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Form Approved exp. 12/31/2020 OMB No: 09381244DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Center for Consumer Information and Insurance Oversight 7501 Wisconsin
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How to fill out state-based marketplace annual report

01
Start by gathering all the necessary documents and information required for the report, such as income statements, balance sheets, and any relevant financial data.
02
Review the guidelines and instructions provided by the state-based marketplace to understand the specific requirements for the annual report.
03
Organize the collected information in a clear and structured manner, ensuring that all the necessary sections and categories are included.
04
Fill out the report form provided by the state-based marketplace, accurately entering the required data and numbers.
05
Double-check all the entered information for any errors or inconsistencies, ensuring that the report is complete and accurate.
06
Include any supporting documentation or attachments that may be required, such as financial statements or receipts.
07
Once the report is complete, review it once again to ensure everything is in order and there are no missing or incorrect details.
08
Submit the filled-out annual report to the state-based marketplace within the specified deadline.
09
Keep a copy of the submitted report for your own records, as well as any acknowledgments or receipts provided by the state-based marketplace.

Who needs state-based marketplace annual report?

01
The state-based marketplace annual report is typically required by healthcare organizations and insurance providers operating within a specific state's marketplace.
02
It is needed to comply with state regulations and provide transparency on the financial performance and operations of these entities.
03
The report may also be required by regulatory bodies or government agencies overseeing the state-based marketplace to ensure accountability and proper functioning of the healthcare system.
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The state-based marketplace annual report is a document that summarizes the activities, financial performance, and outcomes of a state-based health insurance marketplace.
State-based health insurance marketplaces are required to file the annual report to provide transparency and accountability to stakeholders.
The state-based marketplace annual report can be filled out by compiling data on enrollment, premium revenue, expenses, outreach efforts, and any other relevant information.
The purpose of the state-based marketplace annual report is to assess the performance and effectiveness of the health insurance marketplace in meeting the needs of the population it serves.
Information that must be reported on the state-based marketplace annual report includes enrollment numbers, financial data, outreach activities, customer demographics, and any other relevant metrics.
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