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This version of the form is not currently in use and is provided for reference only. Download this version of
Form FIS0075
for the current year.
Form FIS0075 Mcca Annual Assessment Determination - Michigan
What Is Form FIS0075?
This is a legal form that was released by the Michigan Department of Insurance and Financial Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the Form FIS0075?
A: Form FIS0075 is the McCa Annual Assessment Determination form used in Michigan.
Q: What is the McCa Annual Assessment?
A: The McCa Annual Assessment is a fee imposed on vehicle insurance policies in Michigan to fund the Michigan Catastrophic Claims Association (MCCA).
Q: Who is responsible for completing the Form FIS0075?
A: Insurance companies are responsible for completing the Form FIS0075.
Q: What information is required on the Form FIS0075?
A: The Form FIS0075 requires information about the number of policies issued and the net direct written premiums for each policy.
Q: What is the purpose of the McCa Annual Assessment?
A: The McCa Annual Assessment is used to cover the costs of benefits paid to individuals injured in automobile accidents in Michigan.
Form Details:
- Released on December 1, 2022;
- The latest edition provided by the Michigan Department of Insurance and Financial Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form FIS0075 by clicking the link below or browse more documents and templates provided by the Michigan Department of Insurance and Financial Services.
