Page:United States Statutes at Large Volume 111 Part 1.djvu/332

 Ill STAT. 308 PUBLIC LAW 105-33—AUG. 5, 1997 amount equal to the value of the additional benefits required under section 1854(f)(1)(A). "PREMIUMS 42 USC 1395W- "SEC. 1854. (a) SUBMISSION OF PROPOSED PREMIUMS AND 24. RELATED INFORMATION.— (1) IN GENERAL.—Not later than May 1 of each year, each Medicare+Choice organization shall submit to the Secretary, in a form and manner specified by the Secretary and for each Medicare+Choice plan for the service area in which it intends to be offered in the following year— "(A) the information described in paragraph (2), (3), or (4) for the type of plan involved; and "(B) the enrollment capacity (if any) in relation to the plan and area. "(2) INFORMATION REQUIRED FOR COORDINATED CARE PLANS. —For a Medicare+Choice plan described in section 1851(a)(2)(A), the information described in this paragraph is as follows: "(A) BASIC (AND ADDITIONAL) BENEFITS.— For benefits described in 1852(a)(1)(A)— "(i) the adjusted community rate (as defined in subsection (f)(3)); "(ii) the Medicare+Choice monthly basic beneficiary premium (as defined in subsection (b)(2)(A)); "(iii) a description of deductibles, coinsurance, and copayments applicable under the plan and the actuarial value of such deductibles, coinsurance, and copay- ments, described in subsection (e)(1)(A); and "(iv) if required under subsection (f)(1), a description of the additional benefits to be provided pursuant to such subsection and the value determined for such proposed benefits under such subsection. " (B) SUPPLEMENTAL BENEFITS.— For benefits described in 1852(a)(3)— "(i) the adjusted community rate (as defined in subsection (f)(3)); "(ii) the Medicare+Choice monthly supplemental beneficiary premium (as defined in subsection (b)(2)(B)); and "(iii) a description of deductibles, coinsurance, and copayments applicable under the plan and the actuarial value of such deductibles, coinsurance, and copay- ments, described in subsection (e)(2). "(3) REQUIREMENTS FOR MSA PLANS.— For an MSA plan described, the information described in this paragraph is as follows: "(A) BASIC (AND ADDITIONAL) BENEFITS. —For benefits described in 1852(a)(1)(A), the amount of the Medicare+Choice monthly MSA premium. " (B) SUPPLEMENTAL BENEFITS.— For benefits described in 1852(a)(3), the amount of the Medicare+Choice monthly supplementary beneficiary premium. "(4) REQUIREMENTS FOR PRIVATE FEE-FOR-SERVICE PLANS.— For a Medicare+Choice plan described in section 1851(a)(2)(C) for benefits described in 1852(a)(1)(A), the information described in this paragraph is as follows:

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