Financial statements filed during 2013

Filing checklists for financial statements

Fraternal Beneficial Societies	Filing checklist (PDF, 80KB)
Health (HCSC, HMO and multiple employer welfare arrangement only)	Filing checklist (PDF, 80KB) Form IC-13A-HC / IC-14-HMO Form (PDF, 575KB) Instructions (PDF,32KB) WSHIP assessment report Supplemental data input
Life, Accident & Health Insurers including health (X) blank	Filing checklist (PDF, 100KB) WSHIP assessment report Supplemental data input
Property & Casualty insurers including health (X) blank	Filing checklist (PDF, 91KB) WSHIP assessment report Special data call results
Risk Retention Groups	Filing checklist (PDF, 77KB)
Surplus Lines	Submit premium tax forms online: E-Tax Login Contact: Kriscinda Hansen \| phone: 360-725-7032 or E-mail: taxes@oic.wa.gov Mail financial statements and supplements to: Surplus Lines Association of Washington 1710 One Union Square 600 University Street Seattle, WA 98101 Contact: Mary E. Tunis, CPA, CFE\| phone:360-725-7109 or E-mail: MaryT@oic.wa.gov Filing Checklist
Title	Filing checklist (PDF, 64KB)

Updated 02/12/2013