Agency Information Collection Activities: Proposed Collection; Comment Request
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Issuing agencies
Abstract
The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (the PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information (including each proposed extension or reinstatement of an existing collection of information) and to allow 60 days for public comment on the proposed action. Interested persons are invited to send comments regarding our burden estimates or any other aspect of this collection of information, including the necessity and utility of the proposed information collection for the proper performance of the agency's functions, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden.
Full Text
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<title>Federal Register, Volume 87 Issue 119 (Wednesday, June 22, 2022)</title>
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[Federal Register Volume 87, Number 119 (Wednesday, June 22, 2022)]
[Notices]
[Pages 37337-37338]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-13275]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10418]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
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SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (the PRA), federal agencies are required to publish notice
in the Federal Register concerning each proposed collection of
information (including each proposed extension or reinstatement of an
existing collection of information) and to allow 60 days for public
comment on the proposed action. Interested persons are invited to send
comments regarding our burden estimates or any other aspect of this
collection of information, including the necessity and utility of the
proposed information collection for the proper performance of the
agency's functions, the accuracy of the estimated burden, ways to
enhance the quality, utility, and clarity of the information to be
collected, and the use of automated collection techniques or other
forms of information technology to minimize the information collection
burden.
DATES: Comments must be received by August 22, 2022.
ADDRESSES: When commenting, please reference the document identifier or
OMB control number. To be assured consideration, comments and
recommendations must be submitted in any one of the following ways:
1. Electronically. You may send your comments electronically to
<a href="http://www.regulations.gov">http://www.regulations.gov</a>. Follow the instructions for ``Comment or
Submission'' or ``More Search Options'' to find the information
collection document(s) that are accepting comments.
2. By regular mail. You may mail written comments to the following
address: CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development, Attention: Document Identifier/OMB
Control Number: Room C4-26-05, 7500 Security Boulevard, Baltimore,
Maryland 21244-1850.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, you may make
your request using one of following:
1. Access CMS' website address at website address at <a href="https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing">https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing</a>.
FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.
SUPPLEMENTARY INFORMATION:
[[Page 37338]]
Contents
This notice sets out a summary of the use and burden associated
with the following information collections. More detailed information
can be found in each collection's supporting statement and associated
materials (see ADDRESSES).
CMS-10418 Medical Loss Ratio Annual Reports, MLR Notices, and
Recordkeeping Requirements
Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain
approval from the Office of Management and Budget (OMB) for each
collection of information they conduct or sponsor. The term
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests or requirements that members of
the public submit reports, keep records, or provide information to a
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies
to publish a 60-day notice in the Federal Register concerning each
proposed collection of information, including each proposed extension
or reinstatement of an existing collection of information, before
submitting the collection to OMB for approval. To comply with this
requirement, CMS is publishing this notice.
Information Collection
1. Type of Information Collection Request: Revision of a currently
approved collection; Title: Medical Loss Ratio Annual Reports, MLR
Notices, and Recordkeeping Requirements; Use: Under Section 2718 of the
Affordable Care Act and implementing regulation at 45 CFR part 158, a
health insurance issuer (issuer) offering group or individual health
insurance coverage must submit a report to the Secretary concerning the
amount the issuer spends each year on claims, quality improvement
expenses, non-claims costs, Federal and State taxes and licensing and
regulatory fees, the amount of earned premium, and beginning with the
2014 reporting year, the amounts related to the transitional
reinsurance and risk adjustment programs established under sections
1341 and 1343, respectively, of the Affordable Care Act. An issuer must
provide an annual rebate if the amount it spends on certain costs
compared to its premium revenue (excluding Federal and States taxes and
licensing and regulatory fees) does not meet a certain ratio, referred
to as the medical loss ratio (MLR). Each issuer is required to submit
annually MLR data, including information about any rebates it must
provide, on a form prescribed by CMS, for each State in which the
issuer conducts business. Each issuer is also required to provide a
rebate notice to each policyholder that is owed a rebate and each
subscriber of policyholders that are owed a rebate for any given MLR
reporting year. Additionally, each issuer is required to maintain for a
period of seven years all documents, records and other evidence that
support the data included in each issuer's annual report to the
Secretary. Based upon CMS' experience in the MLR data collection and
evaluation process, CMS is updating its annual burden hour estimates to
reflect the actual numbers of submissions, rebates and rebate notices.
The 2021 MLR Reporting Form and Instructions reflect changes for the
2020 reporting year and beyond. For 2021, it is expected that issuers
will submit fewer reports and on average, send fewer notices and rebate
checks in the mail to policyholders and subscribers, which will reduce
burden on issuers. Form Number: CMS-10418 (OMB Control Number: 0938-
1164); Frequency: Annually; Affected Public: Private Sector, Business
or other for-profit and not-for-profit institutions; Number of
Respondents: 484; Number of Responses: 1,771; Total Annual Hours:
226,052. (For policy questions regarding this collection contact Jiyun
Lim at 301-492-4172.)
Dated: June 15, 2022.
William N. Parham III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2022-13275 Filed 6-21-22; 8:45 am]
BILLING CODE 4120-01-P
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