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TDI Forms

Financial - Financial Analysis

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.

 

Financial Analysis Forms
TDI Form Number Description File Format
FIN111 Health Filing Requirements Checklist
 PDF
FIN111 Health Filing Requirements Checklist
 WORD
FIN116 HMO Supplement
For Filing Annual and Quarterly Information		 PDF
FIN117 TDI Instructions for Filing CPA Audited Financial Statements
Instructional		 WORD
FIN117 TDI Instructions for Filing CPA Audited Financial Statements
Instructional		 PDF
FIN119 Life, Accident and Health Insurers Filings Requirements Checklist
Checklist		 PDF
FIN119 Life, Accident and Health Insurers Filings Requirements Checklist
Checklist		 WORD
FIN121 TDI Analysis of Surplus Form for Life and A & H
Surplus Analysis		 PDF
FIN121 TDI Analysis of Surplus Form for Life and A & H
Surplus Analysis		 WORD
FIN122 Property & Casualty Insurers Filing Requirements Checklist
Checklist		 WORD
FIN122 Property & Casualty Insurers Filing Requirements Checklist
Checklist		 PDF
FIN123 TDI Supplement For County Mutuals
Supplemental Form		 PDF
FIN123 TDI Supplement For County Mutuals
Supplemental Form		 WORD
FIN124 TDI Analysis of Surplus Form for Property and Casualty Annual Statement
Surplus Analysis		 PDF
FIN124 TDI Analysis of Surplus Form for Property and Casualty Annual Statement
Surplus Analysis		 WORD
FIN126 Fraternal Benefit Societies Filing Requirements
Checklist		 PDF
FIN126 Fraternal Benefit Societies Filing Requirements
Checklist		 WORD
FIN127 Title Companies Filing Requirements
Checklist		 WORD
FIN127 Title Companies Filing Requirements
Checklist		 PDF
FIN128 TDI Farm Mutual Insurance Company Annual Statement
Solvency		 EXCEL
FIN128 TDI Farm Mutual Insurance Company Annual Statement
Solvency		 PDF
FIN129 Prepaid Legal Services Corporation Annual Statement
Solvency		 PDF
FIN129 Prepaid Legal Services Corporation Annual Statement
Solvency		 EXCEL
FIN131 Notice of Dividend or Distribution Pursuant to 28 TAC §7.203(n)
Solvency		 PDF
FIN131 Notice of Dividend or Distribution Pursuant to 28 TAC §7.203(n)
Solvency		 WORD
FIN138 Texas Supplemental "A" for County Mutuals
To be filed with annual statement		 WORD
FIN138 Texas Supplemental "A" for County Mutuals
To be filed with annual statement		 PDF
FIN202 Texas Casualty Dividend Disbursement Application
Compliance with statute		 PDF
FIN202 Texas Casualty Dividend Disbursement Application
Compliance with statute		 WORD
FIN203 Texas Property Dividend Disbursement Application
Compliance with statute		 PDF
FIN203 Texas Property Dividend Disbursement Application
Compliance with statute		 WORD
FIN242 Analysis of Surplus - Fraternal Annual Statement
File if TX Fraternal domestic company, commercially domiciled or foreign fraternal filing		 PDF
FIN242 Analysis of Surplus - Fraternal Annual Statement
File if TX Fraternal domestic company, commercially domiciled or foreign fraternal filing		 WORD
FIN243 Analysis of Surplus - Title Annual Statement
File this form if TX Title domestic company, commercially domiciled Title company, or foreign title company filing a policyholder dividend in TX		 WORD
FIN243 Analysis of Surplus - Title Annual Statement
File this form if TX Title domestic company, commercially domiciled Title company, or foreign title company filing a policyholder dividend in TX 		PDF
FIN244 CPA Audited Financial Statements - Intent Form
Register a CPA to file an audited financial statement		 PDF
FIN244 CPA Audited Financial Statements - Intent Form
Register a CPA to file an audited financial statement 		WORD
FIN246 Affidavit for Exemption form filing
Authorization to file an exemption		 WORD
FIN246 Affidavit for Exemption form filing
Authorization to file an exemption		 PDF
FIN251 LMA Annual Statement
LMA Annual Statement		 EXCEL
FIN251 LMA Annual Statement
 PDF
FIN252 HMO Quarterly Supplement
 WORD
FIN252 HMO Quarterly Supplement
 PDF
FIN483 Transactions Cash Receipts Transmittal Form
 PDF
FIN483 Transactions Cash Receipts Transmittal Form
 WORD

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For more information contact: FinancialAnalysis@tdi.state.tx.us



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