MMSEA111 - Future Town Hall Teleconference Dates January 29, 2009 - GHP Questions and Answers February 4, 2009 March 4, 2009 April 8, 2009 New Section 111 Provisions For GHP Arrangements, found at U.S.C. 1395y(b)(7) Section 111 adds reporting rules; it does not eliminate any existing statutory provisions or regulations. - It includes penalties for non-compliance.
- It includes provisions for the Secretary to share information on Part A entitlement and enrollment under Part B.
- Who Must Report: "an entity serving as an insurer or third party administrator for a group health plan...and, in the case of a group health plan that is self-insured and self-administered, a plan administrator or fiduciary."
- What Must Be Reported: Data elements determined by the Secretary
- A voluntary GHP insurer reporting process is already in place. The mandatory reporting process will build upon the existing voluntary process.
- When/How reporting must be done:
- In a form and manner, including frequency, specified by the Secretary.
- GHP reporting will be no more than quarterly.
- Submission will be in an electronic format.
Please note: Any information relative to implementing Mandatory Insurer Reporting can be found on the "Overview" page. Downloads | ALERT - January 8, 2009 - Section 111 Reporting Involving Group Health Plan Small Employer Exception (SEE) Request Information [PDF 37.6KB]
MMSEA111 - GHP Responsible Reporting Entities Compliance Document [PDF 30.4KB]
MMSEA111 - GHP User Guide - Version 2.0 - December 17, 2008 [865KB]
October 14, 2008 - GHP - User Guide [PDF 926KB]
September 24, 2008 - GHP Data Elements [PDF 51KB]
September 24, 2008 - GHP - Paper Registration Process [PDF 120KB]
September 22, 2008 - GHP - Employer Size vs Covered Lives and Small Employer Exception [PDF 53KB]
September 18, 2008 - GHP - Transitioning Into Section 111 Reporting [PDF 358KB]
| Related Links Inside CMS | MMSEA111 - December 3, 2008 - Audio - Teleconference - Part 1 [MP3 85MB]
MMSEA111 - December 3, 2008 - Audio - Teleconference - Part 2 [MP3 59MB]
MMSEA111 - November 5, 2008 - Audio - Town Hall Teleconference for Group Health Plan Responsible Reporting Entities Which Currently Have A VDSA or VDEA with CMS [Part 1]
MMSEA111 - November 5, 2008 - Audio - [Part 2]
MMSEA111 - October 22, 2008 - Audio - Town Hall Teleconference for Group Health Plans [Part 1]
MMSEA111 - October 22, 2008 - Audio - [Part 2]
| Related Links Outside CMS | | There are no Related Links Outside CMS
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Page Last Modified: 01/12/2009 11:29:22 AM
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