was paid on your behalf, your household income, and your tax filing status. If your household income (MAGI) is at least 400% of the previous year's federal poverty level (FPL), you'll have to repay all of the excess APTC.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Premium Tax and Fees Report is a financial document that insurance companies use to report their premium tax liabilities and any associated fees to the state or federal government.
Insurance companies and certain other entities that collect or receive premiums for insurance coverage are required to file the Premium Tax and Fees Report.
To fill out the Premium Tax and Fees Report, insurers need to gather their premium income data, calculate the applicable taxes and fees, complete the required sections of the report form accurately, and submit it to the appropriate regulatory authority.
The purpose of the Premium Tax and Fees Report is to ensure that insurance companies comply with state and federal tax regulations and to provide transparency regarding their financial activities relating to premium collections.
The information required on the Premium Tax and Fees Report includes the total amount of premiums collected, any exemptions or deductions, the specific tax rates applicable, and the total tax and fees owed.
Fill out your premium tax and fees online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.