Medicare Supplement Survey and Contact Required Information Submitted by ichoyle on Fri, 01/08/2021 - 11:17 Indicates required field Reporting Year Insurance Company Name Email address Medicare Supplement Our company marketed a Medicare Supplement policy in the reporting year. Our company did not market a Medicare Supplement policy in the reporting year. Medicare Supplement Plans issued in the reporting year Plan A Plan B Plan C - *Ineligible if new to Medicare on or after January 1, 2020 Plan D Plan F - *Ineligible if new to Medicare on or after January 1, 2020 Plan G Plan G - High Deductible Plan Plan K Plan L Plan M Plan N Medicare Select Our company marketed a Medicare Select policy in the reporting year Our company did not market a Medicare Select policy in the reporting year Average Issue Age of North Carolina Medicare Supplement Policyholders Average Attained Age of North Carolina Medicare Supplement Policyholders Status message Please provide contact information for the Medicare Supplement Reports for the reporting year: Company Contact Person Title Phone Form completed by (if different than above) Email address (if different than above) Comments: For questions contact: Paula Lucas at L&Hinbox.ncdoi.gov Math question 2 + 2 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. This question is for testing whether or not you are a human
