Get Bulletinsupplementalreportrevised10.26.doc - Nh

The BulletinSupplementalReportRevised10.26.doc - Nh is an essential document used for reporting health insurance data in New Hampshire. This guide provides clear, step-by-step instructions on how to efficiently fill out this form online, ensuring accurate and compliant submissions.

Follow the steps to complete the BulletinSupplementalReport online.

1. Click the ‘Get Form’ button to access the BulletinSupplementalReportRevised10.26.doc - Nh and open it in the editing tool.
2. Begin filling out the 'Transmittal' worksheet. Include your Company Code, Reporting Year, Contact Person's details, and mailing address. Ensure all fields are filled accurately.
3. In the 'Notes' worksheet, provide any necessary comments or explanations about your data, including methods used for estimating data if applicable.
4. Next, go to the 'Rating' worksheet. Input all required data regarding policyholders, coverage categories, demographic factors, and premium details.
5. Fill in the 'Operation' worksheet, detailing operational data such as premium amounts, claims paid, and the number of policyholder-months.
6. Once all worksheets are completed, review all entries for accuracy and consistency.
7. Save your workbook using the specified naming convention. For example, if your Company Code is 03295, name it as SIR03295.xls.
8. Submit the completed workbook via email to the Insurance Department at requests@ins.nh.gov, ensuring the subject line includes 'ATTN: Statistician, Insurance Department Supplemental Report'.

Complete your BulletinSupplementalReportRevised10.26.doc - Nh online today for timely submission.