Downstream entity

Downstream entity means any party, including an agent or broker, that enters into an agreement with a delegated entity or with another downstream entity for purposes of providing administrative or health care services related to the agreement between the delegated entity and the QHP issuer. The term downstream entity is intended to reach the entity that directly provides administrative services or health care services to qualified individuals, qualified employers, or qualified employees and their dependents.


45 CFR § 156.20

Scoping language

The following definitions apply to this part, unless the context indicates otherwise:

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