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Medical Loss Ratio Annual Reports, MLR Notices, and Recordkeeping Requirements (CMS-10418)
ICR 202311-0938-016
OMB: 0938-1164
Federal Form Document
OMB.report
HHS/CMS
OMB 0938-1164
ICR 202311-0938-016
( )
Forms and Documents
Document
Name
Status
Form CMS-10418 Private Company for Disbursement of checks
Form
Modified
Form CMS-10418 Annual MLR Report
Form and Instruction
Modified
Comment Response Document.pdf
Supplementary Document
2024-02-13
MLR PRA Package Supporting Statement (002).docx
Supporting Statement A
2024-02-13
IC Document Collections
IC ID
Document
Title
Status
201985
Retention of Records
Modified
201983
Private Company for Disbursement of checks
Form
Modified
201982
Notice of rebates to Subscribers and Policyholders
Other-Template
Modified
201981
Annual MLR Report
Form and Instruction
Modified
ICR Details
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