qualified health plan

(1)The term “qualified health plan” means a health plan that— (A)has in effect a certification (which may include a seal or other indication of approval) that such plan meets the criteria for certification described insection 18031(c) of this titleissued or recognized by each Exchange through which such plan is offered; (B)provides the essential health benefits package described insection 18022(a) of this title; and (C)is offered by a health insurance issuer that— (i)is licensed and in good standing to offer health insurance coverage in each State in which such issuer offers health insurance coverage under this title;  (ii)agrees to offer at least one qualified health plan in the silver level and at least one plan in the gold level in each such Exchange; (iii)agrees to charge the same premium rate for each qualified health plan of the issuer without regard to whether the plan is offered through an Exchange or whether the plan is offered directly from the issuer or through an agent; and (iv)complies with the regulations developed by the Secretary undersection 18031(d) of this titleand such other requirements as an applicable Exchange may establish.

Source

42 USC § 18021(a)(1)


Scoping language

In this title
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