Disclosure of State Rating Requirements and Individual Market Special Enrollment Notice (CMS-10454)
ICR 202108-0938-006
OMB: 0938-1258
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1258 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Form and Instruction |
Unchanged |
Form and Instruction |
Unchanged |
Justification for No Material/Nonsubstantive Change | 2021-08-12 |
Justification for No Material/Nonsubstantive Change | 2021-08-12 |
Supporting Statement A | 2021-03-18 |
Supporting Statement A | 2021-03-18 |
Form CMS-10454 Disclosure of State Rating Requirements
CMS-10454 - Non-Sub Change Request.docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 208568 | Unchanged | ||
| 208568 | Unchanged |
Disclosure of State Rating RequirementsICR Details
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