Financial Analysis Forms Listing in Numeric Order
This is one of several pages linking to a central repository of forms used by TDI customers. Use the search or Forms by Type links on the Forms Home Page or scan through our form listings.
| TDI Form Number | Description | File Format | Language |
|---|---|---|---|
| FIN111 | Health Entities NAIC Checklist Health Filing Requirements NAIC Checklist |
English | |
| FIN116 | HMO Supplement - Annual Information HMO Supplement - Annual Information |
English | |
| FIN117 | TDI Instructions for Filing CPA Audited Financial Statements TDI Instructions for Filing CPA Audited Financial Statements |
English | |
| FIN119 | Life, Accident and Health Insurers NAIC Checklist Life, Accident and Health Insurers Filing Requirements NAIC Checklist |
English | |
| FIN121 | Analysis of Surplus Form for Life Accident and Health (TX Domestics only) Analysis of Surplus Form for Life Accident and Health Companies (TX Domestics only) |
English | |
| FIN122 | Property & Casualty Insurers NAIC Checklist Property & Casualty Insurers Filing Requirements NAIC Checklist |
English | |
| FIN123 | TDI Supplement Form for County Mutuals Texas Supplement Form for County Mutuals |
English | |
| FIN124 | Analysis of Surplus Form - Property and Casualty Companies (TX Domestic only) Analysis of Surplus Form - Property and Casualty Companies (TX Domestic only) |
English | |
| FIN126 | Fraternal Benefit Societies NAIC Checklist Fraternal Benefit Societies Filing Requirements NAIC Checklist |
English | |
| FIN127 | Title Insurers NAIC Checklist Title Insurers Filing Requirements NAIC Checklist |
English | |
| FIN128 | Annual Statement Blank - Farm Mutual Companies Annual Statement Blank - Farm Mutual Companies |
English | |
| FIN128 | Annual Statement Blank - Farm Mutuals Annual Statement Blank - Farm Mutuals |
EXCEL | |
| FIN129 | Prepaid Legal Services Corporation Annual Statement Annual Statement Blank - Prepaid Legal Companies |
EXCEL | |
| FIN129 | Prepaid Legal Services Corporation Annual Statement Blank Annual Statement Blank - Prepaid Legal Companies |
English | |
| FIN131 | Notice of Dividend or Distribution Pursuant to 28 TAC §7.203(n) Solvency |
English | |
| FIN138 | Texas Supplemental "A" for County Mutuals Form Texas Supplemental "A" for County Mutuals Form |
English | |
| FIN 150 | Texas Negotiated Deductible Workers' Compensation Form |
English | |
| FIN202 | Policyholder Dividend Disbursement Application - Casualty Dividends |
WORD | English |
| FIN202 | Texas Casualty Dividend Disbursement Application Form Texas Casualty Dividend Disbursement Application Form |
English | |
| FIN203 | Policyholder Dividend Disbursement Application |
WORD | English |
| FIN203 | Texas Property Dividend Disbursement Application Form Texas Property Dividend Disbursement Application Form |
English | |
| FIN230 | Release of Contributions Release of Contributions |
English | |
| FIN231 | Reserve Summary fin231ressum |
English | |
| FIN232 | Reserve Valuation Sheets fin232resvalins |
English | |
| FIN242 | Analysis of Surplus - Fraternal Societies (Commercially Domiciled and TX Domestics) - Requried of Foreign companies filing Policyholder Dividend Applications Analysis of Surplus Form - Fraternal Benefit Societies (Commercially Domiciled and TX Domestics) - Required of Foreign companies filing Policyholder Dividend Applications |
English | |
| FIN243 | Analysis of Surplus - Title Annual Statement (File this form if TX domestic comnpany, commercially domiciled Title company, or foreign title company filing a policyholder dividend in TX Analysis of Surplus - Title Companies (File this form if TX domestic company, commercially domiciled Title company, or foreign title company filing a policyholder dividend in TX |
English | |
| FIN244 | CPA Audited Financial Statements - Intent Form Register a CPA to file an audited financial statement |
English | |
| FIN246 | Affidavit for Exemption form filing Authorization to file an exemption |
English | |
| FIN248 | Net Premium Summary fin248sumofinv |
English | |
| FIN249 | Inventory of Insurance in Force by Age of Issue or Reseving Year fin249invofins |
English | |
| FIN251 | Annual Statement Blank - Mutual Assessments, Burials, LMAs Annual Statement Blank - Mutual Assessments, Burials, LMAs |
English | |
| FIN251 | Annual Statement Blank - Mutual Assessments, LMA's, Burials Annual Statement Blank - Mutual Assessments, LMA's, Burials |
EXCEL | |
| FIN252 | HMO Quarterly Supplement HMO Quarterly Supplement |
English | |
| FIN483 | Transactions Cash Receipts Transmittal Form |
English | |
| FIN483 | Transactions Cash Receipts Transmittal Form |
WORD | English |
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