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

Page Last Modified: 01/12/2009 11:29:22 AM
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