Annual Report and Recordkeeping Requirements

Burden Change

Reason for Change

Type of Change

Revised Data
Collection

Current approved
data collection
Filenames
MLR Worksheet 1 cells A1, A96, C5, C38, C39,
C54, C57, C96, H1
MLR Worksheet 2 cells A1, A4, C36
MLR Worksheet 3 cells A1, A4
MLR Worksheet 1 cells H23, H24, H63

Filenames
MLR Worksheet 1 cells A1, A96, C5, C38, C39,
C54, C57, C96, H1
MLR Worksheet 2 cells A1, A4, C36
MLR Worksheet 3 cells A1, A4
MLR Worksheet 1 cells H23, H24, H63

Rev

Update labels: Annual update of year references. No
(ex: CY2014, CY2015, CY2016, etc.) Update MLR
Report to reference Contract Year reported.

Rev

Add input cells. To improve user clarity and
reporting accuracy of MLR Report.

No

MLR Worksheet 1 cells H35, I23, I24, I63, H46
MLR Workbook 2 cells D23, D37

MLR Worksheet 1 cells H35, I23, I24, I63, H46
MLR Workbook 2 cells D23, D37

Rev

Revise calculations (for newly added input cells).
To improve user clarity and reporting accuracy of
MLR Report.

No

MLR Worksheet 1 cells C23, C24, C25, C26,
C63, G96
MLR Worksheet 2 cells C32

MLR Worksheet 1 cells C23, C24, C25, C26,
C63, G96
MLR Worksheet 2 cells C32

Rev

Revise/add labels (for newly added cells). To
improve user clarity and reporting accuracy of
MLR Report.

No

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.