Incurred 15 Month Claims Report

Routine Reports

Monthly Incurred Triangle Table

Report Category

Financial

Frequency

Quarterly

Required of

FFS Plans and Experience Rated HMOs

Due Date

15 days after end of quarter

Reference

Contract §1.7

Guidance

CL 2006-22 and CL 2011-03

Contact

Ofc of Actuaries (actuary@opm.gov) and FEIO/HI Contract Specialist

Reporting Form

This is an electronic submission of data