Who must file the return

The entity responsible for collecting or reporting premiums in Indiana files the quarterly premium tax return; this typically means the insurer, surplus lines broker, or other entity with statutory tax liability for the premiums.

Accepted payment methods

States commonly accept ACH, EFT, or check for tax remittance; payment channels and cutoffs vary, so plan payment timing to align with the filing due date and bank processing times.

Can the form be signed electronically

Yes, electronic signatures are generally valid under federal ESIGN and state UETA frameworks when intent, consent, attribution, and record retention are preserved; some state-specific exceptions may apply.

How to correct a submitted return

If an error is discovered after filing, prepare an amended return per state instructions, include supporting schedules explaining the correction, and remit any additional tax, interest, or request refund as required.

What happens if I file late

Late filing or payment typically triggers interest on unpaid tax and potential penalties; persistent delinquency can lead to assessments or regulatory follow-up from the state agency.

Where to retain signed copies

Keep signed returns, payment receipts, and supporting schedules for the retention period applicable to tax and industry rules, including IRS guidelines and any state-specific retention mandates.

Electronic Signature
Templates
Tax
Indiana Quarterly Premium Tax Form

Indiana Quarterly Premium Tax Form

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

Quarterly Statement of Estimated Premium and Associated Tax

State Form 38337 (R/11/08) Approved by the State Board of Accounts 1987

INSTRUCTIONS:

1. Must be typewritten.

2. All values must be rounded to the nearest dollar amount.

3. Send separate checks and forms for each company, to the above address; no other address is acceptable.

4. Must be received at the instructed address no later than the date due.

5. Quarterly Estimated Tax Payments and forms are to be received by April 15, June 15, Sept. 15 and Dec. 15

6. When the due date falls on a weekend or holiday the filing is due on the preceding business day.

7. U.S. Postal Express, U.S. Priority Mail, Certified U.S. Mail and regular U.S. mail are the only methods acceptable.

QUARTERLY STATEMENT OF ESTIMATED PREMIUM AND ASSOCIATED TAX FOR QUARTER ENDING ,

State of Incorporation

NAIC Number (5 digit)

Name of Insurer

Contact Address (Street, City, State and Zip Code)

Contact Person/Title or Position

Contact Phone

Contact Person’s Email Address

1. Basis for Estimates:

(A) Total Indiana Premium and Associated Tax paid for business written during the prior calendar year

$

2. Estimated Premium Tax installment due, must be at least:

(A) One-fourth of the total Indiana Premium and Associated Tax paid for business written during the previous calendar year (1/4 of Line 1A) or

$

(B) One-fourth of 80% of actual premium and associated tax for the current year

$

3. Composition of Premium Tax Payment:

(A) Amount of Payment – Item 2 (A) or (B) above

$

(B) Less: Prior Year Overpayment (if applicable)

Report up to amount of tax due, do not exceed tax liability.

$

(C) Net Premium Tax Payment (3A less 3B)

$

(D) Late Payment: Include 1% interest per calendar month, or part thereof

Please include interest payment, to avoid incurring additional interest.

$

4. Total Payment Remitted (sum of: 3C and 3D)

(If amount is less than zero; enter zero)

$

I certify that the above estimated quarterly premium tax payment has been calculated in accordance with the provisions of Indiana Statutes, Section 27-1-18-2, 27-1-20-12, and to the best of my knowledge and belief this is a true, correct and complete statement of premium and associated tax due.

Typed or Printed Name of Preparer

Title of Preparer

Typed or Printed Name of Authorized Officer

Title of Officer

Signature of Authorized Officer

Date Signed (MM,DD,YY)

FOR INSURANCE DEPARTMENT USE ONLY

BATCH #

DATE

Make check payable: Indiana Department of Insurance

Send remittance with form to:

Indiana Department of Insurance

Bank Lockbox

P.O. Box 577

Indianapolis, IN 46206-0577

What the Indiana Quarterly Premium Tax Form Is and who files it

The Indiana Quarterly Premium Tax Form is the recurring reporting and remittance document used by insurance companies, surplus lines carriers, and similar entities to report gross premiums and remit premium taxes to Indiana. It captures taxable premium bases, credits, and calculated tax due for a calendar quarter and supports the state reconciliation process. Quarterly filing helps the state track insurance activity and collect tax revenue on a timely, periodic basis; many filers also use the form to report adjustments or credits that affect the quarterly liability.

Why timely and accurate quarterly reporting matters

Accurate quarterly filings ensure compliance with Indiana tax rules, avoid interest and penalty exposure, and maintain good standing for insurance licenses. Regular reporting also supports accurate annual reconciliation and reduces audit risk.

Who prepares and signs the Indiana Quarterly Premium Tax Form

Typical filers include corporate tax staff, in-house accounting teams, and external CPA firms working for insurers and surplus lines entities.

Insurance carriers and underwriters who collect direct premiums and are liable for premium tax reporting and payment.
Surplus lines brokers and nonadmitted carriers that must remit premium taxes on brokered or exported premium.
Third-party administrators and accounting firms preparing quarterly tax returns on behalf of carriers.

Step-by-step: completing the quarterly premium tax return

Follow a consistent sequence to collect data, complete computations, attach supporting schedules, and submit payment on time.

01

Gather figures: Collect gross premiums, returned premiums, and allowable deductions for the quarter.
02

Calculate tax: Apply the Indiana premium tax rate to the taxable base and compute credits.
03

Attach schedules: Include supporting schedules, schedules of policy-level detail, and credit documentation.
04

Submit payment: File electronically or by mail and remit payment using acceptable state payment methods.

Common digital workflow settings for online completion

Standardize an e-filing workflow to capture signatures, audit trails, and attachments before submission.

Field	Configuration
Form Template	Lock key numeric fields to prevent accidental edits
Conditional Fields	Show adjustment lines only when credits are entered
Signer Order	Require preparer then authorized officer signature
Audit Trail	Enable IP, timestamp, and email capture

How electronic submission typically flows

Understand the common e-submission steps used by carriers and accounting teams when filing quarterly premium tax.

Prepare Return: Fill form, attach schedules, and validate totals.
Authorize Signatures: Collect digital signatures from preparer and officer.
Submit Payment: Send ACH, EFT, or check per state payment rules.
Receive Confirmation: Store state confirmation and certificate of filing.

Platform and format considerations for e-filing

Choose a platform that supports secure PDFs, audit trails, and the file formats accepted by Indiana for attachments.

File formats: PDF and Excel are commonly accepted
Integrations: Connectors for accounting systems reduce manual entry
Authentication: Multi-factor options strengthen signer attribution

Quarterly schedule and typical filing windows

Quarterly premium tax returns cover calendar quarters and are filed on a recurring schedule tied to each quarter end.

Quarter 1 (Jan–Mar):

Return covers Jan–Mar; due by end of April following quarter

Quarter 2 (Apr–Jun):

Return covers Apr–Jun; due by end of July following quarter

Quarter 3 (Jul–Sep):

Return covers Jul–Sep; due by end of October following quarter

Quarter 4 (Oct–Dec):

Return covers Oct–Dec; due by end of January following quarter

Annual Reconciliation:

Final annual reconciliation may be required after year end

Key filing milestones across the quarterly cycle

Track these milestones to prevent missed payments and to retain supporting documentation for audits.

01

Data Close

Finalize premium and adjustment data for the quarter

02

Preparer Review

Internal accounting review and reconciliation steps

03

Authorized Signature

Obtain officer signature and date before submission

04

Payment and Filing

Submit payment and file return through state channel

Common mistakes to avoid when preparing the form

Using unofficial estimates instead of reconciled ledger totals, which causes later adjustments and audit inquiries.
Entering mismatched entity identifiers or NAIC numbers that delay state processing and require correction.
Failing to include all return premiums or credits, resulting in underpayment or later assessments.
Missing the correct reporting period or using inconsistent rounding rules that create reconciliation differences.

Consequences of late or incorrect filings

Late Payment: Interest accrues on unpaid tax

Late Filing: Assessable penalties may apply

Audit Risk: Higher likelihood of state review

Adjustments: State may assess additional liability

License Impact: Regulatory actions for persistent noncompliance

Reputational Risk: Contracting and market consequences

eSignature vendor pricing and feature snapshot for filing workflows

Compare per-user pricing and core capabilities relevant to high-volume form filing. Pricing reflects typical annual-billed entry tiers across vendors and feature availability.

	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, no card required	Trial available	Trial available	Trial available	Trial available
Bulk Send	Yes	Yes	Yes	Yes	No
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No
Envelope Cap	No envelope cap	100 envelopes/user/year	Varies by plan	Varies by plan	Varies by plan

Frequently asked questions about filing the Indiana Quarterly Premium Tax Form

Answers to common practical and compliance questions encountered during preparation, signature, and submission of quarterly premium tax returns.

Need help? Contact support

Who must file the return
The entity responsible for collecting or reporting premiums in Indiana files the quarterly premium tax return; this typically means the insurer, surplus lines broker, or other entity with statutory tax liability for the premiums.
Accepted payment methods
States commonly accept ACH, EFT, or check for tax remittance; payment channels and cutoffs vary, so plan payment timing to align with the filing due date and bank processing times.
Can the form be signed electronically
Yes, electronic signatures are generally valid under federal ESIGN and state UETA frameworks when intent, consent, attribution, and record retention are preserved; some state-specific exceptions may apply.
How to correct a submitted return
If an error is discovered after filing, prepare an amended return per state instructions, include supporting schedules explaining the correction, and remit any additional tax, interest, or request refund as required.
What happens if I file late
Late filing or payment typically triggers interest on unpaid tax and potential penalties; persistent delinquency can lead to assessments or regulatory follow-up from the state agency.
Where to retain signed copies
Keep signed returns, payment receipts, and supporting schedules for the retention period applicable to tax and industry rules, including IRS guidelines and any state-specific retention mandates.

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