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COVID-19 Procedures: All business with the Commission should be through electronic filing systems, email, or by telephone. For public health safety, in-person visits to SCC offices are suspended. Filings or other deliveries are permitted by drop off at main entrance. On-site staff is minimal and processing of such deliveries may be delayed.

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Medicare Supplement Forms

(14 VAC 5-170)

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    • Appendix A (pdf)
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  • Form for Reporting Medicare Supplement Policies, Appendix B (pdf)
     
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  • Notice About Attained Age Rated Medicare Supplement Policies, Appendix D (pdf)
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Last Updated:March 27, 2020 5:11 PM