Get Form M11h

Navigating the process of filling out Form M11h online can seem daunting, but with this comprehensive guide, you will have a clear path to complete your Insurance Premium Tax Return. Follow the instructions closely to ensure your form is filled out accurately and efficiently.

Follow the steps to fill out Form M11h online.

1. Press the ‘Get Form’ button to access the form and open it in your editor.
2. Enter the name of your healthcare provider in the designated field.
3. Fill in the mailing address, ensuring to check the box if you have a new address.
4. Provide your city, state, and ZIP code in the appropriate fields.
5. Include your email address and website address, if applicable.
6. In the section labeled 'Contact Person', enter the name of the contact person along with their daytime phone number and fax number.
7. Indicate if this is an amended return or a no activity return by checking the corresponding boxes.
8. Input your Federal Employer Identification Number (FEIN) and Minnesota tax ID, ensuring the tax ID is included as it is required.
9. Provide the NAIC number and state or country of incorporation.
10. In the field for total gross written premiums, enter the total amount from your NAIC and Schedule T; attach a copy as needed.
11. For line 2, report any nontaxable premiums: Federal employees health benefits, nontaxable Medicare premiums, and any other nontaxable premiums with an attached schedule.
12. Calculate total nontaxable premiums and subtract this from the total gross written premiums.
13. Enter any other adjustments, attaching a separate itemized schedule if necessary.
14. Calculate total taxable premiums by adding the results from previous calculations.
15. Determine your premium tax liability by multiplying the total taxable premiums by the premium tax percentage rate.
16. Fill in any applicable state credits, such as Guaranty Fund Assessment, Short Line Railroad Transfer Credit, and Film Production Credit, by attaching supporting documents.
17. Calculate your total amount due or overpaid, entering all necessary figures for estimated tax payments.
18. Review all entries for accuracy before saving your changes.
19. Once completed, save changes, download, print, or share the form as needed.

Complete your Form M11h online to ensure timely and accurate submission.