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This version of the form is not currently in use and is provided for reference only. Download this version of
Form H-2
for the current year.
Form H-2 Admittance Questionnaire for Certificate of Authority of Managed Care Organization - Delaware
What Is Form H-2?
This is a legal form that was released by the Delaware Department of Insurance - a government authority operating within Delaware. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form H-2 Admittance Questionnaire for Certificate of Authority of Managed Care Organization?
A: Form H-2 Admittance Questionnaire for Certificate of Authority of Managed Care Organization is a document required for Managed Care Organizations in Delaware to apply for a Certificate of Authority.
Q: What is a Managed Care Organization?
A: A Managed Care Organization is a type of healthcare organization that manages and coordinates the delivery of healthcare services for its members.
Q: Who needs to complete Form H-2 Admittance Questionnaire?
A: Managed Care Organizations in Delaware need to complete Form H-2 Admittance Questionnaire when applying for a Certificate of Authority.
Q: What information is required in Form H-2 Admittance Questionnaire?
A: Form H-2 Admittance Questionnaire requires information about the Managed Care Organization's ownership, governance, management, financials, and compliance.
Form Details:
- Released on March 1, 2019;
- The latest edition provided by the Delaware Department of Insurance;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form H-2 by clicking the link below or browse more documents and templates provided by the Delaware Department of Insurance.
Download Form H-2 Admittance Questionnaire for Certificate of Authority of Managed Care Organization - Delaware
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