Annual Data Reporting

The Kentucky Revised Statutes require insurance companies, group self insurers, and self insured employers to annually provide information to the Funding Commission via an Annual Audit and Collections Report.  Annual Audit and Collections Reports for 2016 must be submitted to the Funding Commission no later than April 30, 2017.  Below are instructions for each type of insurer to provide this information.

Insurance Companies

Insurance companies submit Annual Audit and Collections information via either an Excel spreadsheet or an ASCII text delimited data file.  The instructions available below explain the format and layout of the data.

For insurance companies where there are no written premium transactions for 2016, please complete the 'Annual Non-Writer Statement' below.
 
  

Self Insured Employers

Self Insured Employers submit Annual Audit and Collections information by filling out a form listing all insured entities with their SIC code, FEIN, Payroll and Average Number of Employees.  The form is available below. 

Self Insurance Form.pdfSelf Insurance Form.pdf 

 

Self Insured Groups submit Annual Audit and Collections information via either an Excel spreadsheet or an ASCII text delimited data file.  The instructions available below explain the format and layout of the data.

Group Self Insured Instructions.pdfGroup Self Insured Instructions.pdf

 
If you have any questions, contact Gordon Stammel at 502-782-1711, or email him at:  Gordon.Stammel@ky.gov