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DC Captive Domicile Profile

A DC Captive Domicile must meet the following profile requirements:

  • Acceptable Ownership Forms: Agency, association, Branch, Pure, Rental, Sponsored
  • Acceptable Corporate Forms: Stock, Mutual or Reciprocal
  • Financial Statement Minimums: See Table I
  • Direct Insurance Permitted: Excess workers' compensation insurance to its parent and affiliates.
  • Reinsurance Permitted: May provide on risks ceded by another insurer. May take credit reserves on risk ceded to a reinsurer. Insurance provided on any qualified plan for workers' compensation of its parent or affiliates in which the insurance is provided as a self-insurance plan.
  • Rates & Forms: No approval required.
  • Minimum Premium: No minimum premium required.
  • Premium Taxes: See Table II
  • Investment Restrictions: Association, Agency and Rental must comply with statutory requirements. Pure must file proposed investment with the Commissioner.
  • Reporting Requirements: Annual Report
  • Application Process: Insurance Department will process properly documented applications in not more than thirty (30) days.
    • $500 Application fee (non-refundable)
    • $300 Certificate of Authority issuance fee


Table I
Financial Statement Minimums Capital Surplus
Pure $100,000 $150,000
Association (Stock) $200,000 $300,000
Association (Mutual or Reciprocal) - $500,000
Agency $300,000 $300,000
Sponsored $300,000 $300,000



Table II
Premium Taxes (Millions)* Direct Reinsurance
First $20 M 0.4 % 0.225 %
$20 to $40 M 0.2 % 0.15 %
Over $40 M 0.075 % 0.025 %
* Minimum Tax $5000