OMB control number

Medical Loss Ratio - Quarterly Reporting for Mini-med Plans and Expatriate Plans

OMB 0938-1132 · HHS/CMS.

OMB 0938-1132

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-10373 Quarterly ReportingForm and Instruction
CMS-10373.MLR Quarterly Forms Instructions with technical corrections(CLEAN).docx Supplementary Document
CMS-10373.Justification of Nonmaterial modifications.docx Justification for No Material/Nonsubstantive Change
CMS-10373.Supporting Statement Part A.docSupporting Statement A
Quarterly Reporting Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201106-0938-010 No material or nonsubstantive change to a currently approved collection 2011-06-09 Approved without change
201103-0938-018 New collection (Request for a new OMB Control Number) 2011-03-31 Approved with change