REG-120399-10 - Affordable Care Act Notice of Patient Protections

ICR 201008-1545-022

OMB: 1545-2181

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2010-06-18
IC Document Collections
IC ID
Document
Title
Status
193323
New
ICR Details
1545-2181 201008-1545-022
Historical Active 201006-1545-037
TREAS/IRS
REG-120399-10 - Affordable Care Act Notice of Patient Protections
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 08/12/2010
Retrieve Notice of Action (NOA) 08/12/2010
  Inventory as of this Action Requested Previously Approved
12/31/2010 6 Months From Approved
4,000,000 0 0
33,000 0 0
0 0 0

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.

PL: Pub.L. 111 - 148 2719A Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 152 1001 Name of Law: Health Care and Education Reconciliation Act
  
PL: Pub.L. 111 - 148 2719A Name of Law: Affordable Care Act
PL: Pub.L. 111 - 152 1001 Name of Law: Health Care and Education Reconciliation Act

1545-BJ61 Final or interim final rulemaking 75 FR 37188 06/28/2010

No

1
IC Title Form No. Form Name
Affordable Care Act Notice of Patient Protections

  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 4,000,000 0 4,000,000 0 0 0
Annual Time Burden (Hours) 33,000 0 33,000 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The Departments estimate that 339,000 ERISA-covered plans will need to notify an estimated 8.0 million policy holders of their plans’ policy in regards to designating a primary care physician and for obstetrical or gynecological visits. Because the interim final regulations provide model language for this purpose, the Departments estimate that five minutes of clerical time will be required to incorporate the required language into the plan document and ten minutes of a human resource professional’s time will be required to review the modified language. These burdens will vary from year to year. Therefore, the Departments estimate that plans will incur an average annual hour burden of 66,000 hours to meet the disclosure requirement (50% to DOL and 50% to IRS).

$48,000
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.
06/18/2010


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