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 is due March 1, 2024 for the 2023 calendar year enrollment.
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
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
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
Workers compensation or similar coverage
*Includes enrollees' participation in plans sold inside and outside the Washington Health Benefit Exchange.
Submissions via the assessment report for WSHIP are now open.
For more information, see: RCW 48.41.030 - Definitions (leg.wa.gov).