1% STATEWIDE ASSESSMENT REPORTING

SCHEDULE OF REPORT AND PAYMENT DUE DATE
for the January 1, 2012 through December 31, 2012 Reporting Period

Reports and payments must be submitted to the Office of Pool Administration by midnight, Eastern Time, of the date indicated in the schedule below (adjusted for weekends and holidays). Hospitals cannot file their 1% Statewide Assessment report until they have filed their Public Goods Pool (PGP) report for the corresponding month (see due dates for hospital´s Public Goods Pool). Failure to comply by the dues dates for either the PGP or the 1% Statewide will result in your Medically Indigent/High Need distributions being withheld until the month following the date upon which all reporting requirements have been met.

Below is a schedule of mandatory payment/filing dates (even if there is no activity to report):

Report Required Submission Date
January 2012 03/12/2012
February 2012 04/10/2012
March 2012 05/10/2012
April 2012 06/11/2012
May 2012 07/10/2012
June 2012 08/10/2012
July 2012 09/10/2012
August 2012 10/10/2012
September 2012 11/13/2012
October 2012 12/10/2012
November 2012 01/10/2013
December 2012 02/11/2013