[Federal Register Volume 76, Number 104 (Tuesday, May 31, 2011)]
[Notices]
[Page 31337]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-13421]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10361]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid
Services (CMS), Department of Health and Human Services, is publishing
the following summary of proposed collections for public comment.
Interested persons are invited to send comments regarding this burden
estimate or any other aspect of this collection of information,
including any of the following subjects: (1) The necessity and utility
of the proposed information collection for the proper performance of
the Agency's function; (2) the accuracy of the estimated burden; (3)
ways to enhance the quality, utility, and clarity of the information to
be collected; and (4) the use of automated collection techniques or
other forms of information technology to minimize the information
collection burden.
1. Type of Information Collection Request: Extension without change
of a currently approved collection; Title of Information Collection:
Request for Adjustment to the Medical Loss Ratio Standard for a State's
Individual Market; Use: Under section 2718 of the Public Health Service
Act (PHS Act), a health insurance issuer (issuer) offering group or
individual health insurance coverage must submit a report to the
Secretary beginning in June of 2012 for calendar year 2011. The
reported data allows for the calculation of an issuer's medical loss
ratio (MLR) by market (individual, small group, and large group) within
each State in which the issuer conducts business. The PHS Act
establishes a MLR standard for each market segment that issuers must
meet. A health insurance issuer who fails to meet the MLR standard for
a plan year must rebate to enrollees, on a pro rata basis, the
difference between its MLR and the MLR standard.
Section 2718(b)(1)(A)(ii) allows the Secretary to lower the 80% MLR
standard in the individual market in a State if the application of the
80% MLR may destabilize the individual market in such State. An interim
final rule (IFR) implementing the MLR was published on December 1, 2010
(75 FR 74865) and was modified by technical corrections on December 30,
2010 (75 FR 82277), which added Part 158 to Title 45 of the Code of
Federal Regulations. The IFR is effective January 1, 2011. Under 45 CFR
158.301 (75 FR 74864, 74930), States requesting that HHS lower the MLR
standard must submit information that supports their assertion that the
individual market in their State may destabilize absent an adjustment
to the MLR. Much of the information requested is currently only
available at the State level. HHS must have such information in order
to ascertain whether market destabilization has a high likelihood of
occurring. Form Number: CMS-10361 (OMB Control No. 0938-1114);
Frequency: Once; Affected Public: State, local or tribal governments;
Number of Respondents: 20; Number of Responses: 20; Average Hours per
Response: 185; Total Annual Hours: 3,700. (For policy questions
regarding this collection, contact Carol Jimenez at (301) 492-4109. For
all other issues regarding this collection, call (410) 786-1326.)
To be assured consideration, comments and recommendations for the
proposed information collections must be received by the OMB desk
officer at the address below, no later than 5 p.m. on June 30, 2011.
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-6974, E-mail: [email protected].
Dated: May 25, 2011.
Martique Jones,
Director, Regulations Development Group, Division B, Office of
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-13421 Filed 5-27-11; 8:45 am]
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