45 CFR 156.290 - Non-renewal and decertification of QHPs.

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There are 7 Updates appearing in the Federal Register for 45 CFR 156. View below or at eCFR (GPOAccess)
§ 156.290 Non-renewal and decertification of QHPs.
(a) Non-renewal of recertification. If a QHP issuer elects not to seek recertification with the Exchange, the QHP issuer, at a minimum, must—
(1) Notify the Exchange of its decision prior to the beginning of the recertification process and procedures adopted by the Exchange in accordance with § 155.1075 of this subchapter;
(2) Fulfill its obligation to cover benefits for each enrollee through the end of the plan or benefit year;
(3) Fulfill data reporting obligations from the last plan or benefit year of the certification;
(4) Provide notice to enrollees as described in paragraph (b) of this section; and
(5) Terminate coverage for enrollees in the QHP in accordance with § 156.270, as applicable.
(b) Notice of QHP non-renewal. If a QHP issuer elects not to seek recertification with the Exchange for its QHP, the QHP issuer must provide written notice to each enrollee.
(c) Decertification. If a QHP is decertified by the Exchange, the QHP issuer must terminate coverage for enrollees only after:
(1) The Exchange has made notification as described in § 155.1080 of this subchapter; and
(2) Enrollees have an opportunity to enroll in other coverage.

Title 45 published on 2013-10-01

The following are only the Rules published in the Federal Register after the published date of Title 45.

For a complete list of all Rules, Proposed Rules, and Notices view the Rulemaking tab.

  • 2014-07-24; vol. 79 # 142 - Thursday, July 24, 2014
    1. 79 FR 42984 - Patient Protection and Affordable Care Act; Exchange and Insurance Market Standards for 2015 and Beyond; Correction
      GPO FDSys XML | Text
      DEPARTMENT OF HEALTH AND HUMAN SERVICES
      Final rule; correction.
      These corrections are effective on July 28, 2014.
      45 CFR Parts 144, 146, 147, 148, 153, 154, 155, 156, and 158

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United States Code
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Title 45 published on 2013-10-01

The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 45 CFR 156 after this date.

  • 2014-07-24; vol. 79 # 142 - Thursday, July 24, 2014
    1. 79 FR 42984 - Patient Protection and Affordable Care Act; Exchange and Insurance Market Standards for 2015 and Beyond; Correction
      GPO FDSys XML | Text
      DEPARTMENT OF HEALTH AND HUMAN SERVICES
      Final rule; correction.
      These corrections are effective on July 28, 2014.
      45 CFR Parts 144, 146, 147, 148, 153, 154, 155, 156, and 158