2014 financial filing checklists

Fraternal Beneficial Societies

Filing checklist (PDF, 84KB)

Health (HCSC, HMO and multiple employer welfare arrangement only)

Filing checklist (PDF, 85KB)

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, 102KB)
WSHIP assessment report
Supplemental data input

Property & Casualty insurers including health (X) blank

Filing checklist (PDF, 93KB)
WSHIP assessment report
Special data call

Risk Retention Groups

Filing checklist (PDF, 81KB)

Surplus Lines

Submit premium tax forms online: E-Tax Login

Contact:
Kriscinda Hansen | call 360-725-7032 or email 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 call 360-725-7109 or email maryt@oic.wa.gov

Title Filing checklist (PDF, 67KB)

 

Updated 07/08/2014

See also

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