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 WSHIP assessment report online form is not available until January 15, 2021.

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 (leg.wa.gov).