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Rterly HMO SUPPLEMENT INSTRUCTIONS 1. HMO Supplement Exhibits II & IV: In addition to the NAIC quarterly statement blank, HMOs licensed in Texas are required to file HMO Supplemental Exhibits II and IV with the Texas Department of Insurance (the Department). Separate instructions specific to each exhibit accompany each respective exhibit. Exhibit II has been developed to compare to the 2013 NAIC quarterly health statement blank, but some deviation does exist. Please note that Fee-for-ser.

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