Health & welfare programs
New program applications
For requirements and applications, please contact Shannon.Stuber@des.wa.gov or 360-407-8153.
Mailing address for new program applications and annual and quarterly financial reports not submitted electronically:
State of Washington
Department of Enterprise Services
Office of Risk Management
Local Government Self-Insurance Program
PO Box 41466
Olympia, WA 98504-1466
Annual Report to the State Risk Manager - Health & Welfare
Instructions to INDIVIDUAL AND JOINT health & welfare self-insurance programs:
To complete the State Risk Manager’s - Health & Welfare annual report Form A, please:
- Complete sections of Form A as instructed.
- After completing, please submit the following documents as email attachments to shannon.stuber@des.wa.gov:
- Completed Form A
- The joint program’s unaudited financial statements (the same ones submitted to the State Auditor’s Office) in Word or PDF
- Any required actuarial reports in Word or PDF
- Proceed to Form B (individual programs only). Joint programs should not fill out Form B.
- If questions, please contact Shannon Stuber, 360-280-4280.
Instructions to INDIVIDUAL health & welfare self-insurance programs only:
To complete the State Risk Manager’s - Health & Welfare annual report Form B, please:
- Complete sections of Form A as instructed.
- After completing, please submit Form A as an email attachment to shannon.stuber@des.wa.gov.
- Individual programs ONLY - Continue to Form B and complete as instructed.
- After completing Form B, please submit by clicking on the “Submit by Email” button at the bottom of Form B. Do not send as an email attachment.
- No other information is required.
- If questions, please contact Shannon Stuber, 360-280-4280.
Questions
For questions or assistance, please contact Shannon Stuber, 360-407-8153 or 360-280-4280.
