The grandfathered health plan
disclosure notice will be used by health plans to notify their
beneficiaries that their plan is a grandfathered plan. In addition,
it will provide contact information if the beneficiary has
questions about their plans status. In addition, the health plan
must maintain records that document its status as a grandfathered
health plan. This information will be used by the Department to
verify the status of the plan.
Under section 1251 of
the Affordable Care Act, as modified by section 10103 of the
Affordable Care Act and section 2301 of the Reconciliation Act,
certain provisions of the Affordable Care Act do not apply to a
group health plan or health insurance coverage in which an
individual was enrolled on March 23, 2010 (a grandfathered health
plan). The statute and these interim final regulations allow family
members of individuals already enrolled in a grandfathered plan to
enroll in the plan after March 23, 2010; in such cases, the plan or
coverage is also a grandfathered health plan with respect to the
family members. New employees (whether newly hired or newly
enrolled) and their families can enroll in a grandfathered group
health plan after March 23, 2010. If a plan or health insurance
coverage intends to be a grandfathered health plan, it must include
a statement in any plan materials provided to participants or
beneficiaries (in the individual market, primary subscriber)
describing the benefits provided under the plan or health insurance
coverage, and that the plan or coverage is intended to be
grandfathered health plan within the meaning of section 1251 of the
Affordable Care Act ("grandfathered health plan disclosure"). Due
to the urgency and short time frames associated with these
provisions, HHS does not have sufficient time to allow for the
usual comment timeframe allotted in the PRA process.
PL:
Pub.L. 111 - 148 1251 Name of Law: Preservation of right to
maintain existing coverage.
The burden increased due to
changing regulation in 45 CFR Part 147.
$0
No
No
Yes
No
No
Uncollected
William Parham
4107864669
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.
Grandfathered Plan Change in Carrier Disclosure