Special Report and Filing Requirements
The following special reports are required by the California Insurance Code or California Code of Regulations. If you have data to report for the specified years, please download the Excel Workbook from this website and use it to complete your reporting. For the Signature Page when required, you can download a copy, and have it signed and saved/scanned back to a pdf file. If you are unable to scan your signature page to a pdf, you could submit it by regular mail to the address listed below.
We are no longer requiring companies to print out the reporting forms. You can e-mail them to:
- Survey of Transportation Network Company Insurance Experience, send to: RSBTNC@insurance.ca.gov
- EQ Probable Maximum Loss Questionnaire, send to: RSBeqpml@insurance.ca.gov
- EQ Premium, Exposure and Policy Count, send to: RSBeqexp@insurance.ca.gov
- Marketing System Survey, send to: RSBmktsys@insurance.ca.gov
If supplemental documents are required, you can mail them to:
California Department of Insurance
Rate Specialist Bureau
300 South Spring Street, 11th Floor
Los Angeles, CA 90013
If you have a question specific to the data call, please e-mail it to the specific e-mail address mentioned above. You should include your name, company name, telephone number, and e-mail address in all correspondence with the CDI. For questions regarding insurance rate filings, please call (415) 538-4300 in SF or (213) 346-6707 in LA, or visit the Department's Public Viewing Room.
[2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018]
Year 2018 Reporting Forms
| FORM TITLE & INSTRUCTION | DUE DATE | DOWNLOAD FORMAT |
|---|---|---|
|
CA Marketing System Survey send to: RSBmktsys@insurance.ca.gov |
6/30/2018 |
Cover Letter (pdf) |
|
CA Earthquake Probable Maximum Loss Questionnaire - [CCR Title 10 Sec 2307, pdf] sent to: RSBeqpml@insurance.ca.gov |
Primary Carriers - 6/30/2018 Reinsurers - 8/31/2018 Retrocesssionaires - 9/30/2018 |
Instructions (pdf) Cover Letter (pdf) Signature Page (pdf) Form A (xls) Form B (xls) Form X (pdf) EQ Zones/Zip Code List (xls) |
|
CA Earthquake Premium, Exposure & Policy Count Data Call - [CIC 10089.13(a)] send to: RSBeqexp@insurance.ca.gov |
3/15/2018 |
Cover Letter (pdf) Signature Page (pdf) Data Collection Workbook (xls)Workbook Instructions (pdf) |
|
CA Title Insurance Statistical Plan & Income Statement [CIC 12401.5] send to: RSBtitle@insurance.ca.gov |
6/30/2018 | Instructions (pdf) Statistical Plans / Income Statement (xls) |
|
CA Credit Property & Credit Unemployment |
Not required this year. | None |
| CA Child Care Report | Not required this year. | None |
| CA Legal Professional Liability Insurance Report | Not required this year. | None |
| CA Medical Professional Liability Insurance Report | Not required this year. | None |
| Survey of Bail Bond Business Data Call | Not required this year. | None |
Year 2017 Reporting Forms
| FORM TITLE & INSTRUCTION | DUE DATE | DOWNLOAD FORMAT |
|---|---|---|
|
CA Survey of Transportation Network Company Insurance Experience send to: RSBTNC@insurance.ca.gov This survey applies to only Automobile Insurers Transacting Business in California. |
7/1/2017 |
Cover Letter (pdf) |
|
CA Marketing System Survey send to: RSBmktsys@insurance.ca.gov |
6/30/2017 |
Cover Letter (pdf) |
|
CA Earthquake Probable Maximum Loss Questionnaire - [CCR Title 10 Sec 2307, pdf] sent to: RSBeqpml@insurance.ca.gov |
Primary Carriers - 6/30/2017 |
Instructions (pdf) Cover Letter (pdf) Signature Page (pdf) Form A (xls) Form B (xls) Form X (pdf) EQ Zones/Zip Code List (xls) |
|
CA Earthquake Premium, Exposure & Policy Count Data Call - [CIC 10089.13(a)] send to: RSBeqexp@insurance.ca.gov |
3/15/2017 |
Cover Letter (pdf) Signature Page (pdf) Data Collection Workbook (xls) Workbook Instructions (pdf) |
|
CA Title Insurance Statistical Plan & Income Statement [CIC 12401.5] send to: RSBtitle@insurance.ca.gov |
6/30/2017 | Instructions (pdf) Statistical Plans / Income Statement (xls) |
|
CA Credit Property & Credit Unemployment |
Not required this year. | None |
| CA Child Care Report | Not required this year. | None |
| CA Legal Professional Liability Insurance Report | Not required this year. | None |
| CA Medical Professional Liability Insurance Report | Not required this year. | None |
| Survey of Bail Bond Business Data Call | Not required this year. | None |
Year 2016 Reporting Forms
| FORM TITLE & INSTRUCTION | DUE DATE | DOWNLOAD FORMAT |
|---|---|---|
|
CA Title Insurance Statistical Plan & Income Statement [CIC 12401.5] send to: RSBtitle@insurance.ca.gov |
5/31/2016 |
Instructions (pdf) |
|
CA Marketing System Survey send to: RSBmktsys@insurance.ca.gov |
6/30/2016 |
Cover Letter (pdf) |
|
CA Earthquake Probable Maximum Loss Questionnaire - [CCR Title 10 Sec 2307, pdf] sent to: RSBeqpml@insurance.ca.gov |
Primary Carriers - 6/30/2016 |
Instructions (pdf) Cover Letter (pdf) Signature Page (pdf) Form A (xls) Form B (xls) Form X (pdf) EQ Zones/Zip Code List (xls) |
|
CA Earthquake Premium, Exposure & Policy Count Data Call - [CIC 10089.13(a)] send to: RSBeqexp@insurance.ca.gov |
3/15/2016 |
Cover Letter (pdf) Signature Page (pdf) Data Collection Workbook (xls) Workbook Instructions (pdf) |
|
CA Credit Property & Credit Unemployment - [CIC 779.36] send to: RSBcredit@insurance.ca.gov |
7/1/2016 | Credit Property (xls) Credit Unemployment (xls) |
| CA Child Care Report | Not required this year. | None |
| CA Legal Professional Liability Insurance Report | Not required this year. | None |
| CA Medical Professional Liability Insurance Report | Not required this year. | None |
| Survey of Bail Bond Business Data Call | Not required this year. | None |
Year 2015 Reporting Forms
| FORM TITLE & INSTRUCTION | DUE DATE | DOWNLOAD FORMAT |
|---|---|---|
|
CA Title Insurance Statistical Plan & Income Statement [CIC 12401.5] send to: RSBtitle@insurance.ca.gov |
5/31/2015 |
Instructions (pdf) |
|
CA Marketing System Survey send to: RSBmktsys@insurance.ca.gov |
6/30/2015 |
Cover Letter (pdf) |
|
CA Earthquake Probable Maximum Loss Questionnaire - [CCR Title 10 Sec 2307, pdf] sent to: RSBeqpml@insurance.ca.gov |
Primary Carriers - 6/30/2015 |
Instructions (pdf) Cover Letter (pdf) Signature Page (pdf) Form A (xls) Form B (xls) Form X (pdf) EQ Zones/Zip Code List (xls) |
|
CA Earthquake Premium, Exposure & Policy Count Data Call - [CIC 10089.13(a)] send to: RSBeqexp@insurance.ca.gov |
3/15/2015 | Cover Letter (pdf) Signature Page (pdf) Data Collection Workbook (xls) Workbook Instructions (pdf) |
|
CA Credit Property & Credit Unemployment - [CIC 779.36] send to: RSBcredit@insurance.ca.gov |
7/1/2015 | Credit Property (xls) Credit Unemployment (xls) |
| CA Child Care Report | Not required this year. | None |
| CA Legal Professional Liability Insurance Report | Not required this year. | None |
| CA Medical Professional Liability Insurance Report | Not required this year. | None |
| Survey of Bail Bond Business Data Call | Not required this year. | None |
Year 2014 Reporting Forms
| FORM TITLE & INSTRUCTION | DUE DATE | DOWNLOAD FORMAT |
|---|---|---|
|
CA Title Insurance Statistical Plan & Income Statement [CIC 12401.5] send to: RSBtitle@insurance.ca.gov |
5/31/2014 |
Instructions (pdf) |
|
CA Marketing System Survey send to: RSBmktsys@insurance.ca.gov |
6/30/2014 |
Cover Letter (pdf) |
|
CA Earthquake Probable Maximum Loss Questionnaire - [CCR Title 10 Sec 2307, pdf] sent to: RSBeqpml@insurance.ca.gov |
Primary Carriers - 6/30/2014 |
Instructions (pdf) Cover Letter (pdf) Signature Page (pdf) Form A (xls) Form B (xls) Form X (pdf) EQ Zones/Zip Code List (xls) |
|
CA Earthquake Premium, Exposure & Policy Count Data Call - [CIC 10089.13(a)] send to: RSBeqexp@insurance.ca.gov |
3/10/2014 | Cover Letter (pdf) Signature Page (pdf) Data Collection Workbook (xls) Workbook Instructions (pdf) |
|
CA Credit Property & Credit Unemployment - [CIC 779.36] send to: RSBcredit@insurance.ca.gov |
7/1/2014 | Credit Property (xls) Credit Unemployment (xls) |
| CA Child Care Report | Not required this year. | None |
| CA Legal Professional Liability Insurance Report | Not required this year. | None |
| CA Medical Professional Liability Insurance Report | Not required this year. | None |
| Survey of Bail Bond Business Data Call | Not required this year. | None |
Year 2013 Reporting Forms
| FORM TITLE & INSTRUCTION | DUE DATE | DOWNLOAD FORMAT |
|---|---|---|
| CA Title Insurance Statistical Plan & Income Statement [CIC 12401.5] send to: RSBtitle@insurance.ca.gov |
5/31/2013 | Instructions (pdf) Statistical Plans (xls) |
|
CA Marketing System Survey send to: RSBmktsys@insurance.ca.gov |
6/30/2013 |
Cover Letter (pdf) |
|
CA Earthquake Probable Maximum Loss Questionnaire - [CCR Title 10 Sec 2307, pdf] sent to: RSBeqpml@insurance.ca.gov |
Primary Carriers - 6/30/2013 |
Instructions (pdf) Cover Letter (pdf) Signature Page (pdf) Form A (xls) Form B (xls) Form X (pdf) EQ Zones/Zip Code List (xls) |
|
CA Earthquake Premium, Exposure & Policy Count Data Call - [CIC 10089.13(a)] send to: RSBeqexp@insurance.ca.gov |
3/12/2013 | Cover Letter (pdf) Signature Page (pdf) Data Collection Workbook (xls) Workbook Instructions (pdf) |
|
CA Credit Property & Credit Unemployment - [CIC 779.36] send to: RSBcredit@insurance.ca.gov |
7/1/2013 | Credit Property (xls) Credit Unemployment (xls) |
| CA Child Care Report | Not required this year. | None |
| CA Legal Professional Liability Insurance Report | Not required this year. | None |
| CA Medical Professional Liability Insurance Report | Not required this year. | None |
| Survey of Bail Bond Business Data Call | Not required this year. | None |
Year 2012 Report Forms
| FORM TITLE & INSTRUCTION | DUE DATE | DOWNLOAD FORMAT |
|---|---|---|
| CA Title Insurance Statistical Plan & Income Statement [CIC 12401.5] send to: RSBtitle@insurance.ca.gov |
5/31/2012 | Instructions (pdf) - Amended Statistical Plans (xls) - Amended |
|
CA Marketing System Survey send to: RSBmktsys@insurance.ca.gov |
6/30/2012 |
Cover Letter (pdf) |
|
CA Earthquake Probable Maximum Loss Questionnaire - [CCR Title 10 Sec 2307, pdf] sent to: RSBeqpml@insurance.ca.gov |
Primary Carriers - 6/30/2012 Reinsurers - 8/31/2012 Retrocesssionaires - 9/30/2012 |
Instructions (pdf) Cover Letter (pdf) Signature Page (pdf) Form A (xls) Form B (xls) Form X (pdf) EQ Zones/Zip Code List (xls) |
|
CA Earthquake Premium, Exposure & Policy Count Data Call - [CIC 10089.13(a)] send to: RSBeqexp@insurance.ca.gov |
3/12/2012 | Cover Letter (pdf) Signature Page (pdf) Data Collection Workbook (xls) Workbook Instructions (pdf) |
|
CA Credit Property & Credit Unemployment - [CIC 779.36] send to: RSBcredit@insurance.ca.gov |
7/1/2012 | Credit Property (xls) Credit Unemployment (xls) |
| CA Child Care Report - [CIC 1864]
send to: RSBchildcare@insurance.ca.gov |
5/1/2012 | Instructions (pdf) Form (xls) |
| CA Legal Professional Liability Insurance Report | Not required this year. | None |
| CA Medical Professional Liability Insurance Report | Not required this year. | None |
| Survey of Bail Bond Business Data Call | Not required this year. | None |
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Year 2011 Reporting Forms
| FORM TITLE & INSTRUCTION | DUE DATE | DOWNLOAD FORMAT |
|---|---|---|
|
CA Marketing System Survey send to: RSBmktsys@insurance.ca.gov |
6/30/2011 | Cover Letter (pdf) Signature Page (pdf) Form (xls) |
|
CA Child Care Report - [CIC 1864] send to: RSBchildcare@insurance.ca.gov |
5/1/2011 | Instructions (pdf) Form (xls) |
|
CA Credit Property & Credit Unemployment - [CIC 779.36] send to: RSBcredit@insurance.ca.gov |
7/1/2011 | Credit Property (xls) Credit Unemployment (xls) |
|
CA Earthquake Probable Maximum Loss Questionnaire - [CCR Title 10 Sec 2307, pdf] sent to: RSBeqpml@insurance.ca.gov |
Primary Carriers - 6/30/2011 Reinsurers - 8/31/2011 Retrocesssionaires - 9/30/2011 |
Instructions (pdf) Cover Letter (pdf) Signature Page (pdf) Form A (xls) Form B (xls) Form X (pdf) EQ Zones/Zip Code List (xls) |
|
CA Earthquake Premium, Exposure & Policy Count Data Call - [CIC 10089.13(a)] send to: RSBeqexp@insurance.ca.gov |
3/10/2011 | Cover Letter (pdf) Signature Page (pdf) Data Collection Workbook (xls) Workbook Instructions (pdf) |
|
CA Legal Professional Liability Insurance Report - [CIC 11555.2] send to: RSBLegal@insurance.ca.gov |
7/1/2011 | Instructions (pdf) Form (xls) |
|
CA Medical Professional Liability Insurance Report - [CIC 11555.2] send to: RSBMedical@insurance.ca.gov |
7/1/2011 |
Instructions (pdf) |
| Survey of Bail Bond Business Data Call | Not Required at this time. | None |
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