Annual MLR Report

Medical Loss Ratio Annual Reports, MLR Notices, and Recordkeeping Requirements

OMB: 0938-1164

IC ID: 201981

Information Collection (IC) Details

View Information Collection (IC)

Annual MLR Report
 
No New
 
Mandatory
 
45 CFR 158

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction 2012 0510 MLR Annual Form Instructions FINAL.docx Yes No Fillable Fileable
Form CMS-10418 .MLR_Annual_Form CMS-10418.MLR_Annual_Form.xlsx Yes Yes Fillable Fileable
Instruction 508CMS-10418_2012 0404MLRAnnualFormInstructionsFinalwTOC.pdf Yes No Fillable Fileable

Health Public Health Monitoring

 

527 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 5,534 5,534 0 0 0 0
Annual IC Time Burden (Hours) 352,563 352,563 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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