Kentucky Form 74A101 is an Insurance Premiums Tax Return for domestic mutual insurance companies, domestic mutual fire insurance companies, and cooperative and assessment fire insurance companies that are required to report reinsurance premium activity in Kentucky. The return separates reinsurance payments into two categories: premiums paid to unauthorized reinsurance companies and premiums paid to authorized reinsurance companies. Premiums paid to unauthorized reinsurers are reported in Section I and may create a Kentucky tax liability equal to 2% of the total unauthorized reinsurance premiums. Premiums paid to authorized reinsurers are disclosed separately in Section II, but this section does not contain a tax calculation line. The company must also provide its federal employer identification number, NAIC or Kentucky tax identification number, legal company name, home office address, mailing address, and telephone number. In addition to the premium schedules, the filer must attach the required Kentucky premiums and losses exhibit and any supporting schedules, exhibits, or itemized accounts that form part of the company’s annual statement. The completed return must be certified by the company’s president or chief accounting officer, and the person who prepared the return must complete the required preparer section. Form 74A101 is due on or before March 1 and must be sent to the Kentucky Department of Revenue with payment or, when the tax is paid online, with the related payment confirmation information.
Who Must File Kentucky Form 74A101?
The return must be filed by every qualifying:
- Domestic mutual insurance company
- Domestic mutual fire insurance company
- Cooperative fire insurance company
- Assessment fire insurance company
The filing requirement applies under KRS 299.530 and KRS 304.4-030.
A company should review its legal organization and Kentucky insurance status before preparing the return. This form is not intended for individual policyholders or ordinary businesses that purchase insurance.
What Information Should Be Gathered Before Starting?
Collect the following information before completing the return:
- The calendar year being reported
- The company’s FEIN
- The company’s NAIC or Kentucky tax identification number
- The legal company name
- Home office and mailing addresses
- A current telephone number
- Names and addresses of unauthorized reinsurers
- Premiums paid to each unauthorized reinsurer
- Names and addresses of authorized reinsurers
- Premiums paid to each authorized reinsurer
- The total unauthorized reinsurance premiums
- The calculated 2% tax liability
- Online payment confirmation, when applicable
- The required Kentucky premiums and losses exhibit
- Additional schedules or annual statement supplements
- The names and titles of the officer and return preparer
Use figures from the preceding calendar year and make sure the totals agree with the company’s supporting accounting and annual statement records.
How To File Kentucky Form 74A101
Filing Deadline
File the return on or before March 1.
The form reports reinsurance premiums paid during the preceding calendar year. Complete the calendar-year field at the top so the Department can connect the return to the correct reporting period.
Do not wait until the deadline to gather annual statement supplements or obtain the required officer’s signature.
Filing With A Check
When paying by check:
- Complete both premium-reporting sections.
- Calculate the tax on unauthorized reinsurance premiums.
- Make the check payable to the Kentucky State Treasurer.
- Include the check with the completed return.
- Attach the required exhibit and supporting schedules.
- Mail the complete filing package to the Kentucky Department of Revenue.
Use this regular mailing address:
Kentucky Department of Revenue
P.O. Box 1303
Frankfort, KY 40602-1303
Filing By Overnight Delivery
For overnight or express delivery, use:
Kentucky Department of Revenue
501 High Street
Frankfort, KY 40601-2103
Do not send an overnight package to the post office box.
Filing After Paying Online
When the tax is paid electronically:
- Check the Paid Online box.
- Enter the payment confirmation number.
- Include the Payment Schedule Confirmation page.
- Send the completed return and confirmation page to either the regular mailing address or overnight address.
Paying online does not replace the requirement to submit the return and its supporting documents.
Required Attachments
Attach a copy of the company’s exhibit reporting premiums and losses from business conducted in the Commonwealth of Kentucky during the year.
Also attach every required:
- Schedule
- Exhibit
- Itemized account
- Annual statement supplement
- Supporting tax calculation
These attachments become part of the filed return. Clear and readable reproductions are acceptable.
How To Complete Kentucky Form 74A101
Header And Identification Information
Form Number And Revision Date
The number in the upper-left corner identifies the document as Kentucky Form 74A101. The parenthetical information shows its revision date.
This information is already printed. Do not enter anything on this line.
Company Classification
The heading identifies the types of insurance companies expected to use the return: domestic mutual, domestic mutual fire, cooperative fire, and assessment fire insurance companies.
Verify that the filing company belongs to one of these categories before continuing.
Calendar Year
Complete the blank after “For Calendar Year” with the year covered by the return.
The entries in Sections I and II must reflect premiums paid during that calendar year. Use one consistent reporting year throughout the form, attachments, and payment information.
Insurance Premiums Tax Return Heading
This heading describes the return’s purpose. It does not require a taxpayer entry.
Department Use Area
Tax Field
The box in the upper-right corner contains an internal tax code field. It is reserved for Department processing.
Do not change the printed coding or enter information in this area.
Year Field
The Department-use box includes a space for internal year coding.
Leave this area blank unless the Kentucky Department of Revenue specifically directs you to complete it.
Transaction Field
The field marked “Tr.” is used for Department processing.
Do not enter the company’s transaction number or online payment confirmation here.
Account Number
The account number spaces inside the Department-use box are also intended for Department use.
Leave them blank unless the Department has instructed the company to supply an account number in that location.
Company Identification
FEIN
Enter the company’s federal employer identification number.
Use the nine-digit number issued to the legal entity filing the return. Enter it in the spaces provided and verify that it matches the number used on the company’s other tax filings.
Do not enter an officer’s Social Security number.
NAIC Or Tax ID
Enter the company’s NAIC identification number or applicable Kentucky tax identification number in the boxes provided.
Use the identifier connected to the insurance company named on the return. Do not place the online payment confirmation number in this field.
Company Name
Enter the complete legal name of the insurance company.
The name should agree with the company’s insurance registration, annual statement, tax account, and supporting exhibits. Avoid shortened versions unless the abbreviation is part of the legal name.
Home Office Address
Enter the street address of the company’s main office.
Include:
- Street number
- Street name
- Suite or office number, when applicable
The form specifically requests a number-and-street address in this field. Do not use only a post office box here.
Mailing Address
Enter the company’s mailing address.
This line may include a post office box when the company receives mail at a location different from its home office street address.
When the home office and mailing addresses are the same, enter the appropriate address clearly rather than leaving the field unexplained.
Telephone Number
Provide a current business telephone number.
Include the area code and use a number where the Department can reach someone familiar with the return.
City
Enter the city associated with the company’s mailing address.
State
Enter the two-letter postal abbreviation for the mailing-address state.
ZIP Code
Enter the complete ZIP Code for the mailing address. Add the four-digit extension when it is regularly used.
Section I reports premiums paid during the preceding calendar year to each unauthorized reinsurance company.
Do not combine unauthorized and authorized reinsurers in this section.
Enter the full legal name of each unauthorized reinsurance company that received premiums from the filing company during the reporting year.
Use a separate row for each reinsurer.
If more entries are needed than the available rows allow, attach a continuation schedule using the same column format.
Address
Enter the complete address of each unauthorized reinsurer listed.
Include enough information to identify its location, such as:
- Street address
- City
- State or province
- Postal code
- Country, when outside the United States
Make sure each address remains aligned with the correct reinsurer’s name and premium amount.
Amounts Of Premiums Paid
Enter the amount of premiums paid to each unauthorized reinsurer during the calendar year.
Report each amount on the same row as the reinsurer’s name and address. Use the company’s accounting records rather than estimates.
Do not enter the tax itself in this column.
Additional Rows
Continue listing unauthorized reinsurance companies one per row.
When attaching a separate schedule, identify it as a continuation of Section I and include:
- The filing company’s name
- FEIN or tax identification number
- Reporting year
- Reinsurer’s name
- Reinsurer’s address
- Premium amount
Include the continuation schedule amounts in the Section I total.
Add all unauthorized reinsurance premium amounts reported in Section I and on any attached continuation schedules.
Enter the combined amount on the total line.
Review the calculation carefully because this total is used to determine the tax liability.
Tax Liability At 2%
Multiply the total unauthorized reinsurance premiums by 2%, expressed as 0.02.
Use this formula:
Total Unauthorized Reinsurance Premiums × 0.02 = Tax Liability
For example, if the total unauthorized premiums are $50,000:
$50,000 × 0.02 = $1,000
Enter the calculated tax in the dollars-and-cents boxes provided.
Do not multiply authorized reinsurance premiums from Section II by 2%.
Paid Online Checkbox
Check this box only when the tax was paid electronically.
Leave it unchecked when a check is being enclosed with the return.
Confirmation Number
When the tax was paid online, enter the payment confirmation number in the space beside the checkbox.
Copy the number exactly from the electronic payment record. Do not enter the company’s FEIN, NAIC number, or Department account number here.
Payment Schedule Confirmation Page
Attach the Payment Schedule Confirmation page when payment was made online.
This page allows the Department to match the electronic payment with the return. Include it even when the confirmation number has already been written on the form.
Payment Instructions
Check Payee
Make any enclosed check payable to:
Kentucky State Treasurer
Do not make the check payable to an individual Department employee.
Return And Payment Mailing Address
Send a return filed through regular mail, together with payment and attachments, to:
Kentucky Department of Revenue
P.O. Box 1303
Frankfort, KY 40602-1303
Overnight Address
Send an overnight or courier package to:
Kentucky Department of Revenue
501 High Street
Frankfort, KY 40601-2103
Online Payment Filing Reminder
When payment is made online, mail the return and Payment Schedule Confirmation page to one of the addresses above.
Do not mail a second check after completing the online payment.
Officer’s Declaration
The declaration confirms that the signer has reviewed the return, accompanying schedules, and statements and believes they are accurate, complete, and correct.
The statement is made under penalties of perjury. The authorized officer should therefore review:
- Company identification
- Unauthorized premium entries
- Authorized premium entries
- Section totals
- Tax calculation
- Payment information
- Required attachments
Do not sign an incomplete return.
Signature Of President Or Chief Accounting Officer
The company’s president or chief accounting officer must sign this line.
The signature confirms the officer’s review and certification of the filing. A preparer’s signature does not replace the required officer’s signature.
Print Name
Print or type the signing officer’s full name.
The name should be clear enough to identify the person who signed the return.
Date
Enter the date the president or chief accounting officer signed the return.
Use a complete month, day, and year.
Report Preparer’s Information
The preparer section is required.
It must be completed by the person who prepared the return, even though the president or chief accounting officer separately certifies it.
Preparer’s Signature
The preparer should sign this line.
The preparer may be an employee, accountant, tax professional, or other person responsible for completing the return.
Title
Enter the preparer’s job title or professional role.
Examples include:
- Tax manager
- Controller
- Accountant
- Chief financial officer
- Accounting specialist
- External tax preparer
Date
Enter the date the preparer signs the form.
Print Name
Print or type the preparer’s full name.
Do not use only initials when the full name is available.
Telephone Number
Enter a current telephone number for the preparer.
Include the area code. Use a number where the preparer can answer questions about the premium listings and tax calculation.
Email Address
Enter the preparer’s active email address.
Check the spelling carefully because the Department may use this address to request clarification or missing information.
Section II: Premiums Paid To Authorized Reinsurance Companies
Section II reports premiums paid during the preceding calendar year to authorized reinsurance companies.
These amounts must be disclosed separately from the unauthorized reinsurance premiums listed in Section I.
Name Of Authorized Reinsurance Company
Enter the full legal name of each authorized reinsurer that received premiums during the reporting year.
Use one row for each company.
Address
Enter the complete address of each authorized reinsurance company.
Keep every address on the same row as its corresponding reinsurer name.
Amounts Of Premiums Paid
Enter the amount of premiums paid to each authorized reinsurer during the calendar year.
Use actual accounting records and make sure the reported amounts cover the same year shown at the top of the return.
Additional Authorized Reinsurers
Use the remaining rows for additional authorized reinsurance companies.
If the company paid premiums to more authorized reinsurers than the table can hold, attach a continuation schedule containing the same information requested in Section II.
Total Premiums Paid To Authorized Reinsurance Companies
Add all authorized reinsurance premiums entered in Section II and on attached continuation schedules.
Complete the calendar-year blank on the total line and enter the combined premium amount.
This total is a reporting amount. The form does not instruct the filer to apply the 2% Section I tax to authorized reinsurance premiums.
Required Supporting Material
Kentucky Premiums And Losses Exhibit
Attach a copy of the exhibit showing premiums and losses from business conducted in Kentucky during the reporting year.
Make sure the exhibit covers the same company and calendar year as the return.
Schedules, Exhibits, And Itemized Accounts
Attach every schedule, exhibit, or itemized account required to support the filing.
Once attached, these materials are treated as part of the return. Review them for consistency with the amounts entered in Sections I and II.
Annual Statement Supplements
The required supplements are part of the company’s annual statement.
Readable reproductions may be submitted. Make sure copied pages are complete, legible, and properly identified.
Final Review Before Filing
Before submitting Kentucky Form 74A101, confirm that:
- The correct calendar year is entered
- The company is eligible to use this return
- The FEIN is complete and accurate
- The NAIC or tax identification number is entered
- The legal company name is correct
- The home office street address is complete
- The mailing address is current
- The telephone number is included
- The city, state, and ZIP Code are complete
- Every unauthorized reinsurer is listed
- Each unauthorized reinsurer’s address is provided
- Each unauthorized premium amount is entered
- Section I continuation schedules are attached when needed
- The total unauthorized premiums are accurate
- The 2% tax calculation is correct
- The online payment box is checked only when applicable
- The online payment confirmation number is entered
- The Payment Schedule Confirmation page is attached when required
- Every authorized reinsurer is listed in Section II
- Each authorized reinsurer’s address is provided
- Each authorized premium amount is entered
- The Section II calendar year is completed
- Total authorized premiums are calculated correctly
- The Kentucky premiums and losses exhibit is attached
- All required annual statement supplements are included
- The president or chief accounting officer has signed
- The officer’s printed name and signature date are entered
- The required preparer section is complete
- A check is payable to the Kentucky State Treasurer, when paying by mail
- The return is addressed correctly
- A copy of the entire filing package is retained
- The filing is submitted on or before March 1
Where To Get Help
For questions about the return, premium reporting, attachments, or payment process, contact the Kentucky Department of Revenue Financial Tax Section at:
Telephone: (502) 564-4810