Get Group Attestation Form Medical Loss Ratio Reporting And

Completing the Group Attestation Form for Medical Loss Ratio Reporting is essential for compliance with health care reform requirements. This guide offers clear, step-by-step instructions to help you accurately fill out the form online, ensuring that all necessary information is submitted correctly and on time.

Follow the steps to accurately fill out the form online.

1. Click the ‘Get Form’ button to access the Group Attestation Form and open it in your online editor.
2. Begin with Section 1, where you will need to provide average employee counts for the years 2009 and 2010. Ensure you include all employees: full-time, part-time, and seasonal, as specified. Enter the employee count for 2009 in the designated field, followed by the count for 2010.
3. Proceed to Section 2 regarding the Foreign Language Requirement. If all plan participants are literate in English, simply sign and complete this section as instructed. If not, enter data such as the plan year and the number of plan participants at the beginning of the plan year.
4. If your company meets the criteria for translation services, provide details of non-English languages spoken among plan participants. Fill in the specified fields for each language along with the corresponding participant count.
5. In the authorization area, enter the name of the sponsor of the group health plan, your own name, title, email address, and the date of completion.
6. Finally, review all the provided information for accuracy. Save your changes, then download or print the completed form to ensure you have a copy for your records.
7. Submit the form by fax, email, or US mail by the deadline. Ensure you use the correct contact information provided in the form.

Complete your documents online today to ensure timely compliance and submission.