Standards Related to Reinsurance, Risk Corridors, and Risk Adjustment

ICR 201309-0938-028

OMB: 0938-1155

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2013-05-28
ICR Details
0938-1155 201309-0938-028
Historical Active 201205-0938-009
HHS/CMS 19687
Standards Related to Reinsurance, Risk Corridors, and Risk Adjustment
Revision of a currently approved collection   No
Regular
Approved without change 12/02/2013
Retrieve Notice of Action (NOA) 09/26/2013
  Inventory as of this Action Requested Previously Approved
12/31/2016 36 Months From Approved 10/31/2015
568,485 0 3,785
1,075,514 0 86,014
0 0 0

The reinsurance program, risk corridors program, and risk adjustment program support the effective functioning of the American Health Benefit Exchanges ("Exchanges"), which will become operational by January 1, 2014. The program also mitigate the negative impacts of adverse selection and market uncertainty.

PL: Pub.L. 111 - 148 1321; 1341; 1342; 1343 Name of Law: Affordable Care Act
  
None

0938-AR07 Final or interim final rulemaking 77 FR 17220 03/23/2012

  78 FR 5457 01/25/2013
78 FR 31555 05/24/2013
Yes

  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 568,485 3,785 0 564,700 0 0
Annual Time Burden (Hours) 1,075,514 86,014 0 989,500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
As detailed above, certain burden estimates for information collection requirements associated with the reinsurance, risk adjustment, and risk corridors programs have changed from what was previously estimated in the Premium Stabilization Rule due to policy changes in the final HHS notice of benefit and payment parameters for 2014. We have also updated the burden we described in the draft Payment Notice information collection notice published as part of the proposed Notice of Benefit and Payment Parameters for 2014 (77 FR 73117) to reflect-- o policy changes that were finalized in the final HHS notice of benefit and payment parameters for 2014, o the agency's most current estimates of the reinsurance, risk adjustment, and risk corridors operations, and o public comments on the information collection that were received during the 60-day comment period. As a result of these adjustments, we are reducing the total annual burden estimate described in draft Payment Notice information collection notice by 9,741,696 hours, which results in an estimated total annual burden of 1,013,293 hours associated with the requirements set forth in the final HHS notice of benefit and payment parameters for 2014. This reduction reflects the following modifications-- o an adjustment to our estimate of the burden associated with the distributed data requirements under ?153.610 and ?153.700 to reflect only the incremental burden that was not already accounted for in the information collection for the Premium Stabilization Rule, addition of the burden associated with submission of a masked enrollee ID number under the distributed data approach set forth in ?153.610 and ?153.700, o the removal of the burden associated with State operation of the risk adjustment and reinsurance programs because we expect fewer than 10 states to operate risk adjustment or reinsurance in the 2014 benefit year, and o an increase in the number of reinsurance contributing entities based on the Department of Labor's current estimate of the number of self-insured plans.

$274,936
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.
09/26/2013


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