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2019 Insurance Premium Tax Information

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2019 Insurance Premium Tax Information for Schedules XII and XIII, Form DR-908

DR-350900 | R. 01/20 | Effective 01/20 | Page 1 of 3

The Department of Revenue has created a database that insurers may use in assigning premiums and policies to the various participating local taxing jurisdictions. It is available for free at floridarevenue.com/taxes/pointmatch. This database was created pursuant to sections (ss.) 175.1015 and 185.085, Florida Statutes (F.S.). In addition to completing Schedules XII and XIII, you must answer Question B on Form DR-908, Page 2, about your use of the Department’s database.

These statutes provide that insurers who exercise due diligence in using the Department’s database to assign premiums to the participating local taxing jurisdictions shall be held harmless from any liability, including but not limited to liability for taxes, interest, or penalties that would otherwise be due as a result of an assignment of premiums to an incorrect local taxing jurisdiction. Sections 175.1015 and 185.085, F.S., specify that insurance companies that do not use the electronic database provided by the Department and do not exercise due diligence in applying the electronic database, are subject to a .5 percent (.005) penalty on the total premium per policy that is improperly assigned.

We review the figures reported on Schedules XII and XIII of your 2019 Insurance Premium Taxes and Fees Return (Form DR-908). You should include a written explanation with your return if a significant variance exists between the figures reported on your 2018 and 2019 returns. A significant variance is considered an increase or decrease of greater than 10 percent for any municipality or fire control district.

Your explanation should contain specific information. All explanations are subject to review by the Department of Management Services and the Department of Financial Services. Generally, more precise information than explanations such as “shift of business” or “business transfers” is required. If you are not sure your explanation will be acceptable, call the Department of Management Services at 850-922-0667.

Give careful attention to the amounts reported on Schedules XII and XIII. The monies reported by your company for each of these cities and districts fund retirement benefits for their police officers and firefighters. The money is distributed back to each local taxing jurisdiction based on the information reported.

When completing Schedules XII and XIII:

✓ Report premiums based on the actual physical location of the property.

✓ Do not use ZIP codes to report premiums as they may not identify the appropriate city or district and can result in an inaccurate allocation of premiums.

Premiums must be reported accurately and timely. The Department of Financial Services, in Informational Memorandum 99-111M, reminded insurers authorized to write property and casualty insurance in the State of Florida of the requirements contained in Chapters 175 and 185, F.S. Insurers are required to keep an accurate account of all premiums sold within the city limits or fire control district boundaries for those cities and districts listed on Schedules XII and XIII. Each risk required to be reported to the Department of Revenue must be coded with the proper identifying fire district or municipality code in order for the Department of Management Services to accurately distribute premium tax allocations to the participating pension funds. Sections 175.151 and 185.13, F.S., provide that an insurer’s certificate of authority may be cancelled or revoked if an insurer fails to comply with the provisions of Chapters 175 and 185, F.S.

2019 Additions, Deletions, and Changes to Schedules XII and XIII

Additions

Code City/District County Type
290 City of Davenport Polk Fire/Police
059 Pace Fire Rescue District Santa Rosa Fire

Deletions

Code City/District County Type
210 Bunnell Flagler Fire

Need Assistance? Information and forms are available on the Department’s website at floridarevenue.com. If you have any questions, contact Taxpayer Services at 850-488-6800, Monday through Friday (excluding holidays).

For a written reply to tax questions, write:

Taxpayer Services - MS 3-2000

Florida Department of Revenue

5050 W Tennessee St

Tallahassee FL 32399-0112

Get the Latest Tax Information

Sign up to get email notices automatically when we post Tax Information Publications (TIPs), proposed rules, notices of rule development workshops, and more at floridarevenue.com/dor/subscribe.

Chapters 175 and 185, F.S., taxes are administered by three different state agencies:

• The Florida Department of Financial Services, Office of Insurance Regulation has the authority to impose the .5 percent (.005) penalty relating to the address database and insured risks not properly assigned to participating local taxing jurisdictions.

• The Florida Department of Management Services, Division of Retirement, Municipal Police Officers’ and Firefighters’ Retirement Trust Funds Office:

o Administers the retirement trust funds.

o Distributes monies to the local taxing jurisdictions.

o Notifies the Office of Insurance Regulation when insurers fail to comply.

• The Florida Department of Revenue:

o Administers the database.

o Produces, distributes, and processes the insurance premium tax forms.

o Collects Chapters 175 and 185, F.S., taxes on Forms DR-907 and DR-908.

o Contacts insurers when there is a variance in reported premiums between the current year and prior year for the local taxing jurisdictions. This review helps ensure that the proper amount(s) are reported by the insurer to the proper local taxing jurisdictions.

Types of Premiums subject to Form DR-908 Schedules XII (Firefighters’ Pension Trust Funds) and XIII (Police Officers’ Retirement Trust Funds)

Annual Statement Line Number & Line of Business Premiums Subject to Firefighters’ Pension Trust Fund (DR-908, Schedule XII) Premiums Subject to Police Officers’ Retirement Trust Fund (DR-908, Schedule XIII)
1 FireYES
2.1 Allied LinesYES
3 Farmowners multiple perilYES (70%)YES (30%)
4 Homeowners multiple perilYES (70%)YES (30%)
5.1 Commercial multiple peril (non-liability portion)YES (70%)YES (30%)
5.2 Commercial multiple peril (liability portion)YES (70%)YES (30%)
12 EarthquakeYES
19.1 Private passenger auto no-fault (personal injury protection)YES
19.2 Other private passenger auto liabilityYES
19.3 Commercial auto no-fault (personal injury protection)YES
19.4 Other commercial auto liabilityYES
21.1 Private passenger auto physical damageYES
21.2 Commercial auto physical damageYES
22 Aircraft (all perils)YES
23 FidelityYES
26 Burglary and theftYES
34 Aggregate write-ins for other lines of business (meeting the definition of property insurance in s. 624.604, F.S.).YES

DR-350900 | R. 01/20 | Page 2 of 3

References

The following documents were mentioned in this form and are incorporated by reference in the rules indicated below. The forms are available online at floridarevenue.com/forms.

Form DR-908

Insurance Premium Taxes and Fees Return

Rule 12B-8.003, F.A.C.

Form DR-907

Florida Insurance Premium Installment Payment

Rule 12B-8.003, F.A.C.

DR-350900 | R. 01/20 | Page 3 of 3

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What the 2019 Insurance Premium Tax Information Is

The 2019 Insurance Premium Tax Information is a record used to report premiums, tax withholdings, and insurer or policyholder details for the 2019 tax year. It compiles the insurer name, policyholder identification, premium amounts subject to state or federal reporting, and any tax credits or adjustments. Organizations use it to reconcile premiums with tax returns and to prepare any required information returns (for example, state premium tax filings or federal filings where applicable). Accurate completion supports compliance and reduces audit risk.

Why Accurate 2019 Insurance Premium Tax Information Matters

Complete and accurate 2019 insurance premium tax records reduce exposure to filing penalties, ensure proper tax credit application, and provide an auditable trail for both insurers and regulators. Clear documentation also supports actuarial and financial reporting obligations within the insurance company.

Why Accurate 2019 Insurance Premium Tax Information Matters

Who Typically Prepares or Receives This Information

Organizations that prepare or receive the 2019 Insurance Premium Tax Information include in-house tax teams, third-party administrators, payroll departments, and state insurance regulators.

  • Insurers and carriers responsible for reporting premiums and calculating state premium taxes for their policies.
  • Accounting and tax professionals preparing information returns or reconciling premium tax liabilities.
  • State departments of insurance or revenue that request or audit premium tax submissions.

Maintaining correct records improves audit readiness and reduces the chance of late filing penalties or state assessment adjustments.

Step-by-step: Completing the 2019 Insurance Premium Tax Information

Follow a consistent order to avoid errors: verify entity identification, confirm policy and premium details, calculate taxable amounts, and document any credits or adjustments before signing and distributing.

  • 01
    Verify Identity: Confirm insurer or policyholder legal name and TIN.
  • 02
    Confirm Premiums: Enter gross premium and tax-exempt amounts accurately.
  • 03
    Compute Taxable Base: Apply state tax rates and credits to determine liability.
  • 04
    Sign and Archive: Obtain authorized signature and retain records per law.

How to configure an online completion workflow

Set up roles, authentication, and routing before distributing the form to reduce delays and ensure the correct approvals flow.

Field Configuration
Recipient Order Sequential routing for approval then signature
Authentication Email link or SMS code; use stronger methods for high-risk records
Reminder Schedule Automated reminders at 3 and 7 days
Save Copies Automatic archival of signed PDF and audit trail

Where to send or file the completed 2019 Insurance Premium Tax Information

Route completed records to the payer, retained insurer files, and any state regulatory office that requests premium tax returns.

  • Internal Archive: Store signed copy in corporate records management system.
  • State Regulator: Submit to the state department of insurance when required.
  • Tax Department: Include details in state filings or reconciliations.
  • External Auditor: Provide copies during audits or examinations.

Typical timelines and critical filing dates

Timing depends on whether the form is used for state premium tax reconciliation or as supporting documentation for federal information returns.

State Filing Dates:

Varies by state; many annual filings align with the insurer's fiscal year end.

Federal Information Returns:

If used for federal reporting, follow IRS deadlines for the specific return type.

Internal Deadlines:

Set internal cutoffs at least 30 days before submission to regulators.

Correction Window:

Prepare corrected returns promptly; penalties escalate with delay.

Record Retention Start:

Retention begins on the filing date or document creation date.

Penalties and risks of incorrect or late filings

1099 Late Filing: Penalties $60–$330 per form
Intentional Disregard: Penalty $660+ per form, no cap
Incorrect TIN: Triggers backup withholding at 24%
State Assessments: May include interest and additional fines
Audit Exposure: Incomplete records increase audit risk
I-9-like Violations: Administrative fines range widely

Common mistakes to avoid when preparing this information

  • Using an incorrect TIN or misspelled legal name; the IRS matches names to TINs and mismatches delay processing and may trigger penalties.
  • Failing to itemize exemptions or credits; bundling exceptions without explanation complicates audits and can lead to assessment adjustments.
  • Late internal approvals or missing signatures; delays can push filings past regulatory deadlines and increase penalty exposure.
  • Using weak e-sign authentication without consent or proof of attribution; consumer-facing records require ESIGN-compliant consent and evidence of signer identity.

Real-world examples of completing premium tax information

These short examples illustrate common scenarios and how organizations resolved routine issues when preparing premium tax records.

Case Study 1

Optica Ventures streamlined data entry for multi-policy accounts by matching policy numbers to billing records before calculation.

  • They reduced manual reconciliation.
  • As a result, internal review time dropped and state audit responses were completed faster with clear supporting schedules and signed attestations.

Case Study 2

A regional carrier corrected TIN mismatches after receiving IRS notices and updated its onboarding checks.

  • They implemented TIN validation.
  • The carrier avoided repeated penalties by correcting returns promptly and documenting the corrective procedures for future compliance audits.

Digital signing and file-format considerations

Use a platform that supports common formats and integrates with your document repository to ensure consistent signed outputs and auditability.

  • Supported Formats: PDF, Word (DOCX), HTML, Excel
  • Integrations: Salesforce, NetSuite, Microsoft 365, Google Workspace, Box
  • Authentication: Email, SMS, KBA, and stronger methods available

Choose a workflow that captures an audit trail (timestamps, IP, signer identity) and stores signed files in an immutable format for regulatory review.

Security and compliance features to expect

Encryption: TLS 1.2/1.3 in transit; AES-256 at rest
Certifications: SOC 2 Type II and ISO 27001 available
HIPAA: BAA required for PHI processing
Regulatory: 21 CFR Part 11 and ESIGN/UETA support
Accessibility: WCAG 2.0 Level AA compliance
Audit Trail: Comprehensive signer activity logs

eSignature provider comparison for completing and signing these records

Compare representative vendor starting prices and core capabilities relevant for high-volume tax or insurance workflows; signNow is listed first as a column heading for parity.

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Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies by plan Varies by plan Varies by plan Varies by plan
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No cap 100 envelopes/user/year Varies by plan Varies by plan Varies by plan

Frequently asked questions about the 2019 Insurance Premium Tax Information

Answers cover e-signature legality, incorrect TIN handling, filing deadlines, and common correction steps specific to premium tax records.


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