ins commissioners memorandum 15c

LINDA LINGLE MARK E. RECKTENWALD GOVERNOR DIRECTOR J. P. SCHMIDT JAMES R. AIONA, JR. INSURANCE COMMISSIONER LT. GOVERNOR S T A T E OF HA WA I I INSURANCE DIVISION DEPARTMENT OF COMMERCE & CONSUMER AFFAIRS P. O. BOX 3614 HONOLULU, HAWAII 96811-3614 335 MERCHANT STREET, ROOM 213 HONOLULU, HAWAII 96813 January 6, 2005 Memorandum 2004 – 15C TO: CAPTIVE INSURERS AUTHORIZED IN HAWAII SUBJECT: Annual Filing Requirement in 2005 for Captives Writing Workers’ Compensation Risks On a Direct Basis in Hawaii Only This is a notice of correction to Memorandum 2004-14C, dated December 22, 2004. Following is the corrected section on page 5 of Memorandum 2004-14C. II. DOCUMENTS AND FILING DEADLINES Document / Description # of Copies 2005 Filing Deadline ANNUAL ASSESSMENT FOR WORKERS’ COMPENSATION INSURANCE SPECIAL COMPENSATION FUND (ref. HRS §386:151 & HRS 1 Within 30 Days of §386:152) Demand Required for captives writing workers compensation risks on a direct basis in Hawaii only. Memorandum 2004-14C erroneously included “Form 315” and a 2005 filing deadline of March 15. For questions, contact Craig Watanabe or Judy Nako at (808)586-0981 or fax at (808)586-0987.