Regulation .19 Report Form for Calculation of Loss Ratios.
Regulation .19 Report Form for Calculation of Loss Ratios.LinkCopy Citation
The following forms are to be used for reporting loss ratios and calculating refunds for credits required under Regulation .11B of this chapter:
A.
Medicare Supplement Refund Calculation Form.
Signature
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Name-Please Type
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Title-Please Type
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Date
B.
Reporting Form for Benchmark Ratio for Group Policies.
C.
Reporting Form for Benchmark Ratio for Individual Policies.