HI| The Hawaii Insurance Division issued Memorandum 2025-17C providing 2025 year-end annual and other filing requirements (due in 2026) for domestic risk retention captive insurance companies licensed in Hawaii, including general instructions, electronic filing protocols, late filing penalties, implementation of OPTins for premium tax and renewal fee payments, and a detailed checklist of NAIC and state-specific filings, formats, and deadlines, with explanatory notes and contact information for the Captive Insurance Branch.

Forms and attachments referenced and linked in Memorandum:

• CAP‑001: Premium Tax Statement (Annual Statement of Premiums Written for Taxation Purposes) – Excel/OPTins.
• CAP‑002: Captive Questionnaire – Word.
• CAP‑003: Economic Impact Report – Excel.
• CAP‑006: Statutory Compliance Report – Excel.
• CAP‑008: Verification of Independent Board of Director/SAC Member – Word or PDF (optional tool to document independence).
• Other referenced templates/forms:
  • Corporate Governance Annual Disclosure (state-only, no specific form number given).
  • Holding Company forms B, C, and F (available under HAR Chapter 14 on the Insurance Division website).
  • Data Security Annual Certification Form and Exemption Certification Form (downloadable from the Insurance Data Security Law webpage).
  • Group Capital Calculation instructions and template (via NAIC link).

Click here to see HI Memorandum 2025-17C and associated links