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Section 111 level set changes, updates and watch list items for 2015

It has been roughly seven years since the Section 111 reporting requirements were enacted into law. During this time, the industry has witnessed and worked through numerous changes, updates, and challenges as part of CMS’ Mandatory Insurer Reporting directives.

Section 111 compliance

In keeping with this history, 2015 harbors some important changes that will directly impact RREs and their Section 111 compliance obligations. Thus, as we enter a new year, it is a perfect time for a Section 111 “level set.”

Section 111 Level Set

This article sorts out where we are with Section 111, where we are headed, and what to expect in 2015 through a series of four charts as follows:

  • Chart 1: Current NGHP User Guide
  • Chart 2: Current TPOC Monetary Thresholds
  • Chart 3: Changes Taking Effect in 2015
  • Chart 4: Section 111 Watch List Items

Click here to review these informational charts.

Get help meeting the Section 111 challenge with Section 111 Reporting.

Mark Popolizio, J.D.

Mark Popolizio, J.D., is vice president of MSP compliance at ISO Claims Partners, a Verisk business. You can contact Mark at

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