All Disability Carriers, Health Care Service Contractors, and Health Maintenance Organizations licensed under Title 48 RCW that sell health and/or stop-loss* coverage in Washington are Members of the Pool. Carriers that exclusively offer only life or dental products are not Members. Insured multiple-employer welfare associations are Members, but Employee Retirement Income Security Act (ERISA) groups are not. (Note: RCW 48.41. provides that the term “Member” shall be expanded to include ERISA groups at such time as permitted by federal law.) The state of Washington’s self-insured Uniform Medical Plan (UMP) is also a Member. The UMP and Members that provide stop-loss insurance are assessed at a rate 1/10 of what other carriers pay per fully-insured covered life.
Notice of Assessment Reports
The Office of Insurance Commissioner (OIC) uses the WSHIP Assessment Report to collect health plan and stop loss enrollment data. This data is used to determine each Member Plan’s share of the WSHIP assessment. The report is due March 1st for the prior year’s enrollment. The WSHIP Assessment Report and additional information are located on the OIC’s website at:
https://www.insurance.wa.gov/washington-state-health-insurance-pool-wship-assessment-report