Medical Loss Ratio (MLR) Data Form for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) (CMS-10476)

ICR 202305-0938-009

OMB: 0938-1232

Federal Form Document

Forms and Documents

Document Name	Status
CMS-10476 - Supporting Statement A (CMS-4192-F version 4).docx Supporting Statement A	2023-05-24

IC Document Collections

IC ID	Document Title	Status
209359	Annual Reporting and Recordkeeping Requirements Instruction	Modified