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  PA8042 - INSURER GC TERMINATION TIMELINESS REPORT  

Choose options for this report.

Report Type
Detail Report (Includes Coverage info)
Insurer Summary Report
 Required
Group #:
Numeric
Insurer:
Select Either: 
Cancel Mail Date From:
(mm/dd/yyyy)
Cancel Mail Date To:
(mm/dd/yyyy)
OR 
Quarter
Year:
Numeric
Optional: 
Limit My Report to Liability End Dates After:
(mm/dd/yyyy)
Report output format
Format:
Headers: Yes    No        (may not apply to all formats)