SERFF Tracking #: AETN-132353087 State Tracking #: Company Tracking #: DCAHISG2021 State: District of Columbia Filing Company: Aetna Health Inc. PA AZ DC DE IN KY MA MD NV NC OK TN VA WV TOI/Sub-TOI: HOrg02G Group Health Organizations - Health Maintenance (HMO)/HOrg02G.004F Small Group Only - HMO Product Name: DC AHI SG HMO 2021

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Oklahoma City, OK 73112 UTILIZATION REVIEW CERTIFICATION and/or REGISTRATION APPLICATION This completed Application and all Exhibits must be submitted via SERFF. The Application Fee of $500.00 must be submitted via SERFF as well, using EFT. Be sure to complete all fields, sign and have the Application notarized. 1. Name: 2.

Select Your State for Access Information Minnesota New Hampshire Washington The SERFF Help Desk is staffed Monday through Friday from 8:00am to 5:00pm CST. If a Customer Support Analyst is not available, please leave a message. Your call or email will be returned the next business day. SERFF Filing Access Help Desk (816) 783-8500 sfahelp@naic.org. SERFF Filing Access Help Desk (816) 783-8500 sfahelp@naic.org. Feedback The NAIC greatly values your feedback. If you have ideas on how to improve this site, please contact us at sfafeedback@naic.org. Related Sites www.naic.org www.serff.com.

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Please enter a user name. User Name: Please enter a password. Password: Forgot Your Password? SERFF Filing Access (SFA) is now in production for an increasing number of states. This new interface provides consumers and other interested parties the ability to access Rate and Form Filings via the Internet that the participating state has marked available.

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SERFF Tracking #: AETN-129582439 State Tracking #: Company Tracking #: AETN-129582439 State: District of Columbia Filing Company: Aetna Health Inc. PA AZ DC DE IN KY MA MD NV NC OK TN VA WV TOI/Sub-TOI: HOrg02G Group Health Organizations - Health Maintenance (HMO)/HOrg02G.004F Small Group Only - HMO Product Name: DC AHI SG HMO 2015

Please wait User Name: Password: Oklahoma City, OK 73112 UTILIZATION REVIEW CERTIFICATION and/or REGISTRATION ANNUAL RENEWAL APPLICATION This completed Application and all applicable Exhibits must be submitted via SERFF. The Renewal Fee of $500.00 must be submitted via SERFF as well, using EFT. Be sure to complete all fields, sign and have the Application notarized.

Retrieving your filings. Please wait User Name: Existing Password:

Feedback The NAIC greatly values your feedback. If you have ideas on how to improve this site, please Retrieving your filings. Please wait User Name: Password: GETTING STARTED Forms and Documents. SERFF is the most cost-effective and efficient way to submit rate and form filings to the states and jurisdictions.

SERFF Filing Access Help Desk (816) 783-8500 If you are experiencing technical difficulties or problems accessing the site please direct your questions to the SERFF Help Desk at 816-783-8990 or email sfahelp@naic.org. The SERFF Help Desk is staffed Monday through Friday from 8:00am to 5:00pm CST. If a Customer Support Analyst is not available, please leave a message. Oklahoma County Sheriff Tommie Johnson III is an Oklahoma City native and a decorated law enforcement professional. The son of a grocery store butcher, Johnson attended Oklahoma City Public Schools his entire life. SERFF Filing Access (SFA) is now in production for an increasing number of states. This new interface provides consumers and other interested parties the ability to access Rate and Form Filings via the Internet that the participating state has marked available. Filers should use the SERFF system for submitting revised terrorism product filings.
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Name: 2. 2020-10-07 Oklahoma City, OK 73112 UTILIZATION REVIEW CERTIFICATION and/or REGISTRATION APPLICATION This completed Application and all Exhibits must be submitted via SERFF. The Application Fee of $500.00 must be submitted via SERFF as well, using EFT. Be sure to complete all fields, sign and have the Application notarized.

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Oklahoma Insurance Department has an opening in the Rate and Form including Excel, Word, Outlook, and have the ability to learn SBS and SERFF software

Requests for filings submitted after June 2011 must identify the SERFF and/or Sircon filing number. The SERFF and/or Sircon filing number is identified on the 2007-01-20 · About SERFF. The original concept for SERFF was developed in the early 1990s by the NAIC.


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SERFF & HIOS (for rate filing information and marketing URLs) State-based Exchange (SBE) States perform all Exchange functions: Exchange websites established & maintained by the states: State-specific system: Direct Enforcement State (MO, OK, TX, WY)

6. Click ‘OK’. Another instance of the browser will open as the processing begins. After it is complete, the PDF file will be displayed. to use PDF Pipeline function available in SERFF. If you are using IE 6.0, press OK and exit.

Oklahoma City, OK 73112 UTILIZATION REVIEW CERTIFICATION and/or REGISTRATION APPLICATION This completed Application and all Exhibits must be submitted via SERFF. The Application Fee of $500.00 must be submitted via SERFF as well, using EFT. Be sure to complete all fields, sign and have the Application notarized. 1. Name: 2.

Password must be no less than 12 characters and must include characters from three of the following categories: - Uppercase letters.

The SERFF Help Desk is staffed Monday through Friday from 8:00am to 5:00pm CST. If a Customer Support Analyst is not available, please leave a message. Oklahoma County Sheriff Tommie Johnson III is an Oklahoma City native and a decorated law enforcement professional. The son of a grocery store butcher, Johnson attended Oklahoma City Public Schools his entire life. SERFF Filing Access (SFA) is now in production for an increasing number of states.