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Insurance Premium Tax Information

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2020 Insurance Premium Tax Information for Schedules XII and XIII, Form DR-908

DR-350900   R. 01/21   Rule 12B-8.003, F.A.C.   Effective 01/21   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 2020 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 2019 and 2020 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.

2020 Additions, Deletions, and Changes to Schedules XII and XIII

Additions

Code   City/District   County   Type

None

Deletions

Code   City/District   County   Type

None

Changes

Code   City/District   County   Type

290   Davenport   Polk   Fire/Police

(Continued on back)

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.

Sign up 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. 01/21   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

Form DR-907

Insurance Premium Taxes and Fees Return

Florida Insurance Premium Installment Payment

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

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

DR-350900   R. 01/21   Page 3 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

Form DR-907

Insurance Premium Taxes and Fees Return

Florida Insurance Premium Installment Payment

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

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

Lessor Name

Effective Date

Property Address

City / State / ZIP

Explanation

Authorized Signature

Title

Agreement

I certify that the information provided above is true and correct to the best of my knowledge.

Enter text✕

What the Insurance Premium Tax Information Is and why it matters

Insurance Premium Tax Information is a formal record used to report premiums, policyholder details, and tax-related identifiers associated with insurance contracts. It documents the premium amount, coverage period, insurer identification, and taxpayer identification numbers used for state premium tax reporting and payer reconciliation, and it supports accurate tax withholding, regulatory reporting, and audit trails across insurance, financial, and government workflows.

Why accurate Insurance Premium Tax Information matters

Accurate entries reduce audit risk, prevent backup withholding, and ensure correct state premium tax allocation. Clear records support compliance with IRS reporting rules, state departments of insurance, and internal accounting controls.

Why accurate Insurance Premium Tax Information matters

Typical users and roles that complete this information

Teams and individuals who collect, report, or verify insurance premium tax details.

  • Insurance accounting staff who prepare premium reports and reconcile tax liabilities with state filings.
  • Payroll and tax teams responsible for backup withholding, TIN verification, and 1099 reporting processes.
  • Brokers and agents who collect policyholder data and forward accurate premium summaries to carriers and regulators.

Matching the right role to each task helps ensure correct submission, timely filing, and defensible retention.

Step-by-step: completing the Insurance Premium Tax Information

Follow these sequential steps to prepare, validate, and submit accurate premium tax information.

  • 01
    Gather records: Collect policies, premium receipts, and TIN documentation.
  • 02
    Verify identifiers: Confirm TINs and legal names against payer records.
  • 03
    Populate fields: Enter data using specified formats and check calculations.
  • 04
    Submit and retain: Send to the appropriate agency and store the certified copy.

Workflow overview: from data entry to filing

A streamlined workflow reduces errors: assemble documentation, validate data, obtain signatures, then route to the payer, regulator, or tax team.

  • Assemble: Gather premium statements and policy documents.
  • Validate: Confirm TINs, names, and premium totals.
  • Authorize: Collect required signatures or attestations.
  • Route: Send finalized records to payer or tax authority.

Configuring a digital workflow for this form

Define field validation, signer order, and delivery channels before launching a production workflow.

Field Configuration
TIN validation Enable pattern check and manual review flags
Signature order Set insurer then policyholder signer sequence
Authentication Choose email, SMS code, or KBA for signers
Delivery Send signed PDF to accounting and regulatory recipients

Digital signing and delivery considerations

Select platform features for validation, secure signing, and archival.

  • Accepted formats: PDF, DOCX, XLSX
  • Integrations: CRM, ERP, cloud storage
  • Security: AES-256 at rest

Key filing dates and reporting deadlines

Timely submission depends on the tax type and recipient; coordinate internal deadlines to meet IRS and state reporting schedules.

Provide upon request:

W-9 style information is furnished when a payer requests TIN verification

1099-NEC deadline:

File and furnish by Jan 31 for nonemployee compensation reporting

1099-MISC timing:

Recipient copies by Jan 31; paper IRS filing by Feb 28; electronic by Mar 31

Income tax filing:

Coordinate with Form 1040 and April 15 deadlines as needed

RON recordings:

Follow state RON rules for notarized attestations where applicable

Milestones: processing stages from collection to retention

Track milestones so each stage has clear ownership and time targets for completion and archiving.

01

Data collection

Complete collection of premiums and policy data before validation

02

Verification

Perform TIN/name checks and resolve mismatches

03

Submission

Transmit finalized records to payers and tax authorities

04

Archival

Store signed records in secure retention systems

Security and compliance controls to protect records

In-transit encryption: TLS 1.2/1.3 in transit
At-rest encryption: AES-256 encryption at rest
HIPAA support: BAA available for protected health data
Audit trail: Immutable timestamped signing records
Access controls: Role-based permissions and SSO
Certifications: SOC 2 Type II and ISO 27001

Penalties and operational risks to avoid

Late filing penalties: IRC §6721: $60–$330 per form
Incorrect TIN: Can trigger backup withholding at 24%
Intentional disregard: IRC §6721: $660+ per form, no cap
I-9 paperwork fines: DHS fines range $281–$2,789 per violation
State fines: State departments may assess additional penalties
Data breach exposure: Regulatory fines and remediation costs

Common errors that complicate premium tax reporting

  • Submitting names that do not match IRS records leads to backup withholding and delayed payments.
  • Incorrect premium classification skews state allocation and can trigger audits or amended filings.
  • Missing or unsigned signature blocks void attestations and may require re-execution.
  • Relying on inconsistent date formats causes period mismatches and reconciliation errors.

Real-world examples of usage and outcomes

These brief examples show how organizations use signed premium tax information to improve accuracy and compliance.

Tim Martin, Founder — Martin Properties

Tim Martin needed a way to capture insurance premium attestations remotely and securely.

  • The team adopted digital forms and signatures for policy attachments.
  • I can process and execute all of these documents online with 100% compliance and built-in security. Whether on mobile or working offline, I can get forms back to their necessary parties efficiently.

Dan Rotelli, CEO — BIS

BIS required auditable premium records for vendor and client compliance.

  • They implemented signed premium summaries with complete audit trails.
  • We felt most comfortable with airSlate SignNow given their SOC 2 certification and strict focus on ESIGN and UETA act compliance.

eSignature pricing snapshot for Insurance Premium Tax Information workflows

Compare common eSignature vendors on starting price and key capabilities relevant to high-volume premium tax workflows.

signNow DocuSign Adobe Sign PandaDoc HelloSign
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 vendor Varies by vendor Varies by vendor Varies by vendor
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
Envelope Cap No cap 100 envelopes/user/year Varies Varies Varies

Frequently asked questions about Insurance Premium Tax Information

Answers to common questions on legal validity, signing, submission, and retention to address routine issues and compliance concerns.


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