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Individual Health Plan Reporting
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Name of Carrier
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Your answer
Name of Person Completing the Survey
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Your answer
Email Address of Person Completing the Survey
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Your answer
How many individual health insurance policies were in effect as of March 31, 2020?
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Your answer
How many individual health insurance policies have been effectuated since March 31, 2020?
Your answer
Of the policies that were in effect on 3/31/2020 and that have been effectuated since, how many remain in effect?
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Your answer
To date, of the policies that were in effect on 3/31/2020 and that have been effectuated since, how many have been terminated for nonpayment of premium (premiums were due rather than terminations that were requested by the policyholder)?
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Your answer
Please provide any additional information that describes, explains, or offers relevant context for the number reported above.
Your answer
To date, of the policies that were in effect on 3/31/2020 and that have been effectuated since, how many have been terminated at the request of the policyholder?
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Your answer
Please provide any additional information that describes, explains, or offers relevant context for the number reported above.
Your answer
To date, of the policies that were in effect on 3/31/2020 and that have been effectuated since, how many terminations for nonpayment of premium are currently pending?
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Your answer
Please provide any additional information that describes, explains, or offers relevant context for the number reported above.
Your answer
Since March 31, 2020, have you deferred triggering a grace period for individual health insurance policies for nonpayment of premium (excluding individuals who did not effectuate coverage) and, if so, for how many policies?
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Your answer
Please provide any additional information that describes, explains, or offers relevant context for the number reported above.
Your answer
Which of the following accommodations have you been offering? Please check all that apply:
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Deferral of premium payments
Acceptance of partial payments
Use of payment plans
Waiver of late payment fees, installment fees, interest, or other associated penalties
Other:
Required
How many individual health plans would have been canceled but for the issuance of Bulletin B-4.107?
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