Assessments are based on the proportion of direct Hawaii written premiums for the preceding year as reported on the Annual Statement to the Insurance Commissioner.
For that purpose, the Hawaii Insurance Bureau, Inc. collects Page 14 data annually.
| WHO MUST FILE: | Members and Subscribers affiliated with the Hawaii Insurance Bureau, Inc.
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| DUE DATE: | By May 13, 2011
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| INSTRUCTIONS: |
| On-line Submission: |
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| Click here to access the on-line entry form |
| Enter data across the columns in whole numbers. Enter "0" when reporting zero premium as each data field must be completed. |
| Enter a total for each column. |
| The following information is required to be entered: |
| | | Your Name |
| | | Company Name and NAIC Company Code |
| | | Phone Number |
| | | Fax Number |
| | | Email address |
| Click on the "Submit" button. A "Thank You Message" will appear to confirm successful submission. |
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| QUESTIONS:
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Leimomi Haitsuka
Telephone: (808)531-2771 ext. 202
Direct Line: (808)540-2002
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