Updated Federal Standard Renewal and Product Discontinuation Notices, and Enforcement Safe Harbor for Product Discontinuation Notices in Connection with the Open Enrollment Period for Coverage in the Individual Market in the 2024 Benefit Year
This document provides updated Federal standard renewal and product discontinuation notices for issuers in the individual market to satisfy the requirement to provide notice of product discontinuation, coverage renewal, and non-renewal or termination based on enrollees’ movement outside the product service area, in a form and manner specified by HHS. These updates include changes to reflect the Exchange re-enrollment hierarchy policy promulgated in the 2024 Payment notice. In addition, this guidance announces that, in connection with the open enrollment period for coverage for the 2024 benefit year, CMS will not take enforcement action against an issuer in the individual market for failing to provide notice of product discontinuation at least 90 calendar days prior to the date of the discontinuation, as long as the issuer provides the notice consistent with this guidance.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: June 20, 2023
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.