The Bureau asks that all companies with approved Medicare Supplement forms in Virginia return the attached survey no later than December 3, 2007. Those insurers that do NOT wish to have their premium information included in the guide may indicate so on the survey form. Those insurers that DO wish to have their Medicare Supplement premium information included in the 2008 Guide must complete and return the attached survey no later than December 3, 2007 to ensure inclusion in the Guide. Instructions for completion of the survey follow, as does the actual survey form. PLEASE RETURN THE FORM REGARDLESS OF WHETHER YOU WISH TO BE INCLUDED IN THE GUIDE OR NOT.

Bureau of Insurance Memo and Instructions (PDF)
Printable Survey (DOC)	May be mailed or faxed to the address below or may be completed and submitted as an attachment via email to: medsupppremium@scc.virginia.gov Bureau of Insurance Life and Health Division P.O. Box 1157 Richmond, VA 23218 Attn: Florence Morris Senior Insurance Analyst FAX: 804-371-9944

 

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