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112. Request for Rescission, Cancellation or Limitation of a Health Insurance Policy - Connecticut

  INSTRUCTIONS: CONNECTICUT REQUEST FOR RESCISSION, CANCELLATION OR LIMITATION OF A HEALTH INSURANCE POLICY     To request the rescission, cancellation or limitation of a Connecticut health insurance policy administered by the ...

113. Professional Employer Organization Annual Certification - Connecticut

  INSTRUCTIONS: CONNECTICUT ANNUAL PEO CERTIFICATION      In Connecticut, companies which outsource human resources and health insurance responsibilities to a professional employer organization (PEO) are required to file ...

114. Insurance Fraud Referral Form - Connecticut

  INSTRUCTIONS: CONNECTICUT INSURANCE FRAUD REPORT     If you suspect insurance fraud in Connecticut, a report should be filed with the state insurance department. The document discussed in this article can be obtained from th ...

115. Insurance Fraud Report Form - Connecticut

  INSTRUCTIONS: CONNECTICUT INSURANCE FRAUD REPORT      When insurance fraud has been reported and documented in Connecticut, the insurance fraud report discussed this article must be filed. This document can be obtained ...

117. CT Surety Liquidation Bond Loss Claims Form - Connecticut

  INSTRUCTIONS: PROOF OF CLAIM SURETY BOND CLAIM FORM  (BOND LOSS CLAIM) THE CONNECTICUT SURETY COMPANY IN LIQUIDATION     Following the liquidation of the Connecticut Surety Company, those affect had until November 15, 2 ...

119. 2012 Consumer Report Card Addendum (all networks) - Connecticut

  INSTRUCTIONS: CONNECTICUT ADDENDUM TO IDENTIFY ALL PROVIDER NETWORKS CONTRACTED WITH MANAGED CARE ORGANIZATIONS     Connecticut organizations use the form discussed in this article to identify all provider networks which are ...

120. 2012 Consumer Report Card Survey - Part 2 - Connecticut

  INSTRUCTIONS: CONNECTICUT 2012 CONSUMER REPORT CARD SURVEY - PART 2     Managed care organizations are required to complete an annual consumer report card survey. This article discusses part 2 of this survey, which can be ob ...

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