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CMS-10527 Discontinuation without auto enrollment (QHP)
Annual Eligibility Redetermination, Product Discontinuation and Renewal Notices (CMS-10527)
CMS-10527 Attachment 6 - Discontinuation Notice without auto enrollment QHP 30 - day clean
Product Discontinuance Notice for QHP Issuers
OMB: 0938-1254
OMB.report
HHS/CMS
OMB 0938-1254
ICR 202304-0938-018
IC 212939
CMS-10527 Discontinuation without auto enrollment (QHP)
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1254 can be found here:
2025-04-18 - Revision of a currently approved collection
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