Fraternal beneficial societies
Health insurers (HCSC, HMO and multiple-employer welfare arrangement only)
- Filing checklist (PDF 313.92KB)
- Use of remote online notary (PDF 123.19KB)
- Form IC-13A-HC / IC-14-HMO (PDF 614.42KB)
- Instructions for Form IC-13A-HC/IC-14-HMO revised 2/2024 (PDF 168.66KB)
- Washington State Health Insurance Pool (WSHIP) assessment report
- Supplemental data input
Life, accident and health insurers including health
- Filing checklist (PDF 339.85KB)
- Use of remote online notary (PDF 123.19KB)
- Washington State Health Insurance Pool (WSHIP) assessment report
- Supplemental data input
Property and casualty insurers including health
- Filing checklist (PDF 294.13KB)
- Use of remote online notary (PDF 123.19KB)
- Washington State Health Insurance Pool (WSHIP) assessment report
- Special data call
Risk retention groups
Surplus line insurers
Premium tax forms
To submit premium tax forms, log into Filing and Payment Center.
If you have questions, call Steven Moore at 360-725-7031 or contact our premium tax and surcharge experts.
Financial statements
Mail financial statements and supplements to:
Surplus Line Association of Washington
1710 One Union Square
600 University Street
Seattle, WA 98101
Email financial filings as PDFs to Financials@surpluslines.org.
If you have questions, call Kathryn Breda at 360-725-7109 or contact Company Supervision Filings.