Affordable Care Act Grandfathered Health Plan Disclosure and Recordkeeping Requirement

ICR 201006-1210-007

OMB: 1210-0140

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2010-06-10
IC Document Collections
ICR Details
1210-0140 201006-1210-007
Historical Active 201006-1210-001
DOL/EBSA
Affordable Care Act Grandfathered Health Plan Disclosure and Recordkeeping Requirement
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/17/2010
Retrieve Notice of Action (NOA) 06/17/2010
EBSA will update submission by 6/11/2010.
  Inventory as of this Action Requested Previously Approved
12/31/2010 36 Months From Approved
56,347,000 0 0
323,000 0 0
437,000 0 0

The Patient Protection and Affordable Care Act, Public Law 111-148, (the Affordable Care Act) was enacted by President Obama on March 23, 2010. Section 1251 of the Act provides that certain plans and health insurance coverage in existence as of March 23, 2010, known as grandfathered health plans, are not required to comply with certain statutory provisions in the Act. The interim final regulations implementing the grandfathered plan provision of the Affordable Care Act (29 CFR 2590.715-1251(a)(2)) requires a grandfathered health plan to include a statement in any plan material provided to participants or beneficiaries stating the plan’s intent to be a grandfathered health plan within the meaning of §1251 of the Act. To maintain its status as a grandfathered health plan, the interim final regulations (29 CFR 2590.715-1251(a)(3)) require the plan or issuer to maintain records documenting the terms of the plan or health insurance coverage in effect on March 23, 2010 and any other documents that are necessary to verify, explain or clarify status as a grandfathered health plan. The plan or issuer must make such records available for examination upon request by participants, beneficiaries, individual policy subscribers, or a State or Federal agency official.

PL: Pub.L. 111 - 148 1251 Name of Law: The Patient Protection and Affordable Care Act
  
PL: Pub.L. 111 - 148 1251 Name of Law: Patient's Protection and Affordable Care Act

1210-AB42 Final or interim final rulemaking 75 FR 34537 06/17/2010

No

1
IC Title Form No. Form Name
Grandfathered Plan Disclosoure and Recoredkeeping Requirement

  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 56,347,000 0 56,347,000 0 0 0
Annual Time Burden (Hours) 323,000 0 323,000 0 0 0
Annual Cost Burden (Dollars) 437,000 0 437,000 0 0 0
No
No
New collection of information.

$0
No
No
Yes
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.
06/04/2010


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