If Total Annual Written Premium reported to Virginia for all Accident and Sickness Lines is 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 MB-1 for 2008 Reporting Year Click here to complete on-line forms or to download blank forms

Note: Due to the repeal of Section 38.2-3418.1:1 of the Code of Virginia, data is no longer required for coverage of bone marrow transplants, beginning with the 2008 reporting period.

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