Health Plan Reporting Requirements

HMO Annual Reporting

Under Minnesota Statue §62D.08 Subd. 2. Annual reporting is required from every health maintenance organization (HMO). Currently, there are four reports that are required each year: Statement of Revenue, Complaint Category Reporting, and Reallocation of Expenses and Investment Income are all due by April 1st. Enrollment reporting is due July 1st.

Provider reporting is accomplished through annual network adequacy review, see Provider Network Reporting (health.state.mn.us) for more information.

Please send an email to health.healthplan@state.mn.us if you have any questions regarding HMO annual reporting forms.

• Complaint Category Reporting (Excel)
• Enrollment Template 2024 (Excel)
• Statement of Revenue, Expenses and Net Income Template 2024 (Excel)
• Reallocation of Expenses and Investment Income Template 2024 (Excel)
• Enrollment Attestation Document (Word) [only file if no enrollment in Minnesota]

Additional Health Plan Company Reporting: No Surprises Act and Contraceptive Coverage Exemption.

In 2023, the Minnesota legislature made two changes which require additional reporting to the Minnesota Department of Health (MDH) and Minnesota Department of Commerce (DOC). These include reporting summary data on No Surprises Act claims and complaints and the number of organizations granted an accommodation for Contraceptive Coverage.

All health plan companies with fully-insured commercial coverage are required to complete reporting by April 1st of each year. Reporting instructions were sent via email, and can also be accessed below.

• Minnesota No Surprises Act Reporting Instructions (PDF)
• Minnesota Contraceptive Coverage Exemption Reporting Instructions (PDF)
• NSA Data Collection Form NAIC# (Excel)