Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | BEFORE FILING WITH THE IRS, THE FORM 990 IS SUBMITTED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUAL CONFLICT OF INTEREST STATEMENTS ARE DISTRIBUTED TO OFFICERS, DIRECTORS, AND EMPLOYEES. EACH PERSON IDENTIFIES POTENTIAL CONFLICTS (IF ANY) AND SIGNS AND RETURNS THE FORMS. ANY CONFLICTS ARE REVIEWED AT THE EXECUTIVE LEVEL, WITH APPROPRIATE RESTRICTIONS IMPOSED AS NECESSARY. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS REVIEW SALARY DATA PROVIDED BY SALARYEXPERT.COM AND THE EXECUTIVE COMPENSATION ASSESSOR (ECONOMIC RESEARCH INSTITUTE) DATA PRESENTED BY QUICKCALL ERI. BOTH PROVIDE COMPARABILITY DATA AND ARE INDEPENDENT OF WASHINGTON INSURANCE EXAMINING BUREAU AND THE BOARD. CONTEMPORANEOUS SUBSTANTIATION IS PROVIDED IN THE COMPENSATION COMMITTEE MEETING MINUTES AND IN THE REBUTTABLE PRESUMPTION CHECKLIST. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE COMPANY FILES ANNUAL FINANCIAL STATEMENTS WITH ITS REGULATORY AGENCY, THE STATE OF WASHINGTON OFFICE OF THE INSURANCE COMMISSIONER. FOR INSURERS, THE COMPANY WILL RESPOND TO A REQUEST FOR INFORMATION MADE DIRECTLY TO IT. | |
| FORM 990, PART IV, LINE 12 | WASHINGTON INSURANCE EXAMINING BUREAU PREPARES A STATEMENT OF CASH RECEIPTS AND DISBURSEMENTS. THIS IS A COMPREHENSIVE BASIS OF ACCOUNTING OTHER THAN ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. THESE CONSOLIDATED FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM, ALSO APPLICABLE TO PART XII, LINE 2B. |
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