| Fraternal Beneficial Societies | Filing Checklist (PDF 85Kb) |
| Health (HCSC and HMO and Multiple Employer Welfare Arrangement only) | Filing Checklist (PDF 87Kb)
Form IC-13A-HC / IC-14-HMO
WSHIP Notice of Assessment Report (Microsoft Word 82Kb), includes filing instructions. Supplemental Data Input secure site. |
| Life, Accident & Health Insurers Including Health (X) Blank | Filing Checklist (PDF 103Kb)
WSHIP Notice of Assessment Report (Microsoft Word 82Kb), includes filiing instructions. Supplemental Data Input secure site. |
| Property & Casualty Insurers including Health (X) Blank | Filing Checklist (PDF 102Kb) WSHIP Notice of Assessment Report (Microsoft Word 82Kb), includes filing instructions. Special Liability Report site. |
| Risk Retention Groups | Filing Checklist (PDF 81Kb) |
| Surplus Lines | Mail premium tax forms to: Office of Insurance Commissioner PO Box 40257 Olympia, WA 98504-0257 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 (PDF 77Kb) |
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