Medicare Supplement Rate Adjustment Filings
Instructions/Checklist & Exhibits
Unless noted otherwise, documents are in MS Excel (.xlsx) format.
- Instructions/Checklist for Filing Medicare Supplement Rate Adjustments (PDF)
- Exhibit 1 - General Information
- Exhibit 4 - Summary of Requested Rate Changes
- Exhibit 6 - History of Rate Adjustments
- Exhibit 7 - Assumptions
- Exhibit 8 - Historical Experience Since Inception - New York
- Exhibit 9 - Historical Experience Since Inception - Nationwide
- Exhibit 11 - Calculation of Proposed Rates