Documents

74

Form HIPMC-F1 "Face Sheet and Verification Form" - Kentucky

Rate (4.8 / 5) 17 votes
Size: 180 KB
1 page

Form HIPMC-R1 "Risk-Sharing Arrangement Information Sheet" - Kentucky

Rate (4.5 / 5) 8 votes
Size: 38 KB
1 page

Form HIPMC-MD-1 "Medical Director Report Form" - Kentucky

Rate (4.3 / 5) 11 votes
Size: 77 KB
1 page

Form HIPMC-IRE-3 "External Review Decision Notification Form" - Kentucky

Rate (4.6 / 5) 8 votes
Size: 75 KB
1 page

Form HIPMC-IRE-6 "External Review Information Face Sheet" - Kentucky

Rate (4.5 / 5) 15 votes
Size: 104 KB
2 pages

Form HIPMC-IRE-2 "Assignment of Independent Review Entity Form" - Kentucky

Rate (4.3 / 5) 13 votes
Size: 99 KB
1 page

Form HIPMC-IRE-4 "Annual Independent Review Entity Report Form" - Kentucky

Rate (4.4 / 5) 34 votes
Size: 76 KB
1 page

Form HIPMC-IRE-1 "Application for Certification of an Independent Review Entity" - Kentucky

Rate (4.8 / 5) 29 votes
Size: 188 KB
11 pages

Form HIPMC-UR-1 "Utilization Review Registration Application Instruction" - Kentucky

Rate (4.5 / 5) 24 votes
Size: 173 KB
7 pages

Form HIPMC-UR-2 "Annual Utilization Review (Ur) Report Form" - Kentucky

Rate (4.4 / 5) 8 votes
Size: 166 KB
4 pages

Form HIPMC-R4 "Individual Health Forms - Actuarial Certification Form" - Kentucky

Rate (4.7 / 5) 17 votes
Size: 54 KB
1 page

Form HL-MS-1 "Medicare Supplement Refund Calculation Form" - Kentucky

Rate (4.4 / 5) 19 votes
Size: 165 KB
8 pages

Form LS6 "Life Settlement Provider Certification Form" - Kentucky

Rate (4.8 / 5) 25 votes
Size: 8 KB
1 page

Form HIPMC-IPO-4 "Quarterly Financial Statement of Insurance Purchasing Outlet" - Kentucky

Rate (4.7 / 5) 12 votes
Size: 90 KB
3 pages

Form MLW-01 "Request for Waiver of Renewal Procedures or Exemption From Examination or Extension for Continuing Education Due to Active Military Service Deployment" - Kentucky

Rate (4.4 / 5) 55 votes
Size: 62 KB
1 page

Form KYP-01 "Provider Approval Application - Continuing Education/Pre-licensing Program" - Kentucky

Rate (4.6 / 5) 65 votes
Size: 153 KB
1 page

Form HIPMC-R36 "Rate Filing Information Form (Limited Benefits)" - Kentucky

Rate (4.8 / 5) 28 votes
Size: 111 KB
1 page

Form HL-F11 "Health Summary Sheet - Form Filings" - Kentucky

Rate (4.3 / 5) 29 votes
Size: 154 KB
1 page

Form HIPMC-F16 "Additional Health Information Request Form" - Kentucky

Rate (4.7 / 5) 9 votes
Size: 96 KB
1 page

Form CPL-01 "Certificate of Pre-licensing Course Completion" - Kentucky

Rate (4.4 / 5) 23 votes
Size: 193 KB
1 page

Form 440 "Certificate on Advertising - Accident and Health" - Kentucky

Rate (4.8 / 5) 21 votes
Size: 172 KB
1 page

Form CE/AFF-304 "Affidavit for Exemption From Continuing Education" - Kentucky

Rate (4.5 / 5) 53 votes
Size: 88 KB
1 page

Form 996 "Application for Certificate of Filing as a Provider-Sponsored Integrated Health Delivery Network" - Kentucky

Rate (4.8 / 5) 12 votes
Size: 139 KB
2 pages

Form PBM "Pharmacy Benefit Manager License Application" - Kentucky

Rate (4.7 / 5) 56 votes
Size: 329 KB
4 pages

Form 145 "Transaction Sheet for Securities Held Under Safekeeping With Designated Custodian Banks" - Kentucky

Rate (4.6 / 5) 18 votes
Size: 241 KB
3 pages

Form 100 "Initial Application for Certificate of Filing as a Workers' Compensation Self-insured Group" - Kentucky

Rate (4.3 / 5) 22 votes
Size: 63 KB
2 pages

Form 102 "Trustee Confirmation of Receipt Workers' Compensation Self-insured Group Quarterly Financial Statements" - Kentucky

Rate (4.7 / 5) 27 votes
Size: 102 KB
1 page

Form 141 "Workers' Compensation Self-insured Groups Election Form for Safekeeping of Securities" - Kentucky

Rate (4.4 / 5) 29 votes
Size: 154 KB
1 page

Form 995 "Application for Certificate of Filing as a Liability Self-insurance Group" - Kentucky

Rate (4.3 / 5) 23 votes
Size: 130 KB
3 pages

Form 142 "Letter of Credit" - Kentucky

Rate (4.5 / 5) 10 votes
Size: 121 KB
1 page

Form 147 "Workers' Compensation Group Security Deposit Held Under Safekeeping" - Kentucky

Rate (4.8 / 5) 6 votes
Size: 89 KB
1 page

Form CI110 "Application for Authorization to Certify Loss Reserves and Loss Expense Reserves for Captives" - Kentucky

Rate (4.7 / 5) 23 votes
Size: 40 KB
2 pages

Form CI120 "Application for Authorization as an Independent Certified Public Accountant for Captive Insurance Business" - Kentucky

Rate (4.3 / 5) 17 votes
Size: 40 KB
2 pages

Form 501 "Biographical Affidavit" - Kentucky

Rate (4.6 / 5) 24 votes
Size: 189 KB
5 pages

Form CE/PL-100 "Course Approval Application - Continuing Education/Pre-licensing Program" - Kentucky

Rate (4.6 / 5) 67 votes
Size: 92 KB
1 page

Form 800 "Kentucky Designation of Person to Receive Legal Process" - Kentucky

Rate (4.7 / 5) 9 votes
Size: 85 KB
1 page

Form CE/PL-200 "Instructor Approval Application - Continuing Education/Pre-licensing Program" - Kentucky

Rate (4.5 / 5) 70 votes
Size: 26 KB
1 page

Form VOC "Verification of Coverage for Life Insurance Policies" - Kentucky

Rate (4.5 / 5) 13 votes
Size: 172 KB
4 pages

Form LGT141 "City, County, or Urban County Government Quarterly Insurance Premium Tax Return" - Kentucky

Rate (4.3 / 5) 14 votes
Size: 16 KB
2 pages

Form LGT-140 "City, County, or Urban County Government Insurance Premium Tax Annual Reconciliation" - Kentucky

Rate (4.6 / 5) 12 votes
Size: 24 KB
2 pages