| # |
Form |
Change |
Attachment? |
Current Location |
Reason |
| 1 |
CSR Recon Template |
Added: CSR Amount advanced to the issuer by CMS (optional) |
No |
Issuer Summary Report Level 1 |
Requested by commenters |
| 2 |
CSR Recon Template |
Added: CSR Amount advanced to the issuer by CMS (optional) |
No |
Standard Methodology Plan and Policy Report Level 1 Policy Information |
Requested by commenters |
| 3 |
CSR Recon Template |
Deleted: CIC Key, if applicable |
No |
Standard Methodology Plan and Policy Report Level 1 Policy Information |
Requested by commenters |
| 4 |
CSR Recon Template |
Added: Maximum number of members on this policy during the benefit year |
No |
Standard Methodology Plan and Policy Report Level 2 Member Information |
Substituted summary data for detailed data removed below. |
| 5 |
CSR Recon Template |
Deleted: Exchange assigned member ID, CIC key, if applicable, member first name, member last name, member DOB, plan benefit start date, plan benefit end date, CSR effective date, CSR end date, total allowed cost for EHB, amount the issuer paid, amount the enrollee(s) paid, amount the enrollee(s) would have paid under the standard plan, CSR amount. |
No |
Standard Methodology Plan and Policy Report Level 2 Member Information |
Requested by commenters |
| 6 |
CSR Recon Template |
Removed CIC Key |
No |
Simplified Methodology Plan and Policy Report Level 1 |
Requested by commenters |
| 7 |
CSR Recon Template |
Removed CIC Key |
No |
Simplified AV Methodology Plan and Policy Report Level 2 |
Requested by commenters |
| 8 |
CSR Recon Template |
Added: Total CSR amount advanced to the issuer by CMS (optional) |
No |
Simplified AV Methodology Plan and Policy Report Level 2 |
Requested by commenters |
| 19 |
CSR Recon Supporting Statement |
Increased estimate of extracting data for the standard methodology |
No |
II. Standard Methodology Plan and Policy Report |
Requested by commenters |
| 20 |
CSR Recon Supporting Statement |
Increased estimate of extracting data for the simplified methodology |
No |
III & IV. Simplified Methodology Effective Parameters Report |
Requested by commenters |
|
CSR Recon Supporting Statement |
Increased total burden hours to 1,560, from 624, for the standard methodology, and increased burden hours to 4,775, from 1,241.5, for the simplified methodology. |
No |
12A Estimated Annualized Burden Hours |
Requested by commenters |
|
CSR Rec Supporting Statement |
Increased total labor cost for the standard methodology to $98,321, from $36,824, and increased total labor cost for the simplified methodology to $314,147 from $84,840.29 |
No |
12B Cost Estimate for all Respondents Completing Each Form |
Requested by commenters |
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