This report is due each year on March 1.
Required fields are marked with an *.
*Do you have Washington resident insured persons to list in sections 2a. Health plans or
Stop-Loss Coverage for Self-Insured?
If no, please skip to section 4. Questions.
Insurers that are WSHIP members elect four members of the WSHIP Board. See RCW 48.41.040(2). Each company’s vote is weighed by the number of persons it has in health plans subject to WSHIP assessments. For more information about WSHIP Board voting see the WSHIP web site page “ About WSHIP - Plan of Operations”.
This is the person who votes for their WSHIP board representative.