16 2016 Claim Calendar First Quarter ~ 2016 W k 1 2 3 4 5 6 7 8 9 10 11 12 13 M o J A N U A R Y F E B R U A R Y M A R C H S M T W T F S 3 4 5 6 7 8 9 Expires Wk-Yr Third Quarter ~ 2016 Expiration Date W k 52-16 12-31-16 27 10 11 12 13 14 15 16 1-17 1-07-17 28 17 18 19 20 21 22 23 2-17 1-14-17 29 24 25 26 27 28 29 30 3-17 1-21-17 30 31 Feb 1 6 4-17 1-28-17 31 9 10 11 12 13 5-17 2-04-17 32 14 15 16 17 18 19 20 6-17 2-11-17 33 21 22 23 24 25 26 27 7-17 2-18-17 34 7 8 28 29 6 7 2 3 Mar 1 8 2 4 3 5 4 5 8-17 2-25-17 35 9 10 11 12 9-17 3-04-17 36 13 14 15 16 17 18 19 10-17 3-11-17 37 20 21 22 23 24 25 26 11-17 3-18-17 38 27 28 29 30 31 Apr 1 2 12-17 3-25-17 39 M o J U L Y S M T W T F S Expires Wk-Yr Expiration Date 3 4 5 6 7 8 9 26-17 7-01-17 10 11 12 13 14 15 16 27-17 7-08-17 17 18 19 20 21 22 23 28-17 7-15-17 24 25 26 27 28 29 30 29-17 7-22-17 6 30-17 7-29-17 9 10 11 12 13 31-17 8-05-17 14 15 16 17 18 19 20 32-17 8-12-17 21 22 23 24 25 26 27 33-17 8-19-17 3 34-17 8-26-17 9 10 35-17 9-02-17 11 12 13 14 15 16 17 36-17 9-09-17 18 19 20 21 22 23 24 37-17 9-16-17 38-17 9-23-17 31 A U G U S T S E P T E M B E R 7 Aug 1 8 2 3 28 29 30 31 4 5 6 7 4 5 Sep 1 8 2 25 26 27 28 29 30 Oct 1 Base Year: October 1, 2014 through September 30, 2015 Base Year Quarters: 4 of 2014; 1, 2, and 3 of 2015 Base Year: April 1, 2015 through March 31, 2016 Base Year Quarters: 2, 3, and 4 of 2015; 1 of 2016 Alternate Base Year: January 1, 2015 through December 31, 2015 Alternate Base Year Quarters: 1, 2, 3, and 4 of 2015 Alternate Base Year: July 1, 2015 through June 30, 2016 Alternate Base Year Quarters: 3 and 4 of 2015; 1 and 2 of 2016 Second Quarter ~ 2016 W k 14 15 16 M o A P R I L 17 18 19 20 M A Y 21 22 24 25 26 S M T W T F S 3 4 5 6 7 8 9 13-17 4-01-17 40 10 11 12 13 14 15 16 14-17 4-08-17 41 17 18 19 20 21 22 23 15-17 4-15-17 42 24 25 26 27 28 29 30 16-17 4-22-17 43 3 7 17-17 4-29-17 44 8 9 10 11 12 13 14 18-17 5-06-17 45 15 16 17 18 19 20 21 19-17 5-13-17 46 22 23 24 25 26 27 28 20-17 5-20-17 47 Jun 1 5 6 W k 2 4 21-17 5-27-17 48 9 10 11 22-17 6-03-17 49 12 13 14 15 16 17 18 23-17 6-10-17 50 19 20 21 22 23 24 25 24-17 6-17-17 51 25-17 6-24-17 52 5 J U N E 4 Expiration Date 1 29 30 31 23 Fourth Quarter ~ 2016 Expires Wk-Yr 6 7 8 2 26 27 28 29 30 3 Jul 1 2 M o O C T O B E R S 2 M 3 D E C E M B E R 4 W 5 T F 6 S 7 8 Expires Wk-Yr Expiration Date 39-17 9-30-17 9 10 11 12 13 14 15 40-17 10-07-17 16 17 18 19 20 21 22 41-17 10-14-17 23 24 25 26 27 28 29 42-17 10-21-17 30 31 N O V E M B E R T Nov 1 5 43-17 10-28-17 9 10 11 12 44-17 11-04-17 13 14 15 16 17 18 19 45-17 11-11-17 20 21 22 23 24 25 26 46-17 11-18-17 6 7 8 2 27 28 29 30 3 Dec 1 4 3 47-17 11-25-17 9 10 48-17 12-02-17 11 12 13 14 15 16 17 49-17 12-09-17 18 19 20 21 22 23 24 50-17 12-16-17 25 26 27 28 29 30 31 51-17 12-23-17 4 5 6 7 8 2 Base Year: January 1, 2015 through December 31, 2015 Base Year Quarters: 1, 2, 3, and 4 of 2015 Base Year: July 1, 2015 through June 30, 2016 Base Year Quarters: 3 and 4 of 2015; 1 and 2 of 2016 Alternate Base Year: April 1, 2015 through March 31, 2016 Alternate Base Year Quarters: 2, 3, and 4 of 2015; 1 of 2016 Alternate Base Year: October 1, 2015 through September 30, 2016 Alternate Base Year Quarters: 4 of 2015; 1, 2, and 3 of 2016 Circled dates are holidays. EMS 5723 (Rev. 10/15) CC: 7540-032-224
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