Section 284-18-300 - Forms-General requirements(1) Forms A, B, C, D, E, and F are intended to be guides in the preparation of the statements required by RCW 48.31B.015, 48.31B.020, 48.31B.025, and 48.31B.030. They are not intended to be blank forms which are to be filled in. These statements filed must contain the numbers and captions of all items, but the text of the items may be omitted provided the answers thereto are prepared in such a manner as to indicate clearly the scope and coverage of the items. All instructions, whether appearing under the items of the form or elsewhere therein, are to be omitted. Unless expressly provided otherwise, if any item is inapplicable or the answer thereto is in the negative, an appropriate statement to that effect must be made.(2) The Forms A, B, C, D, E, and F including exhibits and all other papers and documents filed as a part thereof, must be filed with the commissioner as instructed on the commissioner's web site. The forms must be manually or electronically signed in the manner prescribed on the commissioner's web site. Unsigned copies must be conformed. If the signature of any person is affixed pursuant to a power of attorney or other similar authority, a copy of the power of attorney or other authority must also be filed with the statement.(3) If an applicant requests a hearing on a consolidated basis under RCW 48.31B.015(4)(c) in addition to filing the Form A with the commissioner, the applicant must file a copy of the Form A with the National Association of Insurance Commissioners (NAIC) in electronic form.(4) Statements must be prepared electronically as instructed on the commissioner's web site. Debits in credit categories and credits in debit categories must be designated so as to be clearly distinguishable as such on the statements. Statements must be in the English language and monetary values must be stated in United States currency. If any exhibit or other document filed with the statement is in a foreign language, it must be accompanied by a translation into the English language and any monetary value shown in a foreign currency normally must be converted into United States currency.Wash. Admin. Code § 284-18-300
Amended by WSR 15-22-062, Filed 10/30/2015, effective 1/1/2016Statutory Authority: RCW 48.02.060 and 1993 c 462 § 9. 93-19-005 (Order R 93-9), § 284-18-300, filed 9/1/93, effective 10/2/93.