Information Collection
Product Discontinuance Notice for Issuers Outside the Marketplace (Non-QHP)
IC 212940 under ICR 202304-0938-018 · OMB 0938-1254.
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1254 can be found here:
Documents and Forms
| Document Name | Document Type |
|---|---|
Form CMS-10527Product Discontinuance Notice for Issuers Outside the Marketplace (Non-QHP) |
Form and Instruction |
CMS-10527 Discontinuation NoticesCMS-10527 Attachment 3 - Discontinuation Notice with auto enrollment Off Exchange 30 -day.pdf | Form and Instruction |
|
CMS-10527 Discontinuation Notices CMS-10527 Attachment 3 - Discontinuation Notice with auto enrollment Off Exchange 30 -day.pdf | Form and Instruction |
|
CMS-10527 Federal Standard Notices CMS-10527 Attachment 5 - Discontinuation Notice without auto enrollment Off Exchange 30 - day.pdf | Form and Instruction |
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CMS-10527 Federal Standard Notices CMS-10527 Attachment 5 - Discontinuation Notice without auto enrollment Off Exchange 30 - day.pdf | Form and Instruction |
Information Collection (IC) Details
| IC Title | Product Discontinuance Notice for Issuers Outside the Marketplace (Non-QHP) |
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