Navajo (DOC – 67 KB) (Note: In order to use the Navajo SBC template in Word format, it may be necessary to install Times New Roman Navajo fonts. Times New Roman Navajo fonts are available free of charge on a number of sources on the Internet.)
Coverage Examples Calculator (XLSM – 442 KB) (updated September 7, 2012) (Note: This version of the coverage examples calculator corrects an error in a previous version that would result in an error message with regard to coverage of preventive services and maximum out-of-pockets. That programming error did not impact the accuracy of the results in either the manual or automated processes, so plans and issuers that have successfully used the previous versions (June 4, 2012 and Updated July 23, 2012) of the calculator may use the results from the previous version.)
June 17, 2011 Medical Loss Ratio (MLR) 2011 Quarterly Reporting Form Instructions Please note that these instructions replace an earlier version that had several minor inconsistencies. In addition, these instructions clarify that an issuer who submits reports for more than one State may choose either to submit Excel worksheets for each State report in separate Excel files or to combine the worksheets into a single Excel file.
July 29, 2011 (Update October 11, 2011: rate review training manuals, instructions, and other materials are now located under Training Resources. Please click on the link below.) Rate Review Training Resources