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Exhibit II. D Page 1 of 38 Policy Memo #2r1 Original Issue Date: January 27, 1987, Reissue Date: February 20, 1991, Policy File Ref: A330 SUBJECT Eligibility for dependent student status when a child

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What is empire plan experience report?

The empire plan experience report is a report that provides information about the Empire Plan experience of an organization, including its claims experience, utilization of medical services, and costs incurred.

Who is required to file empire plan experience report?

All organizations that participate in the Empire Plan are required to file the empire plan experience report.

How to fill out empire plan experience report?

The empire plan experience report can be filled out online through the designated portal provided by the Empire Plan administration. It requires organizations to provide accurate and detailed information about their claims experience, utilization of medical services, and costs incurred.

What is the purpose of empire plan experience report?

The purpose of the empire plan experience report is to assess the performance and financial stability of organizations participating in the Empire Plan, and to support decision-making related to plan design, pricing, and risk management.

What information must be reported on empire plan experience report?

The empire plan experience report requires organizations to report detailed information, including claims data, utilization data by service type, costs incurred, demographic information of policyholders, and any other relevant information specified by the Empire Plan administration.

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