Get Hmig Mtg-2152 2016-2026

Filling out the HMIG MTG-2152 is essential for accurately managing your insurance billing. This guide will provide you with step-by-step instructions to ensure you complete the form correctly and submit it efficiently.

Follow the steps to accurately complete your billing template

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your Group Name, Group Number, Due Date (the first day of the coverage month), and Billing Period (coverage month) in the designated spaces at the top of the worksheet.
3. Fill in the Current Coverages of Insurance Inforce section by specifying the type of coverage or coverage class (specific and/or aggregate).
4. For the Prior Month Premium, renewing customers should enter last month's premium, while new customers can leave this field blank.
5. In the Inforce Lives from Last Statement field, enter the number of insured employees reported for the prior month.
6. Calculate any Net Changes by determining the difference between the number of lives reported last month and the current inforce number of lives.
7. Record the Current Inforce Lives by summing both the Inforce Lives from Last Statement and the Net Changes.
8. Enter your Current Premium Rates as specified in your contract.
9. Calculate the Unadjusted Premium by multiplying the Current Inforce Lives by the Current Premium Rate.
10. If applicable, enter any adjustments in the Prior Month(s) Adjustments column and provide an explanation in the designated area.
11. Calculate the Adjusted Premium by summing the Unadjusted Premium and Prior Month(s) Adjustments.
12. Determine the Current Premium Due as the sum total from the Adjusted Premium field.
13. Record the Total Premium Remitted, which is the dollar amount you intend to pay.
14. Finally, review the Difference between the Current Premium and Total Premium Remitted to ensure accuracy.
15. Save your changes, and proceed to download, print, or share the completed form as necessary.

Complete the HMIG MTG-2152 online today to streamline your billing process.