Enrollment Opportunity Notice Relating to Lifetime Limits; Required Notice of Rescission of Coverage; and Disclosure Requirements for Patient Protection under the Affordable Care Act (P.L. 111-148)

ICR 201307-0938-014

OMB: 0938-1094

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2013-07-22
IC Document Collections
ICR Details
0938-1094 201307-0938-014
Historical Active 201006-0938-009
HHS/CMS 20004
Enrollment Opportunity Notice Relating to Lifetime Limits; Required Notice of Rescission of Coverage; and Disclosure Requirements for Patient Protection under the Affordable Care Act (P.L. 111-148)
Existing collection in use without an OMB Control Number   No
Regular
Approved without change 08/16/2013
Retrieve Notice of Action (NOA) 07/22/2013
  Inventory as of this Action Requested Previously Approved
08/31/2016 36 Months From Approved
1,586,022 0 0
1,842 0 0
42,662 0 0

Provisions 2711, 2712 and 2719A of the Affordable Care Act contain enrollment opportunity, rescission notice, and patient protection disclosure requirements that are subject to the Paperwork Reduction Act of 1995. The enrollment opportunity notice was to be used by health plans to notify certain individuals of their right to re-enroll in their plan. The affected individuals were those whose coverage ended due to reaching a lifetime limit on the dollar value of all benefits for any individual. This notice was a one-time requirement and is being discontinued. The rescission notice will be used by health plans to provide advance notice to certain individuals that their coverage may be rescinded. The affected individuals are those who are at risk of rescission on their health insurance coverage. The patient protection notification will be used by health plans to inform certain individuals of their right to choose a primary care provider or pediatrician and to use obstetrical/gynecological services without prior authorization.

PL: Pub.L. 111 - 148 2712 Name of Law: Prohibition on rescissions.
   PL: Pub.L. 111 - 148 2719A Name of Law: Patient Protections.
   PL: Pub.L. 111 - 148 2711 Name of Law: No lifetime or annual limits.
  
PL: Pub.L. 111 - 148 2711 Name of Law: No lifetime or annual limits
PL: Pub.L. 111 - 148 2712 Name of Law: Prohibition on rescissions
PL: Pub.L. 111 - 148 2719A Name of Law: Patient Protections

Not associated with rulemaking

  78 FR 20322 04/04/2013
78 FR 38983 06/28/2013
No

2
IC Title Form No. Form Name
Section 2719A - Patient Protections
Section 2711 - Lifetime limits
Section 2712 - Rules regarding rescissions

  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 1,586,022 0 1,586,022 0 0 0
Annual Time Burden (Hours) 1,842 0 1,842 0 0 0
Annual Cost Burden (Dollars) 42,662 0 42,662 0 0 0
No
No
The burden for plans and issuers has been reduced by 1,300 hours due to the discontinuance of the enrollment opportunity notice related to elimination of lifetime limits. Burden hours for rescission notice have been reduced by 34 hours (from 300 to 266) due to use of updated data. Burden hours for one-time costs related to patient protection disclosure has been reduced by 1,500 (from 3,500 to 2,000) hours because of a reduction in the number of plans relinquishing grandfathered status in 2013 compared to 2011.

$0
No
No
Yes
No
No
Uncollected
Jamaa Hill 301 492-4190

  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.
07/22/2013


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