Affordable Care Act Internal Claims and Appeals and External Review Procedures for Non-grandfathered Group Health Plans and Issuers and Individual Market Issuers
ICR 201106-0938-021 · OMB 0938-1099 · Historical Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1099 can be found here:
Affordable Care Act Internal Claims and Appeals and External Review Procedures for Non-grandfathered Group Health Plans and Issuers and Individual Market Issuers
In accordance with 5 CFR 1320, the information collection is approved. Please note: This approval corrects a previous errors in (1) the annual cost burden -- the prior estimate incorrectly included monetized burden hours, and (2) annual time burden and number of responses -- the previous estimates were for three years cumulatively, rather than an annual average across the three years of approval, which significantly overstated the burden of this collection.
Inventory as of this Action
Requested
Previously Approved
05/31/2012
6 Months From Approved
11/30/2011
70,834,597
0
211,216,845
930,267
0
2,762,824
36,775,067
0
109,200,000
The information collection requirements included in the claims procedure regulation ensure that participants and beneficiaries (claimants) receive information regarding the plan's claims procedures and the plan's handling of specific benefit claims. This collection is necessary for the Federal external review process to provide an independent external review as requested by claimants.
This approval corrects a previous errors in (1) the annual cost burden -- the prior estimate incorrectly included monetized burden hours, and (2) annual time burden and number of responses -- the previous estimates were for three years cumulatively, rather than an annual average across the three years of approval, which significantly overstated the burden of this collection.
$3,782
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.
Form CMS-10338 States With External Review Laws - 2013
CMS-9993-IFC2 (76FR37208)-6-24-11.pdf
CMS-10338.Emergency Justification Appeals PRA.docx
States With External Review Laws - 2013