Virginia: Bureau of Insurance's Mandated Benefit Reporting Page

Mandated Benefits Report Form MB-1 for 2007 Reporting Year

If Total Premiums reported for all Accident and Sickness Lines are less than $500,000 or the company is licensed to issue only credit accident and sickness insurance, the company is EXEMPT from filing any information. Please do not proceed.

Instructions PDF

CPT and ICD-9-CM Codes PDF

Form MB1 for 2007 Reporting Year
Click here to complete on-line forms or to download blank forms

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Street Address: Tyler Building, 1300 E. Main St., Richmond, Virginia 23219

Mailing Address: P.O. Box 1157 Richmond, Virginia 23218

Toll Free Phone: (Virginia Only) 1-800-552-7945 * TDD Phone: 804-371-9206

Ombudsman and Consumer Service Hotline Toll Free Phone: (Nationwide) 1-877-310-6560

BOI Main Phone: 804-371-9741*Agents Licensing Phone: 804-371-9631

Need additional information? Contact: bureauofinsurance@scc.virginia.gov

Website questions? Contact: webmaster@scc.virginia.gov