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STATE OF CONNECTICUT INSURANCE DEPARTMENTBULLETIN HC61 December 14, 2004TO: RE:All Health Insurers Authorized To Conduct Business in Connecticut Professional Employer Organizations (Pets) and Small
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To fill out bulletin hc-61, follow these steps:
02
Begin by completing the top section of the bulletin, which includes the date, name, and contact information of the person filling it out.
03
Provide the name and address of the facility where the incident or event occurred.
04
Specify the date and time when the incident or event took place.
05
Describe the incident or event in detail, including any relevant background information or contributing factors.
06
Indicate the severity level of the incident or event using the provided options.
07
Provide a detailed account of the actions taken to address or mitigate the incident or event.
08
Include any relevant attachments or supporting documentation, if applicable.
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Finally, review the completed bulletin for accuracy and completeness before submitting it.

Who needs bulletin hc-61?

01
Bulletin hc-61 is needed by healthcare facilities and organizations to report and document incidents or events that occur within their premises. This includes hospitals, clinics, nursing homes, and other healthcare settings. It ensures proper record-keeping and communication of important incidents, and it may also be required for regulatory compliance or legal purposes.
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Bulletin hc-61 is a form used for reporting certain financial information to regulatory authorities.
Financial institutions and certain other entities are required to file bulletin hc-61.
Bulletin hc-61 should be filled out with accurate financial information and submitted to the relevant regulatory authorities.
The purpose of bulletin hc-61 is to provide regulatory authorities with essential financial data from reporting entities.
Bulletin hc-61 typically requires information such as assets, liabilities, and income of the reporting entity.
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