CT-33-D: Tax on Premiums Paid or Payable To an Unauthorized Insurer - For Taxable Insurance Contracts with an Effective Date on or after July 21, 2011 . See TSB-M-11(7)C, (7)I for more information. See the notice about an address change. (2024)

New York · NY DTF · Used for tax years 2024

New York Form CT-33-D reports premiums paid or payable to an unauthorized insurer for taxable insurance contracts with an effective date on or after July 21, 2011. It calculates the tax at 3.6% and reports prepayments, any balance due or overpayment, and insurer information.

Who files this form

Form CT-33-D reports tax on premiums paid or payable to an unauthorized insurer for taxable insurance contracts with an effective date on or after July 21, 2011.

The form identifies the insured and includes organization choices for corporations, partnerships, individuals, and other organizations.

What you'll need

Have the information requested on the form ready:

  • The insured’s name, address, telephone number, and EIN or Social Security number.
  • The insurance policy number and the calendar quarter and year the policy became effective or was renewed.
  • The amount of premiums paid or payable on taxable insurance contracts and any prepayment.
  • The insurance company’s name and address. Attach additional sheets if necessary.
  • The endorsement’s effective date, if the premiums are for an endorsement to the original policy.
  • The affiliated insurance company’s name and EIN, if premiums were paid to an affiliated insurance company.
  • The authorized signer’s name, title, contact information, signature, and date.

How to file

  1. Enter the insured’s details, policy number, organization type, and the quarter and year the policy became effective or was renewed.
  2. Enter taxable premiums on line 1. Multiply by 0.036 to calculate the tax on line 3.
  3. Enter any prepayment on line 4. Calculate the balance or overpayment as directed on the form.
  4. Add the balance, late-payment interest, and penalties on lines 5, 6, and 7. Enter the total on line 8 and the payment amount on line A.
  5. Complete the insurer information and have an authorized person sign and date the certification.

Make payment payable to Commissioner of Taxation and Finance. Include your identification number, Form CT-33-D, and the calendar quarter you are reporting on the payment.

The supplied form text does not provide a mailing address or e-file directions.

Common mistakes

  • Leaving identifying details off the payment. The form says to include your identification number, Form CT-33-D, and the reporting quarter.
  • Forgetting to mark the endorsement box and enter the endorsement’s effective date when premiums are for an endorsement to the original policy.
  • Forgetting to mark the affiliated-insurer box and provide the company’s name and EIN when applicable.
  • Selecting more than one organization type. The form directs you to mark one box.
  • Forgetting to enter the payment amount from line 8 on line A.

Questions people ask

What tax rate does the form use?

The rate is 3.6%. Multiply premiums paid or payable on taxable insurance contracts on line 1 by 0.036 to calculate line 3.

What if my prepayment is more than the tax due?

Subtract line 3 from line 4 and enter the overpayment on line 9. The form provides options to credit it to the next period or request a refund.

What if I need more room for insurer information?

Part 2 says to attach additional sheets if necessary.

Who signs the return?

An authorized person signs the certification that the return and attachments are, to the best of their knowledge and belief, true, correct, and complete.

Official sources

All versions of CT-33-D