For Insurers

Washington State Health Insurance Pool (WSHIP) assessment report

The WSHIP assessment report contains health plan and stop-loss enrollment information that's used to determine each plan member's share of the WSHIP assessment.

The report is due March 1 for the prior year's enrollments.

Which health care plan enrollees need to be reported?

In general, you will need to report enrollees* in:

  • Insurance policies under group or individual disability insurance coverage; 

  • Health care service contractor contracts; and 

  • Health maintenance organization agreements.

This also includes coverage under:

  • Apple Health (Medicaid) contracts;

  • Basic Health Plans and Basic Health Plan Plus contracts;

  • Children's Health Insurance Program (CHIP) contracts;

  • Individual health insurance policies;

  • Medicare Supplement coverage;

  • Small and large group health plan contracts; and 

  • Stop-loss insurance policies.

This does not include coverage that is exempt by statute:

  • Accident coverage;

  • Auto medical payment coverage;

  • Coverage issued as benefits payable with or without regard to fault that is statutorily required to be contained in any liability insurance contract or equivalent self-insurance plan coverage;

  • Dental coverage;

  • Disability income contracts;

  • Exclusive pharmacy coverage;

  • Federal Employees Health Benefit Plan or TRICARE;

  • Fixed indemnity;

  • Limited benefit or credit insurance;

  • Short-term care or long-term care insurance;

  • Supplemental liability coverage;

  • Title XVIII of the Social Security Act (Medicare) including Medicare Advantage;

  • Vision coverage; and 

  • Workers compensation or similar coverage.

*Includes enrollees' participation in plans sold inside and outside the Washington Health Benefit Exchange.

For more information, see: RCW 48.41.030 - Definitions (