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| Home : Companies : Company reporting forms : County mutual insurers |
County mutual insurers
Below you will find a listing of every form that applies to county mutual insurance companies under the company filing requirements and premium tax filing requirements sections of this website.
The electronic version of the Annual Statement and the Interim Financial Statement should be filed as an email attachment addressed to ytkeniston@nd.gov.
IMPORTANT: the County Mutual Annual Statement is a fillable Excel spreadsheet. Do not open this file directly but rather download the file to your PC's hard drive. Click on the file below. Select the "Save" or "Save Target As" option. Save the file to a sub-directory on your computer. Once you have saved the file, you can locate the file on your computer using File Manager (Windows 3.1 users) or Windows Explorer (Windows 95/NT users). When opening the file, a pop-up box will ask about updating the file's links, select "Don't Update." A second pop-up box will ask about disabling macros, click "OK." If you have problems using this file, call 701.328.9613.
Please contact the Department if you have difficulty finding or accessing a form that you need.
Yvonne Keniston
ytkeniston@nd.gov
North Dakota Insurance Department
State Capitol, fifth floor
Dept. 401
600 E. Boulevard Ave.
Bismarck, ND 58505-0320
701.328.2440
701.328.4880 fax
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