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Reporting & Checklists

Annual, Quarterly and Financial Filing Requirement Checklists:

Holding Company Forms (Form A through F). Attachments to IDAPA 18.07.01

  • Form A– Acquisition of Control or Merger with Domestic Insurer
  • Form B – Insurance Holding Company System Annual Registration
  • Form C – Summary of Registration Statement
  • Form D – Prior Notice of a Transaction
  • Form E – Pre-Acquisition Notification and Impact of Merger/Acquisition with Non-Domiciliary Insurer
  • Form F – Enterprise Risk Report

Biographical Affidavit and Third Party Verifications

For insurer notifications regarding changes and appointments of Directors, Officers, or Key Managers, the NAIC Biographical Affidavit form and resources for third party verification services are available here:

Surveys and Reports

In an effort to improve the annual Surveys reporting process, Idaho Department of Insurance (IDOI) is currently making enhancements to the Surveys on-line portal system. Carriers and administrators will be receiving email notices for further instructions regarding the system enhancements.

For carrier or entity contact information updates, please complete the new Surveys Contacts and Filing Status form moving forward.

If you have any questions, please contact us at Healthsurvey@doi.idaho.gov

Surveys and Reporting Due Dates:

  • Immunization Assessment Survey – Due March 15
  • Rescission Reporting for Long-Term Care Policies – Due March 1
  • Reporting Medicare Supplement Policies – Due March 1
  • Medicare Supplement Refund Calculation Form – Due May 31
  • Assessment Survey – No longer requested in 2025.
  • Health Survey (Carriers AND TPAs) – Open March 1, Due May 1: Health Survey Instructions and Self-Funded Survey Instructions 
  • Long-Term Care Suitability of Sale – Due May 31
  • Replacement and Lapse Reporting for Long-Term Care Insurance – Due June 30
  • Claims Denial Reporting for Long-Term Care Insurance – Due June 30

PBM Annual and Quarterly Reports

Annual Reporting

Annual Report Forms for Download:
Due dates and reporting period for both annual reports for 2025
  • Due January 1, 2025, covering from 1/1/2023-12/31/2023.
  • Due April 1, 2025, covering from 1/1/2024-12/31/2024.

Quarterly Reporting

Quarterly Report Form for Download:

Reporting due dates for quarterly reports consist of reoccurring submissions due for at least one quarter later.

Due dates and reporting period for the Quarterly report for 2025
Due Dates:
Date Range for Reporting Period:
  • January 1, 2025
07/01/2024-09/30/2024
  • April 1, 2025
10/01/2024-12/31/2024
  • July 1, 2025
01/01/2025-03/31/2025
  • October 1, 2025
04/01/2025-06/30/2025
  • January 1, 2026
07/01/2025-09/30/2025


PBM Reporting FAQ

If you have any PBM reporting questions, please contact us.

Other Tools & Entity Types with Forms or Checklists

Have more questions?

Contact the Company Activities team:

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