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Last Updated: 11/29/2017

Forms and Instructions

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Forms and instructions are offered in Adobe Acrobat Reader PDF format. To view and print these files, install the current version of the free Adobe Reader on your computer. Note: If you have trouble using any of these forms, you may be using an older version of Reader.

 

Current Year Forms and Instructions

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 pdf
Form Form
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 M11H
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Description Tax Year Tax Year
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 2017
pdfM11H2017 Insurance Premium Tax Return for HMOs2017 Insurance Premium Tax Return for HMOs2017
 

 

Prior Year Forms and Instructions

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Form Form
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 M11H
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Description
CollapseTax Year: 2016
pdfM11H2016 Insurance Premium Tax Return for HMOs2016 Insurance Premium Tax Return for HMOs
CollapseTax Year: 2015
pdfM11HInsurance Premium Tax Return for HMOsInsurance Premium Tax Return for HMOs
CollapseTax Year: 2014
pdfM11H2014 Insurance Premium Tax Return for HMOs2014 Insurance Premium Tax Return for HMOs
CollapseTax Year: 2013
pdfM11H2013 Insurance Premium Tax Return and Instructions for HMOs2013 Insurance Premium Tax Return and Instructions for HMOs
CollapseTax Year: 2012
pdfM11HInsurance Premium Tax Return and Instructions for HMOsInsurance Premium Tax Return and Instructions for HMOs