Washington State Office of the Insurance Commissioner

Financial Statements Filed During 2008

Filing Checklists for Financial Statements

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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