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Grievance System and Annual Disclosure Reporting Requirements

To assist managed care companies licensed in Idaho to comply with the annual disclosure and grievance reporting requirements of Title 41, Chapter 39, Idaho Code, the following forms are available:

  1. Annual Disclosure Check List - Form MCD-1
  2. Checklist for Grievance System Annual Report - Form MCG-1
  3. Sample Grievance System Summary Report - Form MCGR-1 (Word) / Form MCGR-1( Excel)

The due date for these reports is March 1, 2008. All information received will be considered confidential.

Exemption:
Please note that the Annual Disclosure and Grievance System Report are not required if the company is licensed for Disability, Including Managed Care and has received an exemption from the requirements of Chapter 39, Idaho Code for all of its products pursuant to §41-3903(15) and §41-1846, Idaho Code.

The Annual Report required under §41-3918 must be filed for any products which have not been exempted by the Department.

For more information on the exemption, contact Donna Daniel.

Submit reports to:

Martha H. Smith
Examinations Section
Idaho Department of Insurance
700 W. State Street, 3rd Floor
P. O. Box 83720
Boise, ID 83720-0043
(208) 334-4315

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