How to Renew

Traditional insurance companies licensed to conduct business in Vermont must renew their license annually by completing the Vermont Annual Financial Statement Filing. Use the resources below to complete an annual filing.

Please note: the instructions on this page do not apply to Vermont Captive Insurers or Foreign Risk Retention Groups.

2021 Annual Financial Statement Filing Instructions and Forms

Below are forms for the period ending December 31, 2021 and for the first three quarters of 2022 for insurance companies required by statute to file with the department. Included are forms for remitting Annual Statement filings and license (or authorization) renewal fees.

Section 1:  Annual Fee Calculation Forms

Please be sure to use the correct form as the fees are different.

    1A - P&C, L&H, Health, Reciprocal, and Title Insurers

    1B - Fraternal Benefit Societies

    1C - Foreign Accredited Reinsurers

Section 2

Annual Statement Supplemental Report (ASSR)

Section 3

Vermont Mandatory Reporting (Liquor Liability Report)

Section 4: Checklists - Filings with Notes

    4A - Life, Accident and Health / Fraternal Insurers

    4B - Property and Casualty, and Reciprocals

    4C - Health Entities (Insurers, HDMIs, and HMOs)

    4D - Title Insurers

    4E - Fraternal Insurers

    4F - Foreign Surplus Lines Insurers - no longer required

    4G - Foreign Accredited Reinsurers

           Regarding NRRA Federal Legislation

    4H - Alien Surplus Lines Insurers - no longer required

    4I - Alien Accredited Reinsurers

    4J - Certified Reinsurers

    4K - Life Settlement Providers

Renewal Instructions
Biennial Renewal Form
Annual Statement Reporting Form

Addendum to Health Insurer Annual Statement

Contact Information

Department of Financial Regulation
Consumer Services 
89 Main Street, Montpelier, VT 05620 - 3101

802-828-3301
833-DFR-HOTLINE (toll free)
833-337-4685 (toll free)

Public Information
For public records, media inquiries, and press releases visit our Public Information web page

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Employee Information