Affordable Care Act Grandfathered Health Plan Disclosure, Recordkeeping Requirement, and Change in Carrier Disclosure

ICR 202203-1210-001

OMB: 1210-0140

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2022-03-28
IC Document Collections
ICR Details
1210-0140 202203-1210-001
Received in OIRA 201902-1210-003
DOL/EBSA
Affordable Care Act Grandfathered Health Plan Disclosure, Recordkeeping Requirement, and Change in Carrier Disclosure
Extension without change of a currently approved collection   No
Regular 04/07/2022
  Requested Previously Approved
36 Months From Approved 05/31/2022
8,868,468 10,770,984
655 1,183
125,533 204,654

The Patient Protection and Affordable Care Act, Public Law 111-148, (the Affordable Care Act) was enacted by President Obama on March 23, 2010. Section 1251 of the Act provides that certain plans and health insurance coverage in existence as of March 23, 2010, known as grandfathered health plans, are not required to comply with certain statutory provisions in the Act. The final regulations implementing the grandfathered plan provision of the Affordable Care Act (29 CFR 2590.715-1251(a)(2)) requires a grandfathered health plan to include a statement in any plan material provided to participants or beneficiaries stating the plan's intent to be a grandfathered health plan within the meaning of §1251 of the Act. To maintain its status as a grandfathered health plan, the final regulations (29 CFR 2590.715-1251(a)(3)) require the plan or issuer to maintain records documenting the terms of the plan or health insurance coverage in effect on March 23, 2010, and any other documents that are necessary to verify, explain or clarify status as a grandfathered health plan. The plan or issuer must make such records available for examination upon request by participants, beneficiaries, individual policy subscribers, or a State or Federal agency official.

PL: Pub.L. 111 - 148 1251 Name of Law: The Patient Protection and Affordable Care Act
  
None

Not associated with rulemaking

  86 FR 70866 12/13/2021
87 FR 20470 04/07/2022
No

2
IC Title Form No. Form Name
Grandfathered Plan Change in Carrier Disclosure
Grandfathered Plan Disclosure and Recordkeeping Requirement

  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 8,868,468 10,770,984 0 0 -1,902,516 0
Annual Time Burden (Hours) 655 1,183 0 0 -528 0
Annual Cost Burden (Dollars) 125,533 204,654 0 0 -79,121 0
No
No
This ICR contains no program changes. Adjustments to the burden estimates result from updated estimates on the number of grandfathered group health plans and increases in wage and postage rates. These updated data inputs reduce the hour burden by 528 hours compared with the prior submission and reduce the cost burden by $79,121 compared with the prior submission.

$0
No
    No
    No
Yes
No
No
No
James Butikofer 202 693-8434 [email protected]

  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.
04/07/2022


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