2023 Health Maintenance Organizations Annual Statement and New York Supplement
General Filing Instructions
IMPORTANT FILING REMINDER:
You are not required to file HARD COPY of the 2023 Annual Filing. By filing over the Internet with the NAIC, an insurer will have fulfilled its filing requirement for national forms with New York. Please refer to the Department’s guidance for electronic signatures, transactions, and filings.
Instructions
The Health Maintenance Organization Annual Statement Checklist & Instructions provides filing requirements for submission to the NAIC and the Department of Financial Services. This website also provides specific instructions for filing the New York Supplement and supplemental forms with DFS.
HMOs subject to these filing requirements are strongly encouraged to submit copies of all annual and quarterly statement filings with the NAIC. The following submissions to the NAIC will fulfill the electronic filing requirements of New York:
- National Form Annual Statement via the internet
- National Form Quarterly Statement via the internet
- New York Supplement via the internet
Any statements not filed as above will require an electronic filing with New York.
HMO - Specific Filing Information
The HMO Filing Instructions and Forms Packet is a compressed zipped file; after downloading, unzip to obtain the following files.
- New York State HMO Annual Supplement 2023
- New York State HMO Quarterly Supplement 2024
- New York State Electronic Filing Directive 2023
- Annual Statement Checklist Instructions
The New York State HMO Supplement 2023 (PDF) is also available on the NY Supplement Instructions and Forms Page.
Special Instructions for Filing Schedule G
For-profit HMOs are now required to complete Schedule G for ALL personnel described in the instructions at the top of the schedule. No longer should you leave Column 2 blank for employees other than directors, trustees or senior officers.
Due Date
Please refer to the Health Maintenance Organization Annual Statement Checklist & Instructions.
NAIC Numbers and Company Names:
To view the company listing for this blank type, select Health Maintenance Organization List.
NAIC Forms
National Association of Insurance Commissioners 2301 McGee, Suite 800
Kansas City, MO 64108-2604 (816) 842-3600
www.NAIC.org
Questions
For assistance contact Robert Solomon by email: [email protected].