Health Care Reform Insurance Web Portal Requirements 45 CFR part 159 (CMS-10320)

ICR 202102-0938-012

OMB: 0938-1086

Federal Form Document

ICR Details
0938-1086 202102-0938-012
Received in OIRA 201707-0938-015
HHS/CMS CCIIO
Health Care Reform Insurance Web Portal Requirements 45 CFR part 159 (CMS-10320)
Reinstatement without change of a previously approved collection   No
Regular 02/18/2021
  Requested Previously Approved
36 Months From Approved
4,650 0
82,800 0
0 0

HHS has developed and implemented an Internet website portal to assist consumers with identifying affordable and comprehensive health insurance coverage options that are available in their State. The Department has created a system where insurance issuers and their states log into the web portal using a custom user ID and password validation. The states were asked to provide information on issuers in their state and various websites (see Appendix E). The issuers have been downloading a basic information template to enter data then upload into the portal. Information to be collected on issuers and products can be found in Appendix C. The pricing and benefits data that will be collected can be found in Appendix D. The templates and instructions presented in support of this PRA package as Appendix G are those developed for the prior data collections.

PL: Pub.L. 111 - 148 1103 Name of Law: The Patient Protection and Affordability Care Act
   PL: Pub.L. 111 - 148 10102 Name of Law: The Patient Protection and Affordability Care Act
  
None

Not associated with rulemaking

  85 FR 60790 09/28/2020
86 FR 8793 02/09/2021
No

12
IC Title Form No. Form Name
States - Data submission CMS-10320, CMS-10320 Health Care Reform Insurance Web Portal Requirements - State Instructions and Instrument ,   Appendix E - State Requirements
States - Training, reviewing regulation, and analyzing data CMS-10320, CMS-10320 State Instructions and Instrument ,   Appendix E - State Requirements
States - Data Collection CMS-10320, CMS-10320 State instructions and instruments ,   Appendix E - State Requirements
Issuers Training and Communication CMS-10320, CMS-10320, CMS-10320 Appendix C Insurance Issuer and Product Level Data ,   Appendix D ,   CMS-10320 - Issuer - Instructions and Instruments
Issuers - Submission Preparation (Individual) CMS-10320 , CMS-10320, CMS-10320 Appendix C - Insurance Issurer and Product Level Data ,   Appendix D - Data Collection 2021 ,   CMS-10320 - Issuer - FINAL Instructions and Instruments
Issuers - Submission Preparation (Small Group) CMS-10320, CMS-10320, CMS-10320 Data Collection 2020 ,   Appendic C - Insurance Issuer and Product Level Data ,   CMS-10320 - Issuer - FINAL Instructions and Instruments
Issuer - Data Entry (Individual) CMS-10320, CMS-10320, CMS-10320 Appendix C - Issurance Issuer and Product Level Data ,   Appendix D - Data Collection 2020 ,   CMS-10320.Issuer - FINAL Instructions and Instruments
Issuer - Data Entry (Small Group) CMS-10320, CMS-10320, CMS-10320 Appendix C - Insurance Issuer and Product Level Data ,   Appendix D - Data Collection 2020 ,   CMS-10320.Issuer - FINAL Instructions and Instruments
Issuer - Troubleshoot (Individual) CMS-10320, CMS-10320, CMS-10320 Appendix C - Insurance Issuer and Product Level Data ,   Appendix D - Data Collection 2017 ,   CMS-10320.Issuer - FINAL Instructions and Instruments
Issuer - Troubleshoot (Small Group) CMS-10320, CMS-10320, CMS-10320 Appendix D - Data Collection 2020 ,   Appendix C - Insurance Issuer and Product Level Data ,   CMS-10320 Issuer - FINAL Instructions and Instruments
Issuer - Attest (Individual) CMS-10320, CMS-10320, CMS-10320 Appendix C - Insurance Issuer and Product Level Data ,   Appendix D - Data Collection 2020 ,   CMS-1032 - .Issuer - FINAL Instructions and Instruments
Issuer - Attest (Small Group) CMS-10320, CMS-10320, CMS-10320 Appendix D - Data Collection ,   Appendix C - Insurance Issuer and Product Level Data ,   CMS-10320 - Issuer - FINAL Instructions and Instruments

  Total Request 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 4,650 0 0 0 -850 5,500
Annual Time Burden (Hours) 82,800 0 0 0 -6,925 89,725
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The number of burden hours decreased by 6,925 (from 89,725 to 82,800 hours). Based on historical data of collection activity, the number of respondents (issuer submissions) has decreased from 700 to 500 for small group. Additionally, the total number of respondents (issuers) decreased from 750 to 700. Although PlanFinder submissions are required 4x per year to capture quarterly product enrollment changes, with the RBIS annual model, submissions 4x per year are no longer required. CMS will continue to provide four submission windows per year in case of changes or updates to submitted data, but some issuers may be able to provide data only once for the entire plan year. Issuer burden hours have slightly increased as a result of requirements associated with the addition of the RBIS URL template (Appendix G).

$2,213,159
No
    No
    No
Yes
No
No
No
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.
02/18/2021


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