Supporting Statement for Direct Enrollment Entities (CMS-10877)

ICR 202404-0938-015

OMB: 0938-1463

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-10877 DE Entity Operational Readiness Review (ORR) Form and Instruction	Modified
Form CMS-10877 Web-broker Operational Readiness Reviews (ORR) Form and Instruction	Unchanged
CMS-10877 - Appendix_R_Direct_Enrollment_Entities_60-Day_Comment_Response_508.pdf Supplementary Document	2024-04-22
CMS-10877 Direct Enrollment Entities_Supporting Statementf.docx Supporting Statement A	2024-04-19

IC Document Collections

IC ID	Document Title	Status
263481	Web-brokers to Prominently Display Consumer Eligibility Results for Advance Payments of the Premium Tax Credit and Cost-sharing Reductions	Modified
263480	Application to State Exchanges	Modified
263478	Web-brokers to Implement Application to State Exchanges	Modified
263477	Direct Enrollment Entities to Implement Application Assister Requirements	Unchanged
263476	Web-Brokers to Provide the State Exchange a List of Agents or Brokers	Modified
263474	DE Entity Web-brokers and QHP Issuers to Implement Mandate for HealthCare.gov website Changes	Unchanged
263473	Issuers to Implement Website Display Requirements for QHPs	Unchanged
263471	Direct Enrollment Entities to Implement Third-Party Entity Contractual Requirements	Unchanged
263333	Direct Enrollment Entity Separate Plan Display Exception Requirement	Unchanged
263332	DE Entities to Implement Separate Plan Display Requirement	Unchanged
263331	Web-brokers to Implement the General non-FFE Disclaimer Requirement	Modified
263330	DE Entities to Implement the Standardized Disclaimer Requirement	Modified
263329	Web-broker Website Explanation of Rationale for QHP Recommendations and Methodology for Default Display	Unchanged
263328	Web-broker Website Required QHP Comparative Information and Enrollment Support Disclaimer	Modified
263264	DE Entity Operational Readiness Review (ORR) Form and Instruction	Modified
263263	Web-broker Operational Readiness Reviews (ORR) Form and Instruction	Unchanged