On March 23, 2010, the President signed into law H.R. 3590, the Patient Protection and Affordable Care Act, Public Law 111-148, as amended by the Health Care and Education Reconciliation Act of 2010, Pub. L. 111-152, collectively referred to as "The Affordable Care Act." The Affordable Care Act expands access to health insurance coverage through improvements to the Medicaid and Children's Health Insurance (CHIP) programs, the establishment of Affordable Insurance Exchanges (Exchanges), and the assurance of coordination between Medicaid, CHIP, and Exchanges.
Through the Small Business Health Options Program (SHOP), the new Exchanges will assist qualified small employers in facilitating the enrollment of their employees in Qualified Health Plans (QHPs) offered in the small group market. The Exchanges, which will offer these QHPs, will become operational on January 1, 2014.
Employers will be able to begin applying for coverage through the SHOP October 1, 2013, for coverage beginning as early as January 1, 2014. The employer's application for the SHOP will be a single, streamlined form that will be used to determine employer eligibility for the SHOP.
The submission seeks OMB approval of the data collection elements needed to support eligibility determinations for small businesses in the SHOP.
Our burden estimates have changed since the last package and reflect a decreased burden for employers. Although the estimate of anticipated applicants has not changed since publication of the last package, the amount of information being collected from applicants has decreased substantially which has greatly decreased the burden on employer applicants. Applicants are now required to provide only basic identifying information (e.g., employer name, identification number, and contact information) on the SHOP Eligibility Determination Form as opposed to the more extensive information collected in the prior application, in which applicants also made enrollment selections and provided detailed information about their employees. The reduction of information being collected is a result of the Federally-facilitated Small Business Health Options Program (FF-SHOP) operating in a leaner fashion. Since publication of the last package, updates have been made in regulation concerning what information should be collected on the single employer application to determine employer eligibility, as reflected in 45 CFR §â155.731.
We previously estimated we would receive 6,000 responses for a total burden estimate of 12,000 hours or $561,240. There are no changes to the number of respondents. However, the number of burden hours have been reduced from 12,000 hours to 960 hours, a total reduction of 11,040 hours. The reduction of information being collected from the applicant has resulted in the reduction of hours necessary to complete the application.
$0
No
No
No
Yes
No
No
Uncollected
Jamaa Hill 301 492-4190
Reginfo record details
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.
Form CMS-10439 SHOP - Employer
CMS-10439 - Crosswalk SHOP Application.docx
SHOP - Employer