For Insurers

Beneficial ownership of securities

A beneficial ownership of securities report must be filed by any person who owns more than 10 percent of any class of any equity security of a Washington state stock insurance company. Certain exemptions to this report are available in RCW 48.08.160 (

Directors, officers and certain stockholders should use the following forms for the beneficial ownership of securities:

Form 4 (Word, 41KB) – referred to in WAC 284-26-030 (

Form S (Word, 40KB) – referred to in WAC 284-26-030 (