Burden change table

CMS-10468 Burden table for OMB17.xlsx

Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment (CMS-10468)

Burden change table

OMB: 0938-1207

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Transferred or Retained? Previously Approved Burden Currently Requested Burden

Role of authorized representatives Retained 31 31

Conducting eligibility determinations Transferred 315 315

Eligibility process Transferred 1890 3920

Employer notices Transferred 1746 1980

Verification process- data sharing agreements Transferred 315 315

Resolving inconsistencies Retained 21.6 21.6

Verifying employer-sponsored coverage Retained 2.2 4812

Report a change Retained 12835913.184 21.6

Verify enrollee reported change Retained 21.6 21.6

Integrate electronic notifications in eligibility system Retained 21 21

Annual redetermination notice Transferred 1800 3920

Report any changes with respect to redetermination notice Retained 21.6 21.6

Verify enrollee reported info to redetermination notice Retained 21.6 21.6

Sign and return redetermination notice Retained 21.6 21.6

Transmital notice of enrollee's terminations of coverage Retained 1746 1746

Written agreement with agencies administering insurance affordability programs Transferred 315 315

Transmit E&E information to QHP issuers and HHS Transferred 426 426

Maintain records of all enrollemtns in QHPs Transferred 426 426

Reconciling enrollment information with QHP issuers and HHS Transferred 5832 6824

Collect and retain coverage termination information Transferred 1260 1400

SHOP notices Retained 1800 180

Notices from QHP issuers Retained 1800 1800

SHOP notices from qualified employers Retained 612 180

Total Burden
12856358.384 8899.6

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