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Life and Health Financial Oversight

Managed Care

List of Managed Care Forms

Form #

Form Title

OIR-A2-949

Annual Report - Contracts Issued and Outstanding

OIR-A2-950

Annual Report - Damage Claims and Medical Injury

OIR-A2-1083

Annual Report Filing Fee

OIR-A1-1671

Annual Report - Discount Medical Plan Organization (DMPO)

OIR-C1-905

Instructions for Investigative Reports

OIR-D0-516

Holding Company Registration Statement

 

Emergency Claims Review Form 

OIR-C1-938

Fingerprint Card Instructions

OIR-C1-1423

Biographical Affidavit

Qtr - D

Quarterly Supplement Prepaid Expenses

Qtr - G

Quarterly Supplement Surplus Notes