The Mississippi Annual Assessment Report Form(s) for Insurance Companies & Self-Insurers are forms that must be filed annually by both insurance companies and self-insured entities in order to report their financial information and pay assessments to the Mississippi Insurance Department (MID). The forms are used to assess the financial condition of the insurer or self-insured entity, and the amount of the assessment is based on the total assets and liabilities of the entity. The forms must be filed by the filing deadlines, which are determined by the MID. The forms are divided into two categories: insurance companies and self-insurers. For insurance companies, the forms needed are: 1. Mississippi Annual Statement of Financial Condition Form (Form B-1) 2. Mississippi Annual Statement of Loss Reserves Form (Form B-2) 3. Mississippi Annual Statement of Surplus Notes Form (Form B-3) 4. Mississippi Annual Assessment Fee Form (Form B-4) For self-insurers, the forms needed are: 1. Mississippi Self-Insurer Financial Statement Form (Form SI-1) 2. Mississippi Self-Insurer Assessment Fee Form (Form SI-2) The Mississippi Annual Assessment Report Forms must be completed and submitted by the filing deadlines in order for the MID to assess the financial condition of the insurer or self-insured entity and collect the assessment fees. Failure to file the report or pay the assessment fees on time may result in penalties imposed by the MID.
Mississippi Annual Assessment Report Form(s) for Insurance Companies & Self-Insurers
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Mileage and High Cost Meal Allowance Effective DateRateAvailable State-Owned VehicleJanuary 1, 2020$0.575/mile$0.17/mileJanuary 1, 2019$0.58/mile$0.20/mileJanuary 1, 2018$0.545/mile$0.18/mileJanuary 1, 2017$0.535/mile$0.17/mile7 more rows
Mileage Rate for Medical and Medical-Legal Travel Expenses Increases Effective January 1, 2023. The Division of Workers' Compensation (DWC) is announcing the increase of the mileage rate for medical and medical-legal travel expenses by 3 cents to 65.5 cents per mile effective January 1, 2023.
The Mississippi Workers' Compensation Commission has announced that the 2020 weekly maximum compensation rate for indemnity benefits is $505.43 for injuries that occur in 2020. That also establishes the new indemnity maximum for 2020 injuries is $227,443.50. The $25.00 minimum weekly WC rate remains in effect.
WHO IS COVERED? Most working Mississippians are protected by the Workers' Compensation Law, but there are exceptions. All employers with five (5) employees regularly employed are required to provide workers' compensation insurance coverage.
The Division of Workers' Compensation (DWC) is announcing the increase of the mileage rate for medical and medical-legal travel expenses by 3 cents to 65.5 cents per mile effective January 1, 2023. This rate must be paid for travel on or after January 1, 2023, regardless of the date of injury.
Under the Mississippi Workers' Compensation Act, following a work related injury, a claimant has two years to file a claim for benefits.
Mileage is currently reimbursed at 40 cents per mile. Professional transportation services: If you have no other way to attend your necessary medical appointments, you may be entitled to reimbursement for the services of a medical transportation company.
COMPENSATION BENEFITS The compensation rate is 66-2/3% of the AWW, subject to statutory minimum and maximum amounts, and is based on a 5-day work week. Compensation begins on the 6th day after disability. If disability continues for 14 days, benefits must be paid retroactively, to the first date of disability.
