Fraternal Beneficial Societies	Filing checklist (PDF)
Health (HCSC, HMO and multiple employer welfare arrangement only)	Filing checklist (PDF) Form IC-13A-HC / IC-14-HMO Form (PDF 1 MB) Instructions (PDF) WSHIP assessment report Supplemental data input
Life, Accident & Health Insurers including health (X) blank	Filing checklist (PDF) WSHIP assessment report Supplemental data input
Property & Casualty insurers including health (X) blank	Filing checklist (PDF) WSHIP assessment report Special data call results
Risk Retention Groups	Filing checklist (PDF)
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)

Updated 12/05/2011

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