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  1. LII
  2. Electronic Code of Federal Regulations (e-CFR)
  3. Title 45—Public Welfare
  4. SUBTITLE A—Department of Health and Human Services
  5. SUBCHAPTER B—REQUIREMENTS RELATING TO HEALTH CARE ACCESS
  6. PART 155—EXCHANGE ESTABLISHMENT STANDARDS AND OTHER RELATED STANDARDS UNDER THE AFFORDABLE CARE ACT
  7. Subpart D—Exchange Functions in the Individual Market: Eligibility Determinations for Exchange Participation and Insurance Affordability Programs

45 CFR Subpart D - Subpart D—Exchange Functions in the Individual Market: Eligibility Determinations for Exchange Participation and Insurance Affordability Programs

  • CFR
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  1. § 155.300 Definitions and general standards for eligibility determinations.
  2. § 155.302 Options for conducting eligibility determinations.
  3. § 155.305 Eligibility standards.
  4. § 155.310 Eligibility process.
  5. § 155.315 Verification process related to eligibility for enrollment in a QHP through the Exchange.
  6. § 155.320 Verification process related to eligibility for insurance affordability programs.
  7. § 155.330 Eligibility redetermination during a benefit year.
  8. § 155.335 Annual eligibility redetermination.
  9. § 155.340 Administration of advance payments of the premium tax credit and cost-sharing reductions.
  10. § 155.345 Coordination with Medicaid, CHIP, the Basic Health Program, and the Pre-existing Condition Insurance Plan.
  11. § 155.350 Special eligibility standards and process for Indians.
  12. § 155.355 Right to appeal.

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