Form Ig263 - Joint Self-Insurance Tax Return - 2013 Page 2

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2013 Form IG263 Instructions
For insurance tax laws, see Minnesota Statutes, Chapter 297I.01 – 297I.95 at
Who Must File?
Payments
alty is due. The penalty is 5 percent of the
unpaid tax for any part of the first 30 days
File Form IG263 for the following joint self-
Electronic Payments
the payment is late, and 5 percent for each
insurance plans:
If your total insurance taxes and surcharges
additional 30-day period, up to a maximum
• any property and/or casualty or automo-
for the last 12-month period ending June
of 15 percent.
bile liability (M.S. Chapter 60F),
30 is $10,000 or more, you are required to
Late Filing. Add a late filing penalty to
• certain employer health coverage ar-
pay your tax electronically in all subsequent
the late payment penalty if your return is
rangements (M.S. Chapter 62H).
years.
not filed by the due date. The penalty is 5
For plans operating under Chapter 60F,
You must also pay electronically if you’re
percent of the unpaid tax. When added to
the tax is equal to 2 percent of the total
required to pay any Minnesota business tax
the late payment penalty, the maximum
amount of claims paid during the fund
electronically, such as sales or withholding
combined penalty is 20 percent.
year, with no deductions for claims wholly
tax.
Payment Method. If you are required to
or partially reimbursed through stop-loss
To pay over the Internet, go to the depart-
pay electronically and do not, an additional
insurance.
ment’s website at
5 percent penalty applies to payments not
For plans operating under Chapter 62H,
and login to e-Services. If you don’t have
made electronically, even if a paper check is
the tax is equal to 2 percent of the total
Internet access, call 1-800-570-3329 to
sent on time.
amount of claims paid during the fund’s
pay by phone. You’ll need your user name,
fiscal year, with no deductions for claims
password and bank routing and account
Line 5 — Interest
wholly or partially reimbursed through
numbers. When paying electronically, you
You must pay interest on the unpaid tax
stop-loss insurance.
must use an account not associated with any
plus penalty from the due date until the
foreign banks.
total is paid. The interest rate for calendar
Before You File
year 2014 is 3 percent. The interest rate may
If you use other electronic payment
change for future years.
You Need a Minnesota Tax ID
methods, such as ACH credit method or
Your Minnesota tax ID is the seven-digit
Fed Wire, instructions are available on our
To figure how much interest you owe, use
number you’re assigned when you register
website or by calling Business Registration
the following formula with the appropriate
with the Department of Revenue. You must
Office at 651-282-5225 or 1-800-657-3605.
interest rate:
include your Minnesota tax ID on your
Interest = (tax + penalty) × # of days late ×
return so that your filing and any payments
Check Payment (Form PV58)
interest rate ÷ 365
you make are properly credited to your
If you are not required to pay electroni-
account.
cally and choose to pay by check, complete
Business Information
a PV58 payment voucher and mail it with
If you don’t have a Minnesota tax ID, apply
Changes
your check. Write your Minnesota tax ID
online at or call
Be sure to let us know within 30 days if you
number on your check.
651-282-5225 or 1-800-657-3605.
change mailing addresses, phone numbers,
When you pay by check, your check autho-
It is also important to enter your federal ID
or any other business information. To do
rizes us to make a one-time electronic fund
number, but not in place of your Minnesota
so, go to our website and click “Update
transfer from your account, and you may
tax ID number.
business info” from the e-Services menu. By
not receive your canceled check.
notifying us, we will be able to let you know
Due Date
of any changes in Minnesota tax laws and
Line Instructions
File Form IG263 and pay any tax due by
filing requirements.
March 1 of each year.
Check Boxes
Information and Assistance
At the top of the form, check if the return is:
The U.S. postmark date, or date recorded or
• an Amended Return: Check only if you
Website:
marked by a designated delivery service, is
are amending a previously filed return
considered the filing date (private postage
Email: insurance.taxes@state.mn.us
for the same period. Include all original
meter marks are not valid). When the due
Phone: 651-556-3024
and corrected premiums on the amended
date falls on a Saturday, Sunday or legal
We’ll provide information in other formats
return.
holiday, returns and payments electroni-
upon request to persons with disabilities.
• for No Activity: Check only if you did not
cally made or postmarked the next business
have any tax activity during the period.
day are considered timely. When a return
For questions about licensing and regula-
or payment is late, the date it is received at
tions, contact the Minnesota Department of
Also check the appropriate box on the front
the Department of Revenue is treated as the
Commerce:
of the form to indicate your type of entity.
date filed or paid.
Website:
Line 4 — Penalty
Extension for Filing Return. If good cause
Email:
companylic.commerce@state.mn.us
Late Payment. If you don’t pay the entire
exists, you may request a filing extension.
Phone: 651-296-6319 or 1-800-657-3602
tax by the due date, a late payment pen-

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