About Form 4461-B, Application for Approval of Standardized or Nonstandardized Pre-Approved Plans

 

Use Form 4461-B for approval of a plan submitted by a mass submitter on behalf of an adopting provider, which is based on a plan submitted by the mass submitter.


Current revision

Form 4461-B must be submitted electronically through Pay.gov.  You can access the most    recent revision of the form at Pay.gov.

To submit Form 4461-B you must:

  1. Register for an account on Pay.gov.
  2. Enter "4461-B" in the search box and select Form 4461-B.
  3. Complete the form.

Instructions for Form 4461-B (Print Version PDF)


Recent developments

None at this time.


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