ICR Documents

Supporting Statement A Document Date Uploaded CMS-10433 - QHP Edge Server Supporting Statement Emergency (9-10-14) v2clean.docx 09/11/2014 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded QHP - Comment and Response FINAL QHP PRA Comments-Responses 1.29.14.xlsx Supplementary Document 02/10/2014 QHP - Summary of Changes CMS-10433 QHP Template Changes Overview for OSORA 4-15-14.docx Supplementary Document 04/15/2014 Comment and Response document CMS-10433_Edge PRA summary comment.docx Supplementary Document 09/11/2014 Emergency Justification CMS-10433 - Emergency Justification (7-8-14).docx Supplementary Document 09/11/2014 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received Anonymous QHP Application PRA_AHIP Comment Letter FINAL_12-20-13.pdf AHIP Letter Simple 12/20/2013 12/20/2013 Anonymous AHCT_Comments_CMS-10433_QHP_Templates2015.pdf Access Health CT (AHCT) Letter Simple 11/01/2013 11/03/2013 Anonymous HCR-QHP Templates for 2015 - UCD Comments final 12-31-13.pdf United Concordia Letter Simple 12/31/2013 12/31/2013 Anonymous BCBSA Comment Letter on the Initial Plan Data Collection - 12-31-13.pdf BCBSA Fax Simple 12/31/2013 12/31/2013 Hathaway, Kris NADP Comments on Plan Templates 12-31-13 Final.pdf NADP Fax Simple 12/31/2013 12/31/2013 Schaefer, Jill Kaiser Permanente Comments on CMS-10433_12_31_13.pdf Kaiser Permanente Fax Simple 12/31/2013 12/31/2013 Kelman, Steven CMS-10433 - AET EDGE Server comment (final)-20140827.pdf Aetna Email Simple 08/27/2014 08/28/2014