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Company Assessment Information

IMPORTANT NOTICES:
 

• The Y2007 Reporting Forms that were mailed out to all companies in early March did not include lines for the deduction of exempt Credit-Only Insurance premiums and covered lives.  Corrected forms will be mailed out to the companies that reported Credit Insurance on last year’s forms.  If your company began writing Credit Insurance in Texas in 2007, please contact the Pool (browning@txhealthpool.org) so that a revised form can be mailed. 
   

• The Y2007 Regular and Y2008 Interim Assessment Reporting Forms were mailed on  March 4, 2008.  The due date will be April 14, 2008.  Copies of the reporting forms are available from the link below.    If you have any questions in the interim, please contact Mr. Steven Browning, Executive Director, at browning@txhealthpool.org.
   

• FAQ's- please review the following Q&A link BEFORE returning your assessment reporting forms. 
   

• Reporting Form Questions and Answers
  for 2008 Interim Assessment Reporting 
  
  

FORMS

• Assessment Cover Letter

• Fully-Insured Premiums Reporting Form

• Covered Lives Reporting Form & Worksheets (as of 06/30/07 & 12/31/07)

• Link to Texas Department of Insurance Figure 48/Form 1212 Cert Data
  Form
   

• Revised Required Notice Form and Instructions   
  
  
  Important note:  Prior years' forms will not be accepted. 

Please contact Steve Browning via email with any questions!

UPDATED ON   03/19/2008

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