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RR Submission(November 2014)

Rr Submission Id

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Issuer Code

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Issuer Name

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State Name

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Submission Code

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Effective Date

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Created Date

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Created User

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Tracking Number

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Naic Code

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Hhs Int Comments

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State Int Comments

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Modified Date

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Modified User

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Submission Code Disp

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513
72547
Aetna Life Insurance Company
Illinois
1
2012-07-01 00:00:00
2012-05-15 08:21:00
AETN-128332537
725470001
514
79850
Cigna HealthCare of Florida, Inc.
Florida
1
2012-09-01 00:00:00
2012-05-15 08:41:00
HMO 12-08424
95136
798500001
518
15560
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Michigan
2
2012-10-01 00:00:00
2012-05-16 15:03:00
BBMI-126670278
54291
155600002
519
75017
Aetna Health Inc. (a CT corp.)
Connecticut
1
2012-08-01 00:00:00
2012-05-17 12:14:00
AETN-128361578
750170001
520
35783
Humana Medical Plan, Inc.
Florida
1
2012-08-02 00:00:00
2012-05-18 11:17:00
95270
357830001
521
99110
Health Net Life Insurance Company
California
3
2012-01-01 00:00:00
2012-05-18 17:17:00
HNLI-127823114
66141
991100003
536
30252
Health Options, Inc.
Florida
3
2012-10-01 00:00:00
2012-06-06 15:51:00
95089
302520003
540
97667
Cigna HealthCare of Arizona, Inc
Arizona
5
2012-07-01 00:00:00
2012-06-11 15:52:00
95125
976670005
542
97667
Cigna HealthCare of Arizona, Inc
Arizona
6
2012-10-01 00:00:00
2012-06-12 15:36:00
95125
976670006
549
56707
Providence Health Plan
Oregon
6
2012-11-01 00:00:00
2012-06-15 17:00:00
PROV-128469301
95005
567070006
580
56707
Providence Health Plan
Oregon
7
2012-11-01 00:00:00
2012-06-27 20:12:00
PROV-128501040
95005
567070007
581
99110
Health Net Life Insurance Company
California
7
2012-10-01 00:00:00
2012-06-28 14:46:00
HNLI-128521978
66141
991100007
584
30751
Blue Cross and Blue Shield of Montana
Montana
7
2012-07-01 00:00:00
2012-06-28 18:23:00
53686
307510007
588
85629
Oxford Health Insurance, Inc.
New York
8
2013-01-01 00:00:00
2012-06-29 10:27:00
XFRD-128430286
78026
856290008
596
26420
Oxford Health Plans (NY), Inc.
New York
10
2013-01-01 00:00:00
2012-06-29 13:04:00
XFRD-128363086
95479
264200010
619
26661
Coventry Health & Life Insurance Co.
West Virginia
1
2012-11-01 00:00:00
2012-07-11 15:23:00
CLHP-128562121
81973
266610001
621
81974
Wisconsin Physicians Svc Insurance Corp
Wisconsin
10
2012-08-01 00:00:00
2012-07-12 17:18:00
53139
819740010
623
78124
Excellus Health Plan, Inc.
New York
12
2013-01-01 00:00:00
2012-07-13 09:45:00
EXHP-128423258Â
55107
781240012
627
78124
Excellus Health Plan, Inc.
New York
16
2013-01-01 00:00:00
2012-07-13 09:57:00
EXHP-128423258
55107
781240016
628
78124
Excellus Health Plan, Inc.
New York
17
2013-01-01 00:00:00
2012-07-13 10:01:00
EXHP-128423258Â
55107
781240017
629
78124
Excellus Health Plan, Inc.
New York
18
2013-01-01 00:00:00
2012-07-13 10:05:00
EXHP-128423258Â
55107
781240018
630
78124
Excellus Health Plan, Inc.
New York
19
2013-01-01 00:00:00
2012-07-13 10:11:00
EXHP-128423258Â
55107
781240019
644
88582
Health Insurance Plan of Greater New York
New York
2
2013-01-01 00:00:00
2012-07-16 21:48:00
HPHP-128544627
55247
885820002
656
61719
MVP Health Insurance Company
New York
4
2013-01-01 00:00:00
2012-07-20 10:43:00
MVPH-128445615
11125
617190004
662
70552
Independent Health Association, Inc
New York
4
2013-01-01 00:00:00
2012-07-20 13:14:00
NDPD-128526753
95308
705520004
664
36346
BlueShield of Northeastern New York
New York
2
2013-01-01 00:00:00
2012-07-20 14:57:00
HLTH- 128574301
55204
363460002
666
36346
BlueShield of Northeastern New York
New York
4
2013-01-01 00:00:00
2012-07-20 14:59:00
HLTH- 128574301
55204
363460004
668
49526
BlueCross BlueShield of Western New York
New York
2
2013-01-01 00:00:00
2012-07-20 15:04:00
HLTH- 128574301
55204
495260002
670
80519
Empire HealthChoice HMO, Inc.
New York
4
2013-01-01 00:00:00
2012-07-20 15:26:00
AWLP-128570954
95433
805190004
673
49526
BlueCross BlueShield of Western New York
New York
6
2013-01-01 00:00:00
2012-07-20 15:41:00
HLTH- 128574301
55204
495260006
681
36346
BlueShield of Northeastern New York
New York
7
2013-01-01 00:00:00
2012-07-20 16:26:00
HLTH- 128574301
55204
363460007
682
36346
BlueShield of Northeastern New York
New York
8
2013-01-01 00:00:00
2012-07-20 16:28:00
HLTH- 128574301
55204
363460008
688
40064
HealthNow New York
New York
6
2013-01-01 00:00:00
2012-07-20 16:38:00
HLTH- 128574301
55204
400640006
698
17575
Anthem Ins Companies Inc(Anthem BCBS)
Indiana
1
2013-01-01 00:00:00
2012-07-31 14:47:00
AWLP-128608512
28207
175750001
702
84867
Aetna Health Inc. (a PA corp.)
Ohio
1
2012-10-01 00:00:00
2012-08-02 14:50:00
AETN-128515393
848670001
709
13530
Everence Insurance Company
Indiana
1
2013-01-01 00:00:00
2012-08-06 09:18:00
MMAA-128616218
74209
135300001
710
93452
Everence Insurance Company
Kansas
1
2013-01-01 00:00:00
2012-08-06 09:21:00
MMAA-128616586
74209
934520001
711
48345
Everence Insurance Company
Ohio
1
2013-01-01 00:00:00
2012-08-06 09:23:00
MMAA-128616370
74209
483450001
712
78080
Everence Insurance Company
Pennsylvania
2
2013-01-01 00:00:00
2012-08-06 09:26:00
MMAA-128616724
74209
780800002
725
80627
Medical Mutual of Ohio
Ohio
3
2012-10-01 00:00:00
2012-08-08 15:40:00
MEDM-128578640
29076
806270003
735
24775
Celtic Insurance Company
Georgia
2
2012-10-01 00:00:00
2012-08-10 15:17:00
CELT-128614730
80799
247750002
737
95186
Celtic Insurance Company
Louisiana
2
2012-10-01 00:00:00
2012-08-10 15:27:00
CELT-128614288
80799
951860002
747
31195
Sanford Health Plan
South Dakota
1
2012-10-01 00:00:00
2012-08-16 16:37:00
SANF-128639497
95683
311950001
761
26566
Everence Association, Inc
Indiana
1
2013-01-01 00:00:00
2012-08-21 15:10:00
MMAA-128647268
57991
265660001
762
86414
Everence Association, Inc
Kansas
1
2013-01-01 00:00:00
2012-08-21 15:16:00
MMAA-128647269
57991
864140001
763
31333
Everence Association, Inc
Michigan
1
2013-01-01 00:00:00
2012-08-21 15:18:00
MMAA-128647270
57991
313330001
764
77244
Everence Association, Inc
Nebraska
1
2013-01-01 00:00:00
2012-08-21 15:20:00
MMAA-128647271
57991
772440001
768
92802
MVP Health Insurance Company
Vermont
11
2013-01-01 00:00:00
2012-08-22 12:42:00
MVPH-128620422
11125
928020011
771
67879
UnitedHealthcare Insurance Company
Colorado
1
2013-02-01 00:00:00
2012-08-22 14:50:00
UHLC-128645810
79413
678790001
797
69424
Pekin Life Insurance Company
Wisconsin
10
2013-01-01 00:00:00
2012-08-31 11:01:00
UHAS-127687221
67628
694240010

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