Filing Instructions For The 2015 Mlr Reporting Year - Centers For Medicare & Medicaid Services (Cms) Page 44

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Line 2.2 – Federal and State taxes and licensing or regulatory fees
PY2 Column –
Federal tax-exempt issuers:
2013 MLR Form, Part 1, Lines 3.1a + 3.1b + 3.1c + 3.2a + 3.2b + 3.2c + 3.3,
Columns 3/31 + Deferred PY1 – Deferred CY – Part 4 Line 6.1b, Column CY
Non Federal tax-exempt issuers:
2013 MLR Form, Part 1, Lines 3.1a + 3.1b + 3.1c + 3.2a + (the higher of 3.2b or
3.2c) + 3.3, Columns 3/31 + Deferred PY1 – Deferred CY – Part 4 Line 6.1b,
Column CY
Note: If Line 3.2b is negative and Line 3.2c is zero or blank (or vice versa), zero may not
be used as the higher of the two: only the negative amount may be used in the
equation.
PY1 Column –
Federal tax-exempt issuers:
2014 MLR Form, Part 1, Lines 3.1a + 3.1b + 3.1c + 3.1d + 3.2a + 3.2b + 3.2c +
3.3a + 3.3b, Columns 3/31 + Deferred PY1 – Deferred CY + Part 3 Line 7.1b,
Column PY1
Non Federal tax-exempt issuers:
2014 MLR Form, Part 1, Lines 3.1a + 3.1b + 3.1c + 3.1d + 3.2a + (the higher of
3.2b or 3.2c) + 3.3a + 3.3b, Columns 3/31 + Deferred PY1 – Deferred CY + Part 3
Line 7.1b, Column PY1
Note: If Line 3.2b is negative and Line 3.2c is zero or blank (or vice versa), zero
may not be used as the higher of the two: only the negative amount may be
used in the equation.
CY Column –
Federal tax-exempt issuers:
Part 1, Lines 3.1a + 3.1b + 3.1c + 3.1d + 3.2a + 3.2b + 3.2c + 3.3a + 3.3b, Columns
3/31 + Deferred PY1 – Deferred CY
Non Federal tax-exempt issuers:
Part 1, Lines 3.1a + 3.1b + 3.1c + 3.1d + 3.2a + (the higher of 3.2b or 3.2c) + 3.3a
+ 3.3b, Columns 3/31 + Deferred PY1 – Deferred CY
Note: If Line 3.2b is negative and Line 3.2c is zero or blank (or vice versa), zero
may not be used as the higher of the two: only the negative amount may be
used in the equation.
RC Column –
43

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