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

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There are 5 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.

  • 2014-03-19; vol. 79 # 53 - Wednesday, March 19, 2014
    1. 79 FR 15240 - Patient Protection and Affordable Care Act; Third Party Payment of Qualified Health Plan Premiums
      GPO FDSys XML | Text
      DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare and Medicaid Services
      Interim final rule with comment period.
      Effective Date: This interim final rule is effective on March 14, 2014. Comment date: To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on May 13, 2014.
      45 CFR Part 156

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United States Code
Public Laws

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.

  • 2014-03-21; vol. 79 # 55 - Friday, March 21, 2014
    1. 79 FR 15808 - Patient Protection and Affordable Care Act; Exchange and Insurance Market Standards for 2015 and Beyond
      GPO FDSys XML | Text
      DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services (CMS)
      Proposed rule.
      To be assured consideration, comments must be received at one of the addresses provided below no later than 5 p.m. on April 21, 2014.
      45 CFR Parts 146, 147, 148, 153, 155, 156, and 158