Insurance Managed Care Filing Instructions
For annual financial filings, see our Annual Reports Schedule.
All non-financial managed care filings should be addressed to the appropriate staff person at:
Managed Care Section
Missouri DIFP
PO Box 690
Jefferson City, MO 65101
| Filing Type |
Statutory Authority |
Rule |
TD-1 | Due Date |
Filing Fee |
|---|---|---|---|---|---|
| Applications | Y | Prior to use |
$ 50 | ||
| Policies | Y | $ 50 | |||
| Certificates | Y | $ 50 | |||
| Evidence of Coverage | Y | $ 50 | |||
| Riders | Y | $ 50 | |||
| Endorsements | Y | $ 50 | |||
| Inserts | Y | $ 50 | |||
| Substitutions | Y | $ 50 | |||
| Advertising Materials | Y | $ 50 | |||
| Schedules of Benefits | Y | $— | |||
| Medicare or Medicaid Materials | Y | $— | |||
| Network Access Plans | RSMo 354.603 & 615 | 20 CSR 400-7.095 | N | April 1 (2003 only) |
$ 50 |
| Requests for Service Area Expansion | RSMo 354.405 | 20 CSR 400-7.090 | N | Prior to use |
$ 50 |
| Requests for Service Area Reduction | RSMo 354.405 | N | Prior to use |
$ 50 | |
| Provider Selection Standards | RSMo 354.606 | 20 CSR 400-7.200 | N | March 1 |
$ 50 |
| Provider Contracts | RSMo 354.405 | Y | Prior to use |
$ 50 | |
| Grievance Procedures | RSMo 376.1378 | N | Prior to use |
$ 50 | |
| Report of Utilization Review Activities | RSMo 376.1359 | Y | March 1 |
$ 50 | |
|
2011 HMO Annual and Quarterly Supplement Report Instructions |
RSMo 354.435 | N | Q1 due July 15 Q2 due Oct. 15 Q3 due Jan. 15 |
$ 50 | |
| Disclosure of Financial Interests | RSMo 354.443 | N | Prior to use |
$ 50 |
Contact us for additional information.