Rate Increase Disclosure and
Review Reporting Requirements (CMS-10379)
Reinstatement with change of a previously approved collection
No
Regular
08/27/2024
Requested
Previously Approved
36 Months From Approved
1,211
0
17,756
0
0
0
The Patient Protection and Affordable
Care Act (Pub. L. 111–148) was enacted on March 23, 2010; the
Health Care and Education Reconciliation Act (Pub. L. 111–152) was
enacted on March 30, 2010. In this statement, we refer to the two
statutes collectively as the Affordable Care Act. The Affordable
Care Act reorganizes, amends, and adds to the provisions of Part A
of title XXVII of the Public Health Service Act (PHS Act) relating
to group health plans and health insurance issuers in the group and
individual markets. Section 1003 of the Affordable Care Act adds a
new section 2794 of the PHS Act which directs the Secretary of the
Department of Health and Human Services (the Secretary), in
conjunction with the States, to establish a process for the annual
review of “unreasonable increases in premiums for health insurance
coverage.” Additionally, section 2794 also directs the Secretary,
in conjunction with the States, to monitor all rate increases
effective 2014. The statute provides that this process shall
require health insurance issuers to submit to the Secretary and the
applicable State justifications for unreasonable premium increases
prior to the implementation of the increases. Section 2794 also
directs the Secretary to ensure the public disclosure of
information and justification relating to unreasonable rate
increases.
There is an overall increase in
burden hours associated with this information collection. As a
result of the new system connection between SERFF and HIOS, issuers
in 47 States and the District of Columbia will only have to submit
Rate Filing Justifications into SERFF and no longer duplicate
efforts by submitting the same information into HIOS as well. As a
result of the system connection between SERFF and HIOS and a
reduction of 16 issuers (from 589 to 573) there is an overall
decrease of 602 (from 2,382 to 1,780) rate filling justification
submissions, resulting in a total decrease in the burden to issuers
of 2,726 hours (from 20,259 to 17,533). Due to an increase of 152
(from 619 to 771) reviews carried out by State reviewers, States
will incur a total increase in burden of 4,533 hours (from 24,036
hours to 28,569 hours). As a result of these changes, there is an
overall increase in burden of 1,808 hours.
$415,213
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.
CMS-10379 - Rate Filing supporting statement 60-dayff.docx
State Unreasonable Rate Increase Determinations