Publications

Release of Mental Health Information for Outpatient Mental Health Treatment Form

This form is designed to authorize the disclosure of mental health information listed below by the individual practitioner to determine entitlement of paymant of claims or reimbursement. It is not to be used for in-patient or partial hospitalization.

Release_of_Mental_Health_Info_for_Outpatient_Mental_Health_Treatment_Form.pdf

United Health Actuarial Services, Inc. Letter - July 2013

United Health Actuarial Services, Inc. Letter - July 2013

CareFirst BlueChoice, Inc. HMO (Individual)

Proposed 2025 Rates
CareFirst

Initial Application to Engage in the Business of Insurance in DC

Initial application for written consent to engage in the business of insurance in the District of Columbia pursuant to 18 USC section 1033 and 1034

1033 Initial Application

Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. HMO (Small Group)

Proposed 2025 Rates
Kaiser

Consumer Complaint Form

Please take the time to read these guidelines because following them will allow us to better serve you.

Insurance Tax Return Filing Packet - 2012

All insurers whose tax liability for the preceding calendar year was $1,000 or more must file an Installment Reporting Statement. The installment shall be an amount equal to at least 50% (50 percent) of the total tax liability for the preceding calendar year.