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Private Company for Disbursement of checks
Medical Loss Ratio Annual Reports, MLR Notices, and Recordkeeping Requirements (CMS-10418)
OMB: 0938-1164
IC ID: 201983
OMB.report
HHS/CMS
OMB 0938-1164
ICR 202311-0938-016
IC 201983
( )
Documents and Forms
Document Name
Document Type
Form CMS-10418
Private Company for Disbursement of checks
Form
CMS-10418 MLR Notice 1 - Individual Market to Subscribers
MLR Notice 1 Individual Market- Rebate to Subsribers.pdf
Form
CMS-10418 MLR Notice 2 Group Markets - Rebate to Policyholder
MLR Notice 2 Group Markets - Rebate to Policyholder.pdf
Form
CMS-10418 MLR Notice 3 - Group Markets - Rebate to Subscribers
MLR Notice 3 Group Markets - Rebate to Subscribers.pdf
Form
2022 MLR Form Instructions.pdf
Instruction
CMS-10418 MLR Notice Individual Market to Subscribers Optional B
MLR Notice 1 Individual Market - to Subscribers Optional-B.pdf
Form
Information Collection (IC) Details
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