| Fraternal Beneficial Societies | |
| Health (HCSC, HMO and multiple employer welfare arrangement only) | Form IC-13A-HC / IC-14-HMO WSHIP assessment report. Supplemental data input |
| Life, Accident & Health Insurers including health (X) blank | WSHIP assessment report. Supplemental data input |
| Property & Casualty insurers including health (X) blank | WSHIP assessment report. Special data calls site. |
| Risk Retention Groups | |
| Surplus Lines | Submit premium tax forms online: E-Tax Login Contact: Kriscinda Hansen 360-725-7032 taxes@oic.wa.gov Mail financial statements and supplements to: Office of Insurance Commissioner 810 Third Avenue, Suite 650 Seattle, WA 98104-1615 Contact: Ken Combs 206-464-5311 KenC@oic.wa.gov |
| Title | Filing checklist (75 KB) |
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