Maine insurance statutes require insurance companies to report information to the Bureau of Insurance. Many of our report forms are now Excel spreadsheets which are completed and sent to us as e-mail attachments. Other report forms are completed using web-based forms or on forms in Word or PDF format. Information about each of the reports is listed below.

286-A Report | 940 Report | 945 Report | Any Willing Pharmacy | Carrier Report |Credit Disability | Credit Life | Fraud Abuse | Health Report Card Survey | Insurance Carrier Aggregate Benefits Paid | Long-Term Care | Liquor Liability | Mandated Benefits | Medical Malpractice | Physician Tiering | Self-Insurer Aggregate Benefits Paid | Self-Insurer Annual Payroll | Tickborne Disease | WC Market Survey

286-A (Supplemental Health Insurance Reporting Form)

940 (Health Insurance Annual Data Report)

945 (Maine Annual Report Supplement)

Short Form - Completed by companies with less than $5 million in direct written Health insurance premium for major medical and stop loss combined
  • 945 Report Short Form - Excel
  • 945 Short Form Instructions - For companies completing the 945 Short Form - PDF
Long Form - Completed by companies with $5 million or more in direct written Health insurance premium for major medical and stop loss combined

Any Willing Pharmacy - Bulletin 377

Carrier Report
  • Carrier Report Form - Excel
  • Carrier Report Instructions - PDF

Credit Disability Insurance Experience Report

Credit Life Insurance Summary Report

Fraud and Abuse Annual Report

Health Report Card Survey

  • Health Report Card Survey Form - Word or PDF
Insurance Carrier Aggregate Benefits Paid Report

Liquor Liability

Long-Term Care Insurance Reporting (Rule 425)

Mandated Benefits

Medical Malpractice Liability Claim Report

Physician Tiering

Self-Insurance Aggregate Benefits Paid Report

Self-Insurance Annual Payroll Report

Tickborne Disease Report

Workers' Compensation Insurance Market Survey

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The documents on this page are also available in hard copy by contacting the Bureau.