LIS Notices and Mailings

LIS Notices and Mailings

This list contains the notices and mailings that CMS sends each year to Medicare beneficiaries receiving the low-income subsidy. This includes the redeeming notices, change of co-pay notice, reassignment notices, chooser notices, auto-enrollment notice, and facilitated enrollment notices.

Name ID Type
ACA Reassign Formulary Notice: Plan Termination
11496
Mailing
ACA Reassign Formulary Notice: Premium Increase
11475
Mailing
Auto-Enrollment Notice
11154
Mailing
Auto-Enrollment Notice: Retroactive
11429
Mailing
Auto-Enrollment Retroactive Reimbursement Notice
12053-S
Mailing
Auto-Enrollment Retroactive Reimbursement Notice
12053
Mailing
Choosers Letter
11267
Mailing
Consistent Poor Performer Notice
11627
Notice
Consistent Poor Performer Notice (Spanish)
11627-S
Notice
Deemed Notice
11166
Mailing
Facilitated Enrollment Notice: Full Subsidy Version
11186
Mailing
Fox Re-assignment Notice
11460
Mailing
Fox Re-assignment Notice - Extension
11463
Mailing
Letter to Full Duals with RDS
11334
Mailing
MA Reassignment Notice
11443
Mailing
Re-assignment Notice: Plan Premium Increase Version
11209
Mailing
Re-assignment Notice: Plan Termination Version
11208
Mailing
Re-deeming Notice: Change in (Extra Help) Copayment Level Version
11199
Mailing
Re-deeming Notice: Loss of (Extra Help) Status Version
11198
Mailing
Reassignment Correction of Low-Income Subsidy Beneficiaries in PDPs
11628
Mailing
Spanish: ACA Reassign Formulary Notice: Plan Termination
11496-S
Mailing
Spanish: ACA Reassign Formulary Notice: Premium Increase
11475-S
Mailing
Spanish: Auto-Enrollment Notice
11154-S
Mailing
Spanish: Auto-Enrollment Notice: Retroactive
11429-S
Mailing
Spanish: Choosers Letter
11267-S
Mailing
Spanish: Deemed Notice
11166-S
Mailing
Spanish: Facilitated Enrollment Notice: Full Subsidy Version
11186-S
Mailing
Spanish: Fox Re-assignment Notice
11460-S
Mailing
Spanish: Fox Re-assignment Notice - Extension
11463-S
Mailing
Spanish: Letter to Full Duals with RDS
11334-S
Mailing
Spanish: MA Reassignment Notice
11443-S
Mailing
Spanish: Re-assignment Notice: Plan Premium Increase Version
11209-S
Tip Sheet
Spanish: Re-assignment Notice: Plan Termination Version
11208-S
Mailing
Spanish: Re-deeming Notice: Change in (Extra Help) Copayment Level Version
11199-S
Mailing
Spanish: Reassignment Correction of Low-Income Subsidy Beneficiaries in PDPs
11628-S
Mailing
Spanish: Redeeming Notice: Loss of (Extra Help) Status Version
11198-S
Mailing
Page Last Modified:
09/10/2024 06:06 PM
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