Grandfathered Group Health Plans and Grandfathered Group Health Insurance Coverage

OMB 1545-2178

This document contains final regulations implementing the rules for group health plans and health insurance coverage in the group and individual markets under provisions of the Patient Protection and Affordable Care Act regarding status as a grandfathered health plan.

The latest form for Grandfathered Group Health Plans and Grandfathered Group Health Insurance Coverage expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Supporting Statement-1545-2178.docx Supporting Statement A
Grandfathered Plan Change in Carrier Disclosure
Grandfathered Plan Disclosure and Recordkeeping Requirement

202312-1545-010	Revision of a currently approved collection	2024-03-29
202011-1545-008	Extension without change of a currently approved collection	2020-12-31
201705-1545-035 Approved without change	Revision of a currently approved collection	2017-07-17
201402-1545-022 Approved without change	Revision of a currently approved collection	2014-02-27
201011-1545-008 Approved without change	Extension without change of a currently approved collection	2010-12-29
201008-1545-023 Approved without change	Revision of a currently approved collection	2010-08-12
201006-1545-025 Preapproved	New collection (Request for a new OMB Control Number)	2010-06-08
201006-1545-018 Withdrawn	New collection (Request for a new OMB Control Number)	2010-06-07