Form Filing Checklists

The MIA has developed various checklists to assist the industry in submitting form and rate filings. Checklists have been created for the following product types:

Individual, Group Life Insurance and Individual Annuity Contracts
Individual, Small Group, and Large Group Health Benefit Plans
Student Health Plans
Dental Insurance and Dental Plan Organization Contracts
HMO and Dental Plan Organization Provider Contracts
Disability Income Insurance
Medicare Supplement Insurance
Long Term Care Insurance
Excepted Benefit Products

The checklists are not required to be included with a form filing, but they may be a helpful guide in determining which laws and regulations apply to certain contracts.  Please note that the checklists include brief references to the requirements of each applicable law or regulation. It is the company's responsibility to review the applicable law and regulation for the actual wording of the requirement.

These checklists are updated frequently, and the company may request a copy of the current version of  a particular checklist by submitting an email request to the following:

For life insurance and annuity products - Nour Benchaaboun, Director of Life, Annuity & Credit Reviews ([email protected])

For managed care products (e.g. HMO, nonprofit health service plans, and dental plan organizations): Valerie Roebuck, Supervisor of Managed Care ([email protected])

For all other health insurance products: Jamie St. Clair, Supervisor, Health Review Unit ([email protected])