This document contains interim final
regulations implementing the rules for group health plans and
health insurance coverage in the group and individual markets under
provisions of the Affordable Care Act regarding preexisting
condition exclusions, lifetime and annual dollar limits on
benefits, rescissions, prohibition on discrimination in favor of
highly compensated individuals, and patient protections.
New statute with
imminent applicability. These interim final regulations are
effective 60 days from release.
The Departments assume that
rescissions are rare in the group market and that small group
health plans are affected by rescissions. The Departments assume
that 100 small group health plan policies are rescinded in a year.
The Departments estimate that there is an average of 16
participants in each group policy rescineded . Based on these
numbers the Departments estimate that policies for approximately
1,600 individuals are rescinded during a year, which would result
in 1,600 notices being sent to affected participants. The
Departments estimate that 15 minutes of legal professional time
would be required by the insurers of the 100 plans to prepare the
notice and one minute per notice of clerical time would be required
to distribute the notice. This results in an hour burden of
approximately 50 hours (25 to DOL and 25 to IRS).
$400
No
No
Yes
Uncollected
No
Uncollected
Russell Weinheimer 202
622-6080
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.