Minimum Essential Coverage

ICR 201309-0938-029

OMB: 0938-1189

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Justification for No Material/Nonsubstantive Change
2013-09-17
Supporting Statement A
2013-09-17
IC Document Collections
IC ID
Document
Title
Status
205752 Modified
ICR Details
0938-1189 201309-0938-029
Historical Active 201308-0938-007
HHS/CMS 20552
Minimum Essential Coverage
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/30/2013
Retrieve Notice of Action (NOA) 09/27/2013
  Inventory as of this Action Requested Previously Approved
09/30/2016 09/30/2016 09/30/2016
10 0 10
53 0 53
2,200 0 2,200

The NPRM titled "Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions; Miscellaneous Minimum Essential Coverage Provisions" proposes to designate certain types of health coverage as minimum essential coverage. Other types of coverage, not statutorily designated and not designated as minimum essential coverage in this regulation, may be recognized as minimum essential coverage if certain substantive and procedural requirements are met. The proposed rule would require coverage recognized to be minimum essential coverage to offer substantially the same consumer protections as those enumerated in the Title I of Affordable Care Act relating to non-grandfathered, individual coverage to ensure consumers are receiving adequate coverage. The proposed rule would require sponsors of individual coverage that seek to have such coverage designated as minimum essential coverage to adhere to certain procedures. Sponsoring organizations would have to submit to HHS information about their coverage and an attestation that the plan substantially complies with the provisions of Title I of the Affordable Care Act as applicable to non-grandfathered individual health insurance coverage. Sponsors would also have to a notice to enrollees informing them that the plan has been designated minimum essential coverage for the purposes of the individual coverage requirement.

PL: Pub.L. 111 - 148 1501 Name of Law: Amendment to the Internal Revenue Code
  
None

0938-AR68 Final or interim final rulemaking 78 FR 39493 07/01/2013

Yes

1
IC Title Form No. Form Name
Minimum Essential Coverage Certification CMS-10465, CMS-10465 Minimum Essential Coverage Certification (WORD) ,   Minimum Essential Coverage Certification (optional Excel file)

  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 10 10 0 0 0 0
Annual Time Burden (Hours) 53 53 0 0 0 0
Annual Cost Burden (Dollars) 2,200 2,200 0 0 0 0
No
No

$2,160
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.
09/18/2013


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