Federal Register / Vol. 76, No. 223 / Friday, November 18, 2011 / Notices 71569 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number lllll, Room C4– 

26–05, 7500 Security Boulevard, 

Baltimore, Maryland 21244–1850. 

Dated: November 15, 2011. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2011–29840 Filed 11–17–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–10373] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

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 of a currently 

approved collection; Title of 

Information Collection: Medical Loss 

Ratio (MLR) Quarterly Reporting for 

Mini-Med Plans and Expatriate Plans; 

Use: Under Section 2718 of the 

Affordable Care Act and implementing 

regulations at 45 CFR part 158 (75 FR 

74865, December 1, 2010) as modified 

by technical corrections on December 

30, 2010 (75 FR 82277), 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 or regulatory fees, and the 

amount of earned premium. An issuer 

must provide an annual rebate to 

enrollees if the amount it spends on 

certain costs compared to its premium 

revenue (excluding Federal and States 

taxes and licensing or regulatory fees) 

does not meet a certain ratio, referred to 

as the medical loss ratio (MLR). An 

interim final rule (IFR) implementing 

the MLR was published on December 1, 

2010 (75 FR 74865) and 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. Issuers are required to submit 

annual MLR reporting data for each 

large group market, small group market, 

and individual market within each State 

in which the issuer conducts business. 

For policies that have a total annual 

limit of $250,000 or less (sometimes 

referred to as ‘‘mini-med plans’’) and for 

group policies that primarily cover 

employees working outside the United 

States (referred to as ‘‘expatriate plans’’), 

the IFR applies a special circumstance 

adjustment to the MLR data for the 2011 

MLR reporting year. In order to evaluate 

the appropriateness of this special 

circumstance adjustment for years 2012 

and beyond, issuers that provide such 

policies are required to submit quarterly 

MLR data to the Secretary for the 2011 

MLR reporting year. We received two 

comment letters in response to the 60- 

day comment period that was associated 

with CMS–10373. We have taken into 

consideration all of the proposed 

suggestions, and as result, have not 

made any changes to the quarterly 

reporting form or to the estimated 

burden that correlates with the form. 

Form Number: CMS–10373 (OCN: 

0938–1132); Frequency: Quarterly; 

Affected Public: Private Sector— 

Business or other for-profits and Notfor-profit institutions; Number of 

Respondents: 75; Total Annual 

Responses: 825; Total Annual Hours: 

3,700. (For policy questions regarding 

this collection contact Carol Jimenez at 

(301) 492–4109. For all other issues call 

(410) 786–1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS Web Site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or 

Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (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 December 19, 2011. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS Desk 

Officer, Fax Number: (202) 395–6974, 

Email: OIRA_submission@omb.eop.gov. 

Dated: November 15, 2011. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2011–29838 Filed 11–17–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–3253–N] 

Medicare Program; Meeting of the 

Medicare Evidence Development and 

Coverage Advisory Committee— 

January 25, 2012 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice of meeting. 

SUMMARY: This notice announces that a 

public meeting of the Medicare 

Evidence Development & Coverage 

Advisory Committee (MEDCAC) 

(‘‘Committee’’) will be held on 

Wednesday, January 25, 2012. The 

Committee generally provides advice 

and recommendations concerning the 

adequacy of scientific evidence needed 

to determine whether certain medical 

items and services can be covered under 

the Medicare statute. This meeting will 

focus on the currently available 

evidence regarding the management of 

carotid atherosclerosis. This meeting is 

open to the public in accordance with 

the Federal Advisory Committee Act 

(5 U.S.C. App. 2, section 10(a)). 

DATES: Meeting Date: The public 

meeting will be held on Wednesday, 

January 25, 2012 from 7:30 a.m. until 

4:30 p.m., Eastern Standard Time (EST). 

Deadline for Submission of Written 

Comments: Written comments must be 

received at the address specified in the 

ADDRESSES section of this notice by 

5 p.m. EST, Monday, December 19, 

2011. Once submitted, all comments are 

final. 

Deadlines for Speaker Registration 

and Presentation Materials: The 

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