2017 financial filing checklists

The National Association of Insurance Commissioners (NAIC) requires insurance companies and health carriers to submit checklists and related filings.

Fraternal Beneficial Societies

Filing checklist (PDF, 66KB)

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

Filing checklist (PDF, 68KB)

Form IC-13A-HC / IC-14-HMO
Form (PDF, 615KB)
Instructions (PDF, 34KB)
WSHIP assessment report
Supplemental data input

Segregated Accounts Annual Report

Form (Word, 151KB)
Instructions (Word, 133KB)

Life, Accident & Health Insurers including health (X) blank

Filing checklist (PDF, 83KB)
WSHIP assessment report
Supplemental data input

Property & Casualty insurers including health (X) blank

Filing checklist (PDF, 72KB)
WSHIP assessment report
Special data call

Risk Retention Groups

Filing checklist (PDF, 66KB)

surplus line

Submit premium tax forms online: Log into Filing and Payment Center

Contact:
Kriscinda Hansen | call 360-725-7032 or email

Mail financial statements and supplements to:

surplus line Association of Washington
1710 One Union Square
600 University St.
Seattle, WA 98101

Contact:
Mary E. Tunis | call 360-725-7109 or email Company Supervision Filings

Title

Filing checklist (PDF, 55KB)

 

See also

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