Notice Requirements of the Health Care Continuation Coverage Provisions

ICR 201006-1210-002

OMB: 1210-0123

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2010-07-07
ICR Details
1210-0123 201006-1210-002
Historical Active 201004-1210-004
DOL/EBSA
Notice Requirements of the Health Care Continuation Coverage Provisions
Revision of a currently approved collection   No
Regular
Approved without change 09/01/2010
Retrieve Notice of Action (NOA) 07/30/2010
  Inventory as of this Action Requested Previously Approved
09/30/2013 36 Months From Approved 08/31/2010
15,662,333 0 23,737,957
503,815 0 0
20,217,778 0 25,187,739

The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) provides that under certain circumstances participants and beneficiaries of group health plans that satisfy the definition of “qualified beneficiaries” under COBRA may elect to continue group health coverage temporarily following events known as “qualifying events” that would otherwise result in loss of coverage. COBRA provides that the Secretary of Labor (the Secretary) has the authority under section 608 of the Employee Retirement Income Security Act of 1974 (ERISA) to carry out the provisions of Part 6 of title I of ERISA. The Conference Report that accompanied COBRA authorized the Secretary to issue regulations implementing the notice and disclosure requirements of COBRA. Under the regulatory guidelines, plan administrators are required to distribute notices as follows: a general notice to be distributed to all participants in group health plans subject to COBRA; an employer notice that must be completed by the employer upon the occurrence of a qualifying event; a notice and election form to be sent to a participant upon the occurrence of a qualifying event that might cause the participant to lose group health coverage; an employee notice that may be completed by a qualified beneficiary upon the occurrence of certain qualifying events such as divorce or disability; and, two other notices, one of early termination and the other a notice of unavailability. Also included in the ICR are two model notices that the Department believes will help reduce costs for service providers in preparing and delivering notices to comply with the regulations. On February 17, 2009, President Obama signed the American Recovery and Reinvestment Act (ARRA) of 2009, Public Law 111-5. ARRA includes a requirement that the Secretary of Labor (the Secretary), in consultation with the Secretaries of the Treasury and Health and Human Services, develop model notices. These models are for use by group health plans and other entities that, pursuant to ARRA, must provide notices of the availability of premium reductions and additional election periods for health care continuation coverage.

US Code: 29 USC 1166 Name of Law: Employee Retirement Income Security Act
  
None

Not associated with rulemaking

  75 FR 16841 04/02/2010
75 FR 146 07/30/2010
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 15,662,333 23,737,957 0 -8,500,000 424,376 0
Annual Time Burden (Hours) 503,815 0 0 0 503,815 0
Annual Cost Burden (Dollars) 20,217,778 25,187,739 0 -6,800,000 1,830,039 0
No
No
The biggest adjustment to this to the PRA burden is removal of the AARA COBRA notification requirements. Congress did not extend the ARRA COBRA subsidy program; therefore, the Department estimates that no additional notices will be issued to affected individuals and no hour or cost burden will be incurred by the affected entities. Most of the other adjustments to the PRA burden are relatively minor and are due to updates in costs (both labor and mailing), the use of more recent data to reflect shifts in demographics and insurance coverage, and the absence of start-up costs. Hourly labor costs actually declined since the last PRA, due to the absence of start-up costs and the hourly rate of an administrative assistant in the DC-metro area being substantially lower ($25 per hour as compared to $34 per hour) than previously reported. In addition, the previous PRA assumed a much lower termination rate (less than half) for insured workers than recent data indicates is appropriate. Adjusting this assumption more than doubled the number of Employer Notices and increased Plan Administrator Election Notices by roughly fifty percent. Finally, the previous PRA mistakenly included only small plan participants in its statement regarding the number of participants subject to COBRA notification. This error did not affect any of the subsequent calculations.

$0
No
No
No
Uncollected
Yes
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.
07/30/2010


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