Insurance Companies

This page lists all of the required Wyoming-specific forms due March 1, 2012 in Microsoft Word format.  A few of the forms are in Adobe Acrobat pdf format.  Download each form separately.  Each section is color-coded and lists all of the required forms for each type of insurance company.  After downloading the Microsoft Word forms, the document may need the margins increased to prevent unintended line wrapping.  In addition, your tab settings may affect the underlining.  Please check these items before printing.

LIFE & HEALTH COMPANIES
NAIC Filings Checklist
Premium Tax Return
Wyoming Health Insurance Pool Assessment Form  
Life & Health Notice of Publication Form  
PROPERTY & CASUALTY COMPANIES
NAIC Filings Checklist
Premium Tax Return
Wyoming Health Insurance Pool Assessment Form
Property & Casualty Notice of Publication Form
Property Fire Loss Reporting Memorandum
Wyoming Report for Property Fire Losses
Wyoming Malpractice Reports - Information and Reporting Forms
TITLE COMPANIES
NAIC Filings Checklist
Premium Tax Return
Title Company Notice of Publication Form  
Report of Title Insurance, Controlled Business Transactions
FRATERNALS
NAIC Filings Checklist
HEALTH COMPANIES
NAIC Filings Checklist
Premium Tax Return

Wyoming Health Insurance Pool Assessment Form
Health Notice of Publication Form
ACCREDITED REINSURERS
Instructions for Filing
SURPLUS LINES COMPANIES
Surplus Lines Companies are NOT licensed in Wyoming and are NOT required to file an Annual Statement or pay premium taxes with the Wyoming Insurance Department.  Surplus Lines premium tax is to be paid by the Wyoming licensed brokers who produce this business.  A surplus lines company may file a copy of its Annual Statement with the Department for informational purposes only.

Please note the Wyoming Insurance Department no longer requires color coded paper for the above documents.

Other Company Forms:
All Company Types:

Quarterly Premium Tax Return, Calendar Year 2012
Uniform Consent to Service of Process.  Use the NAIC form.
Acceptance of the Constitution of the State of Wyoming (use legal size paper)
Designee to Appoint and Remove Agents
Form Filing Guidelines for All Insurers

Life and/or Health Companies:
Wyoming Small Employer Health Insurance Annual Report
Wyoming Small Employer Health Insurance Annual Report Supplement

Title Companies:
Controlled Business Arrangement Disclosure

Group Association Health Plans
Producer's Group Association Health Plan Report

Company Licensing Information
For licensing, adding additional lines, redomestications, demutualizations, mergers, acquisitions and name changes, click here for information.

Company Fee Information
For a schedule of company fees, taxes and deposits, click here