In accordance
with 5 CFR 1320, the information collection is not approved at this
time. Prior to publication of the final rule, the agency should
provide to OMB a summary of all comments received on the proposed
information collection and identify any changes made in response to
these comments.
Inventory as of this Action
Requested
Previously Approved
36 Months From Approved
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0
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In proposed §156.1250, we are
proposing to require entities that make third party payments of
premiums on behalf of Qualified Health Plan enrollees to notify
HHS, in a format and timeline specified in guidance. We expect that
the notification would reflect the entity’s intent to make payments
of premiums under this section and the number of consumers for whom
it intends to make payments. We are considering whether we should
expand the list of entities from whom issuers are required to
accept payment under §156.1250 to include not-for-profit charitable
organizations, beginning in 2018. In making this determination, we
intend to carefully review the data provided by entities currently
making third party premium payments to better understand the impact
of these payments. We anticipate that any requirement to accept
payments from not-for-profit charitable organizations would be
limited to organizations that satisfy several criteria designed to
minimize adverse selection. The data collection would exempt
entities that are already providing the information to other HHS
agencies, such as to the Health Resources and Services
Administration (HRSA) or to the Indian Health Service (IHS). In
such cases, we will work with the other agencies to avoid
duplicative reporting. Under proposed §156.1256, a QHP issuer on a
Federally-facilitated Exchange must, in the case of a plan or
benefit display error included in §155.420(d)(4), notify their
enrollees within 30 calendar days after the error is identified, if
directed to do so by the FFE. We believe that enrollees should be
made aware of any error that may have impacted their QHP selection
and enrollment and any associated monthly or annual costs.
Therefore, we are proposing a requirement for issuers to notify
their enrollees of such error, should such error occur, as well as
the availability of a special enrollment period, under
§155.420(d)(4), for the enrollee to select a different QHP, if
desired.
PL:
Pub.L. 111 - 148 402 Name of Law: Indian Health Care
Improvement Act
PL:
Pub.L. 111 - 156 1311 Name of Law: Patient Protection and
Affordable Care Act (Affordable Care Act)
PL:
Pub.L. 111 - 156 1312 Name of Law: Patient Protection and
Affordable Care Act (Affordable Care Act)
PL: Pub.L. 111 - 148 1311 Name of Law:
Patient Protection and Affordable Care Act (Affordable Care
Act)
PL: Pub.L. 111 - 131 1312 Name of Law: Patient Protection and
Affordable Care Act (Affordable Care Act)
PL: Pub.L. 111 - 148 402 Name of Law: Indian Health Care
Improvement Act
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.
CMS-10595 - Supporting Statement - Third Party Payment.pdf
Third Party Payment of QHP Premiums and Additional Notices for QHP Issuers Data Collection – SEP Notice