Illinois Insurance Company Information

  • Note: Companies should follow the Annual Statement Forms & Instructions and make all appropriate filings associated with the specific form they are filing.

Farm Mutuals:




Health Entities:


Life, Accident & Health Insurers:


Property & Casualty:

Workers’ Compensation:

Currently registered administrators are required to complete the initial application and submit the $500.00 renewal fee. Licensed Illinois insurance companies with separate PPA and WC-PPP license renewals are not subject to associated renewal fees, but are still required to fill out the appropriate registration forms.

Tax Forms for 2019

  • Privilege Retaliatory Quarterly Tax Forms
    • 2019 Privilege Retaliatory Tax Quarterly Installment — ELECTRONIC Form
    • 2019 Privilege Retaliatory Tax Quarterly Installment — PAPER Form PDF

Tax Forms for 2018

Tax Forms for 2017

Tax Forms for 2016

Tax Forms for 2015

Industrial Commission Operations Fund Surcharge

Effective July 1, 2004:
For every company subject to 215 ILCS 5/416 (a) of the Illinois Insurance Code (215 ILCS 5/416), the Industrial Commission Operations Fund Surcharge is amended by Public Act 093-0840 to 1.01% of its direct written premium for insuring employers' liabilities arising under the Workers' Compensation Act or Workers' Occupational Diseases Act as reported in each company's annual statement filed for the previous year as required by Section 136.