Annual Report for Multiple Employer Welfare Arrangements (Form M-1)

ICR 201002-1210-002

OMB: 1210-0116

Federal Form Document

ICR Details
1210-0116 201002-1210-002
Historical Active 200610-1210-002
DOL/EBSA
Annual Report for Multiple Employer Welfare Arrangements (Form M-1)
Extension without change of a currently approved collection   No
Regular
Approved without change 03/30/2010
Retrieve Notice of Action (NOA) 02/25/2010
  Inventory as of this Action Requested Previously Approved
03/31/2013 36 Months From Approved 03/31/2010
464 0 515
62 0 78
44,000 0 45,520

The Health Insurance Portability and Accountability Act of 1996 (HIPAA), codified as Part 7 of Title I of the Employee Retirement Security Act of 1974 (ERISA), was enacted to improve the portability and continuity of health care coverage for participants and beneficiaries of group health plans. To insure compliance with Part 7, section 101(g) of ERISA, HIPAA permits the Secretary of Labor (the Secretary) to require multiple employer welfare arrangements (MEWAs), as defined in section 3(40) of ERISA, to report to the Secretary in such form and manner as the Secretary might determine. The Department of Labor (the Department) published a final rule providing for such reporting on an annual basis, together with a form (Form M-1) to be used by MEWAs for the annual report. See 29 CFR 2520.101-2. Pursuant to section 101(g) of ERISA, the Form M-1 information is used by governmental oversight entities to determine the extent of compliance with the requirements of Part 7 of ERISA by MEWAs and ECEs under section 3(40) of ERISA and to take appropriate compliance assistance and enforcement actions.

US Code: 29 USC 1021(g) Name of Law: Employee Retirement Income Security Act of 1974 (ERISA)
  
None

Not associated with rulemaking

  74 FR 62350 11/27/2009
75 FR 8750 02/25/2010
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 464 515 0 0 -51 0
Annual Time Burden (Hours) 62 78 0 0 -16 0
Annual Cost Burden (Dollars) 44,000 45,520 0 0 -1,520 0
No
No
There have been no program changes to this information collection. The changes in burden estimates derive solely from adjustments. The estimate of respondents is based on actual 2006, 2007 and 2008 Form M-1 filings. The fraction of M-1 filings that are estimated to be originations is .09 instead of .17 based on recent filing data. The wage estimates are now based on the National Occupation Employment Survey instead of the National Compensation Survey. The Department now assumes that filers use Priority Mail from the United States Postal Service instead of basic mail. The estimated clerical time was changed from 1 minute to 5 minutes. In addition, while an earlier ICR assumed the likelihood that a MEWA/ECE would make a separate filing for each ERISA-covered plan for which it provided benefits, this ICR assumes instead, based on the 2009 instructions to the Form M-1, that each MEWA/ECE will file one Form M-1 per year. In the 2007 update, this had significant implications in there being a lower cost burden compared to 2004 figures. Mailing costs are now estimated using Priority Mail to account for a possible desire to monitor receipt of the documents. There is no longer an expectation that processing costs will decline over time for the Federal Government or that reminders will have to be sent at a cost to the Government.

$9,600
No
No
Uncollected
Uncollected
No
Uncollected
Chris Cosby 202 693-8540

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/25/2010


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