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

Issue Date: March 11, 2016

Program Area: CSR Reconciliation (CSR)

Question: If a policy has no claims or no claims eligible for cost-sharing reductions, what should the issuer do?

Answer: The issuer does not need to submit a report for a policy with no claims or cost-sharing reductions. Failure to report CSR amounts for each subscriber will not trigger an error. CMS will automatically calculate zero for CSRs provided for this policy.

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