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:
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;
Disability income contracts;
Exclusive pharmacy coverage;
Federal Employees Health Benefit Plan or TRICARE;
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).