Summary of Benefits and Coverage and Uniform Glossary Required Under the Affordable Care Act

ICR 201902-1210-007

OMB: 1210-0147

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2019-04-04
IC Document Collections
IC ID
Document
Title
Status
198891
Modified
198890
Modified
198888 Modified
ICR Details
1210-0147 201902-1210-007
Historical Active 201602-1210-002
DOL/EBSA
Summary of Benefits and Coverage and Uniform Glossary Required Under the Affordable Care Act
Extension without change of a currently approved collection   No
Regular
Approved without change 05/16/2019
Retrieve Notice of Action (NOA) 04/15/2019
  Inventory as of this Action Requested Previously Approved
05/31/2022 36 Months From Approved 05/31/2019
72,826,994 0 71,252,326
328,265 0 431,552
7,040,366 0 9,273,266

Section 2715 of the PHS Act directs the Department of Health and Human Services (HHS), the Department of Labor (DOL), and the Department of the Treasury (collectively, the Departments), in consultation with the National Association of Insurance Commissioners (NAIC) and a working group comprised of stakeholders, to "develop standards for use by a group health plan and a health insurance issuer in compiling and providing to applicants, enrollees, and policyholders and certificate holders a summary of benefits and coverage explanation that accurately describes the benefits and coverage under the applicable plan or coverage. To implement these disclosure requirements, collection of information requests relate to the provision of the following: • Summary of benefits and coverage, which includes coverage examples. • A uniform glossary of health coverage and medical terms. • Notice of modifications.

PL: Pub.L. 111 - 148 2715 Name of Law: Affordable Care Act
  
None

Not associated with rulemaking

  83 FR 53500 10/23/2018
84 FR 15233 04/15/2019
No

3
IC Title Form No. Form Name
Modifications
Summary of Benefits and Coverage
Glossary

  Total Approved 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 72,826,994 71,252,326 0 0 1,574,668 0
Annual Time Burden (Hours) 328,265 431,552 0 0 -103,287 0
Annual Cost Burden (Dollars) 7,040,366 9,273,266 0 0 -2,232,900 0
No
No
There are no program changes with this submission. Burden estimates have been adjusted to account for new estimates of the number of issuers, plans, participants and beneficiaries affected by the information collection, as well as updated data on labor rates and an updated assumption on the usage of electronic distribution. These updated data inputs decrease the hour burden by 103,287 hours compared with the prior submission and decrease the cost burden by $2,232,900 compared with the prior submission.

$0
No
    No
    No
Yes
No
No
Uncollected
Allan Beckmann 202 693-8429 beckmann.allan@dol.gov

  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.
04/15/2019


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