Health Maintenance Organizations Forms
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Financial Analysis Main Forms Page
| TDI Form Number | Description | File Format | Language |
|---|---|---|---|
| FIN111 | Health Entities NAIC Checklist Health Filing Requirements NAIC Checklist |
English | |
| FIN116 | HMO Supplement - Annual Information HMO Supplement - Annual Information |
English | |
| FIN117 | TDI Instructions for Filing CPA Audited Financial Statements TDI Instructions for Filing CPA Audited Financial Statements |
English | |
| FIN244 | CPA Audited Financial Statements - Intent Form Register a CPA to file an audited financial statement |
English | |
| FIN246 | Affidavit for Exemption form filing Authorization to file an exemption |
English | |
| FIN252 | HMO Quarterly Supplement HMO Quarterly Supplement |
English |
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