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of specific hospital benefits and medical, surgical and sick- Line 30: Enter the tax a Michigan company would pay
care benefits to any person, family, or group, subject to such to the taxpayer’s state of incorporation if it conducted the
limitations as may be prescribed with respect thereto. The same amounts and types of business there as the taxpayer
exclusion for disability insurance premiums does not include is conducting in Michigan. Attach a copy of the state of
credit insurance or disability income insurance premiums. incorporation’s tax form on which this pro forma tax on the
hypothetical Michigan company was calculated.
CREDITS
Line 20: Enter the amounts paid to the listed facilities Lines 32 through 42:
In column A, “State of Incorporation,”
or associations from January 1, 2020, to December 31, enter
the amounts that would be paid by a hypothetical
2020, including special assessments. Net the amounts paid Michigan
insurance company doing the same types and
and refunds received during 2020 for the same facility or amounts
of business in the taxpayer’s home state that the
association. If refunds received exceed the amount paid in the taxpayer
is doing in Michigan.
year for the same facility or association, enter zero. Lines 37 and 39 through 42: In column B, “Michigan,” enter
the actual amounts paid by the taxpayer to Michigan.
Line 20c: For tax years beginning on and after January 1,
2020, amounts paid to the MAIPF that are attributable to the Line 42:Attach a detailed schedule of assessments.
assigned claims plan shall not be included in the calculation of Enter the sum of accelerated and certificated
Line 44:
this credit. refundable credits:
Line 22a: Enter the amount of Michigan Examination Fees • Accelerated credits: The amount from the Request for
paid in 2018 (under Michigan Compiled Law 500.224). Accelerated Payment for the Brownfield Redevelopment
Line 24: Enter the Miscellaneous Nonrefundable Credits from Credit and the Historic Preservation Credit (Form 4889),
Michigan Business Tax Miscellaneous Credits for Insurance line 10. (If the taxpayer has filed more than one Form 4889
Companies (Form 4596), line 28. during the tax year, enter here the combined total of credits
claimed on all Forms 4889, line 10);
Retaliatory Instructions • Certificated Refundable credits: The sum of the amounts
For foreign and alien insurers only; domestic insurers skip reported on Form 4596, lines 2, 3, and 4.
lines 30 through 46.
Line 46: Subtract line 45, column B, from line 45, column A.
Do not mail this return with the Michigan Annual Financial If less than zero, enter zero. If line 45, column B, is a negative
Statement, and do not send the annual statement filing fee number, add column A to the negative number in column B.
with this return. The taxpayer will be billed separately for the This will increase the retaliatory amount reported.
annual statement filing fee by the Department of Insurance and
Financial Services. PAYMENTS, REFUNDABLE CREDITS, AND TAX DUE
Foreign insurers must pay to Michigan the same type of Line
49: Enter the total tax paid with the quarterly estimated
tax returns.
obligation a similar Michigan insurer is required to pay in the
company’s state of domicile. Enter all items that are required Line 51: Enter any tentative payment of estimated tax made
of a Michigan insurance company. Some taxes and obligations with a request for an extension of time to file the return.
imposed in other states may have no corresponding requirement Line 52: If claiming a credit, enter the amount from Form
in Michigan; however, this does not relieve the foreign insurer 4596, line 5.
from the obligation of computing and paying the tax.
Amended Returns Only:
Do not include the following Michigan assessments,
or comparable assessments in the company’s state of Line Enter
54a: payment made with the original return.
incorporation, in the retaliatory calculation: Line 54b: Enter overpayment received (refund received plus
credit forward created) on the original return.
• Michigan Workers’ Compensation Placement Facility
• Michigan Basic Property Insurance Association Line Add
54c: lines 53 and 54a and subtract line 54b from
the sum.
• Michigan Automobile Insurance Placement Facility
• Property and Casualty Guaranty Association Line 56: If penalty and interest are owed for not filing
• Michigan Life and Health Insurance Guaranty Association estimated
returns or for underestimating tax, complete
the MBT Penalty and Interest Computation for Underpaid
• Catastrophic Claims Association (Form 4582) to compute penalty and interest
Estimated Tax
• Assessment under Health Insurance Claims Assessment Act due. If a taxpayer chooses not to file Form 4582, Treasury will
(HICAA). compute penalty and interest and bill for payment. Form 4582
California insurers must include Bureau of Fraudulent Claims is available on the Web atwww.michigan.gov/taxes.
assessments. New York domiciled companies must file and pay Line 57: Enter the annual return penalty rate in line 57a. Add
a tentative retaliatory tax to Michigan by the annual due date, the overdue tax penalty in line 57b to the overdue tax interest
March 1, 2022. An amended Form 4588 must be filed after in line 57c. Enter total in line 57d.
the actual CT33 is filed with New York. Transfer the CT33
numbers onto the amended Form 4588 and attach a copy of the
CT33 to substantiate the taxpayer’s claim.
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