Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: November 13, 2014

Program Area: Reinsurance-Contributions (RIC)

Question: If an entity discovers that the Form submitted is incorrect after the payment date has passed and the contribution was paid, what course of action does the Centers for Medicare & Medicaid Services (CMS) recommend the entity take to resolve the issue?

Answer: Applicable to All Reinsurance Contributions Benefit Years: If a Reporting or Contributing Entity discovers that data entered on the Form is incorrect after remitting payment, the entity will need to contact CMS at reinsurancecontributions@cms.hhs.gov to provide a disclosure of this error. In this situation, the Reporting or Contributing Entity will need to include the following in the email: Pay.gov tracking ID, Taxpayer Identification Number (TIN), and Annual Enrollment Count. When submitting this information, use the subject line of "Discrepancy Disclosure" to ensure it is routed properly. Also please see the April 14, 2015, guidance for the 2015 and 2016 Benefit Years stating that 'refund requests must be submitted 90 days from the date of Form submission (available at: https://www.cms.gov/CCIIO/Programs-and-Initiatives/Premium-Stabilization-Programs/The-Transitional-Reinsurance-Program/Downloads/Transitional-Reinsurance-Program-Timing-of-Contributions-Refund-Requests-Due-to-Annual-Enrollment-Count-Misreporting.pdf).

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