Enrollment_History_Template.xlsx
XLSX spreadsheet 11 KB Posted
- Attached to
- Multi-State Plan Program Application
- Solicitation number
- OPM35-12-R-0006
About this file
Enrollment Template
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Text version
Sheet1
| MSPP Enrollment Template |
| 2.2.Q4 Provide your annual enrollment and disenrollment for the last three years for the product that is most similar to the product you are proposing for the MSPP. |
Enter "not applicable" if no enrollment figures are available.
| Individual Market | ||
| Year | Enrollment | Disenrollment |
| 2012 | ||
| 2011 | ||
| 2010 |
| Small Group Market | ||||
| Enrollment | Disenrollment | |||
| Year | # of Groups | # of Enrollees | # of Groups | # of Enrollees |
| 2012 | ||||
| 2011 | ||||
| 2010 |
Sheet2
Sheet3
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