Illinois Department of Insurance Forms
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Form PRT1 "Privilege and Retaliatory Tax Quarterly Installment" - Illinois
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29 votes
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119 KB
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Form 141.3 "Management Contracts" - Illinois
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11 votes
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65 KB
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Form 141.3 "Management Contracts Supplement" - Illinois
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8 votes
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68 KB
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Form IL446-0124 "Fire Marshal Tax Return" - Illinois, 2020
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19 votes
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84 KB
2 pages
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Form IL446-0126-H "Privilege and Retaliatory Tax Return for Health Maintenance Organizations, Limited Health Service Organizations, Voluntary Health Service Plans and Dental Service Plans" - Illinois, 2020
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(4.3 / 5)
17 votes
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202 KB
6 pages
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Form IL446-0126-R "Privilege and Retaliatory Tax Return for Risk Retention Groups (Rrg)" - Illinois, 2020
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35 votes
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218 KB
6 pages
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Form IL446-0126-P "Privilege and Retaliatory Tax Return for Property and Casualty Insurers" - Illinois, 2020
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9 votes
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225 KB
6 pages
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Form IL446-0126-L "Privilege and Retaliatory Tax Return for Life and Accident and Health Companies" - Illinois, 2020
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6 votes
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223 KB
6 pages
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"Fire Marshal Tax Return for Farm Mutuals" - Illinois, 2020
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9 votes
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78 KB
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"Discounted Health Care Services Plan Only Application - Administrator and Insurer" - Illinois
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34 votes
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250 KB
8 pages
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"Point of Service" - Illinois, 2020
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10 votes
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27 KB
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"Annuity Filing Checklist" - Illinois
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75 votes
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152 KB
4 pages
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"Application for HMO Certificate of Authority" - Illinois
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23 votes
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89 KB
10 pages
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"Utilization Review Renewal Registration Form" - Illinois
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57 votes
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172 KB
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"Independent Review Organization Renewal Registration Form" - Illinois
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26 votes
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97 KB
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"Computer Data Request Form" - Illinois
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13 votes
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41 KB
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"Domestic Segregation of Gain and Loss Exhibit by Participating and Non-participating" - Illinois
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16 votes
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109 KB
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"Domestic Investment Supplement - Health Entities" - Illinois
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17 votes
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130 KB
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"Investment Supplement - Subsidiaries" - Illinois
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21 votes
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62 KB
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"Investment Supplement - Catch-All" - Illinois
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29 votes
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62 KB
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"Reserve Requirement Reconciliation" - Illinois
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(4.3 / 5)
31 votes
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108 KB
3 pages
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