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Annual Filing Instructions and Tax Forms

 

Hawaii Filing Instructions

 

  1. PDF Fraternal Societies (LICENSED)  

  2. PDF Health Entities (LICENSED) (Mutual Benefit Societies and HMOs ONLY)  

  3. PDF Life, Accident and Health Insurers (LICENSED)  

  4. PDF Property & Casualty Insurers (LICENSED)  

  5. PDF Risk Retention Captive Insurance Companies (LICENSED)  

  6. PDF Title Companies (LICENSED)  

  7. PDF Accredited Reinsurers  

 

Tax and Other Forms

 

  1. PDF 2011 Annual Premium Tax Statement (Form 314) 
  2. PDF 2012 Monthly Premium Tax Statements (Form 323)
  3. PDF 2011 Hawaii Investments (Form 322)  
  4. PDF Statement of Premiums Derived from Workers' Compensation Insurance Issued During 2011 for 2012Workers' Compensation Special Compensation Fund Levy (Form 315)

 

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Gordon I. Ito

Insurance Commissioner

Gordon I. Ito
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