Annual Eligibility Redetermination, Product Discontinuation and Renewal Notices (CMS-10527)

ICR 202504-0938-012

OMB: 0938-1254

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-10527 Product Discontinuance Notice for Issuers Outside the Marketplace (Non-QHP) Form and Instruction	Modified
Form CMS-10527 Product Discontinuance Notice for QHP Issuers Form and Instruction	Modified
Form CMS-10527 Product Renewal Notice for Issuers Outside the Marketplace (Non-QHP) Form and Instruction	Modified
Form CMS-10527 Product Renewal and Discontinuance Notice for QHP Issuers Form and Instruction	Modified
CMS-10527 Summary of Changes (Attachments - Notices)_60-day.docx Supplementary Document	2025-04-17
CMS-10527 - Supporting Statement NPRM.docx Supporting Statement A	2025-04-10
CMS-10527 Summary of Changes.pdf Supplementary Document	2023-04-26
CMS-10527 Comment and Response Summary 30d comment period rev.docx Supplementary Document	2023-06-08

IC Document Collections

IC ID	Document Title	Status
212940	Product Discontinuance Notice for Issuers Outside the Marketplace (Non-QHP) Form and Instruction	Modified
212939	Product Discontinuance Notice for QHP Issuers Form and Instruction	Modified
212938	Product Renewal Notice for Issuers Outside the Marketplace (Non-QHP) Form and Instruction	Modified
212937	Product Renewal and Discontinuance Notice for QHP Issuers Form and Instruction	Modified