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  • Serff Tracking Number: Kspm-128230171 State: California Filing Company: Kaiser Permanente Insurance

Get Serff Tracking Number: Kspm-128230171 State: California Filing Company: Kaiser Permanente Insurance

Group Health - Major Medical Sub-TOI: H16G.003A Small Group Only - PPO Product Name: PPO Small Group Project Name/Number: PPO Small Group 7/2012 Rates/CA-172Y Filing at a Glance Company: Kaiser Permanente Insurance Company Product Name: PPO Small Group SERFF Tr Num: KSPM-128230171 TOI: H16G Group Health - Major Medical SERFF Status: Assigned Sub-TOI: H16G.003A Small Group Only - PPO Co Tr Num: CA-172Y Filing Type: Rate Author: Linda Brown Date Submitted: 05/01/2012 Implementation Date Re.

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How to fill out the SERFF Tracking Number: KSPM-128230171 State: California Filing Company: Kaiser Permanente Insurance online

This guide provides clear, step-by-step instructions for filling out the SERFF Tracking Number: KSPM-128230171, which is designed for the online filing of Kaiser Permanente Insurance company documents in the state of California. It aims to assist users, regardless of their legal experience, in successfully completing the filing process.

Follow the steps to complete your filing efficiently.

  1. Click ‘Get Form’ button to obtain the document necessary for your filing and open it in the designated format.
  2. Fill out the SERFF Tracking Number field by entering KSPM-128230171. This unique identifier will help in tracking your submission.
  3. Enter the State as California in the relevant field to indicate where the filing is being submitted.
  4. Input Kaiser Permanente Insurance as the Filing Company, ensuring it accurately represents the submitting entity.
  5. Complete the State Tracking Number with HAO-2012-0078, which corresponds to the state filing for tracking purposes.
  6. Provide the Company Tracking Number CA-172Y. This tracking number is specific to the insurance company and helps identify the document.
  7. Select the appropriate TOI (Type of Insurance) which is H16G Group Health - Major Medical in this case.
  8. Specify the Sub-TOI as H16G.003A Small Group Only - PPO, indicating the specific market segment of the filing.
  9. Fill out the Product Name field with 'PPO Small Group', ensuring the title reflects the product associated with the filing.
  10. Indicate the Project Name/Number as 'PPO Small Group 7/2012 Rates/CA-172Y', which provides additional context about the filing purpose.
  11. Complete any rate change fields, entering the request for a proposed rate increase as necessary and providing appropriate percentage details.
  12. Review all completed fields for accuracy, ensuring all necessary information has been captured fully.
  13. Finalize your filing by saving any changes made, and consider options to download or print the completed form for your records.

Submit your documents online to ensure the filing process is handled promptly and efficiently.

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A “me too” filing is when one company adopts another company's filing. Usually they are not part of the same group. You should check with each state to determine their rules on these filings. If permitted, use this area to indicate either an advisory organization name or “me too” company name.

SERFF: The Systems for Electronic Rates & Forms Filing.

The System for Electronic Rate and Form Filing (SERFF) Access is an interface that provides interested parties the ability to access filings via the internet.

Some states allow companies to reference another company's filing. A “me too” filing is when one company adopts another company's filing. Usually they are not part of the same group.

Status of Filing in Domicile: Place to indicate the status of a company's pending form and/or rate in their domiciliary state. Deemer Date: This is the date that the company may begin using the filed product unless the state has contacted them and notified them otherwise.

Deemer (As In 30 Day Deemer) The prescribed time period that the state insurance commissioner has to approve or disapprove a rate. If the Commissioner does not act within this time period, the rate is approved.

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Get SERFF Tracking Number: KSPM-128230171 State: California Filing Company: Kaiser Permanente Insurance
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232