General Notice of Pre-Existing Condition Exclusion Under Group Health Plans

Notice of Pre-Existing Condition Exclusion Under Group Health Plans

OMB: 1210-0102

IC ID: 38419

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General Notice of Pre-Existing Condition Exclusion Under Group Health Plans
 
No Modified
 
Mandatory
 
29 CFR 2590.701-3 29 CFR 2520.104b-1

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

827,330 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   38 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,254,283 0 0 683,798 0 2,570,485
Annual IC Time Burden (Hours) 2,373 0 0 445 0 1,928
Annual IC Cost Burden (Dollars) 453,901 0 0 97,033 0 356,868

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