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    • California notice of language assistance
    • California nondiscrimination notice
    • California small group rate filing forms
    • California timely access to care
    • California large group annual reports
    • California Confidential Communication Requests

California small group (1 to 100 employees) rate filing forms

  • January 2018 California Plain Language Form HMO (pdf)
  • January 2018 California Plain Language Form PPO (pdf)
  • January 2018 Unreasonable Rate Increase Notice (pdf)
  • January 2018 CA UHIC URRT Part I (pdf)
  • January 2018 CA UHIC URRT Part II (pdf)
  • January 2018 CA UHIC URRT Part III (pdf)
  • January 2018 CA UHIC Final Small Group Rate Justification (pdf)