Essential Health Benefits Benchmark Plans (CMS-10488)

ICR 201508-0938-010

OMB: 0938-1174

Federal Form Document

IC Document Collections
ICR Details
0938-1174 201508-0938-010
Historical Active 201303-0938-003
HHS/CMS 18885
Essential Health Benefits Benchmark Plans (CMS-10488)
Revision of a currently approved collection   No
Regular
Approved with change 09/11/2015
Retrieve Notice of Action (NOA) 08/31/2015
  Inventory as of this Action Requested Previously Approved
09/30/2018 36 Months From Approved 09/30/2015
226 0 178
165 0 642
0 0 0

The Affordable Care Act requires that all qualified health plans (QHPs) offered in the Exchanges provide the essential health benefits (EHB) and be accredited by an accrediting entity that is recognized by the Secretary of Health and Human Services. In order to establish EHB benchmark plans in each State, CMS will collect data from potential default benchmark plan issuers in each State and from States that select their own benchmark. CMS also intends to ask all States for a voluntary submission of their State mandated benefits. This data collection will include: administrative data necessary to identify the plan, all health benefits offered by the plans and associated limits, drug coverage, network type, and plan level enrollment. Finally, we plan to collect submissions from dental plan issuers on whether they intend to apply for certification to participate in the Exchanges as stand-alone plans.

PL: Pub.L. 111 - 148 1201, 1301, 1302, 1311, 1321 Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)
  
None

Not associated with rulemaking

  79 FR 70674 11/26/2014
80 FR 10750 02/27/2015
No

2
IC Title Form No. Form Name
Essential Health Benefits Benchmark Plans and Accrediting Entities Data Collection CMS-10488 Data Collection Instructions
EHB Dental Plan Issuers

  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 226 178 0 0 48 0
Annual Time Burden (Hours) 165 642 0 0 -477 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The overall burden hour estimate has decreased from 642 to 165, a total reduction of 477 hours. CMS is reducing burden on issuers and states by eliminating the submission of reporting instruments. The Department is proposing to employ a simplified approach to selecting an EHB benchmark plan beginning in 2017. The information being requested already exists independently of CMS reporting requirements and therefore, the collection of information has a minimal impact the public. Further, once the information is compiled CMS is asking to receive the requested files via email. The existing ICR assumes burden for 158 respondents (issuers and states). The number of respondents is being reduced from 158 to 51 respondents. The burden related to Dental Plans has risen due to the increase in the number of issuers, from 20 issuers to 175 issuers.

$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.
08/31/2015


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