Disclosure of State Rating Requirements and Individual Market Special Enrollment Notice (CMS-10454)

ICR 201611-0938-012

OMB: 0938-1258

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Justification for No Material/Nonsubstantive Change
2016-11-21
Supporting Statement A
2013-08-29
IC Document Collections
IC ID
Document
Title
Status
208568 Modified
ICR Details
0938-1258 201611-0938-012
Historical Active 201309-0938-004
HHS/CMS 20436
Disclosure of State Rating Requirements and Individual Market Special Enrollment Notice (CMS-10454)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 12/07/2016
Retrieve Notice of Action (NOA) 11/29/2016
  Inventory as of this Action Requested Previously Approved
11/30/2017 11/30/2017 11/30/2017
432 0 432
2,084 0 2,084
0 0 0

The final rule "Patient Protection and Affordable Care Act; Health Insurance Market Rules; Rate Review" implements sections 2701, 2702, and 2703 of the Public Health Service Act (PHS Act), as added and amended by the Affordable Care Act, and sections 1302(e) and 1312(c) of the Affordable Care Act. The rule directs that states submit to CMS certain information about state rating and risk pooling requirements for their individual and small group markets, as applicable. Specifically, states will inform CMS of age rating ratios that are narrower than 3:1 for adults; tobacco use rating ratios that are narrower than 1.5:1; a state-established uniform age curve; geographic rating areas; whether premiums in the small group market are required to be based on average enrollee amounts; and, in states with pure community rating, uniform family tier structures and corresponding multipliers. In addition, states that elect to merge their individual and small group market risk pools into a combined pool will notify CMS of such election. This information will allow CMS to determine whether state-specific rules apply or Federal default rules apply. It will also support the accuracy of the federal risk adjustment methodology.

PL: Pub.L. 111 - 148 1201 Name of Law: Amendment to the Public Health Service Act
   PL: Pub.L. 111 - 148 1562 Name of Law: Conforming amendments
   PL: Pub.L. 111 - 148 1312 Name of Law: Consumer Choice
   US Code: 42 USC 300 Name of Law: Fair Health Insurance Premiums
  
None

0938-AR40 Final or interim final rulemaking 78 FR 13406 02/17/2013

  78 FR 13406 02/17/2013
78 FR 13406 02/17/2013
Yes

1
IC Title Form No. Form Name
Disclosure of State Rating Requirements CMS-10454 State Rating Requirements Disclosure Form

  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 432 432 0 0 0 0
Annual Time Burden (Hours) 2,084 2,084 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$13,824
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.
11/29/2016


© 2024 OMB.report | Privacy Policy