Monthly Intermediary and Carrier Workload Report (Form CMS-

10 - Monthly Intermediary and Carrier Workload Report (Form CMS- 1566 and CMS-1565) - General (Rev.12894; 10-17-24; Effective:11-01-24; Implementation:11-01-24) A3-3892 and B3 13300 Intermediaries and carriers must prepare and submit to CMS each month the appropriate workload report (Form CMS-1566 for intermediaries and Form CMS-1565 for carriers) showing their workloads under the health insurance program. A separate report is required for each office assigned a separate contractor number. A separate report is required for each Business Segment Identifier (BSI) assigned to the contractor, even if a separate contractor number is not assigned.