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- 45 CFR 156.500 · Basis and scope.
- 45 CFR 156.505 · Definitions.
- 45 CFR 156.510 · Eligibility.
- 45 CFR 156.515 · CO-OP standards.
- 45 CFR 156.520 · Loan terms.
- 45 CFR 156.600 · The definition of minimum essential coverage.
- 45 CFR 156.602 · Other coverage that qualifies as minimum essential coverage.
- 45 CFR 156.604 · Requirements for recognition as minimum essential coverage for types of coverage not otherwise designated minimum essential coverage in the statute or this subpart.
- 45 CFR 156.606 · HHS audit authority.
- 45 CFR 156.705 · Maintenance of records for Federally-facilitated Exchanges.
- 45 CFR 156.715 · Compliance reviews of QHP issuers in Federally-facilitated Exchanges.
- 45 CFR 156.800 · Available remedies; Scope.
- 45 CFR 156.805 · Bases and process for imposing civil money penalties in Federally-facilitated Exchanges.
- 45 CFR 156.806 · Notice of non-compliance.
- 45 CFR 156.810 · Bases and process for decertification of a QHP offered by an issuer through a Federally-facilitated Exchange.
- 45 CFR 156.815 · Plan suppression.
- 45 CFR 156.901 · Definitions.
- 45 CFR 156.903 · Scope of Administrative Law Judge's (ALJ) authority.
- 45 CFR 156.905 · Filing of request for hearing.
- 45 CFR 156.907 · Form and content of request for hearing.
- 45 CFR 156.909 · Amendment of notice of assessment or decertification request for hearing.
- 45 CFR 156.911 · Dismissal of request for hearing.
- 45 CFR 156.913 · Settlement.
- 45 CFR 156.915 · Intervention.
- 45 CFR 156.917 · Issues to be heard and decided by ALJ.
- 45 CFR 156.919 · Forms of hearing.
- 45 CFR 156.921 · Appearance of counsel.
- 45 CFR 156.923 · Communications with the ALJ.
- 45 CFR 156.925 · Motions.
- 45 CFR 156.927 · Form and service of submissions.
- 45 CFR 156.929 · Computation of time and extensions of time.
- 45 CFR 156.931 · Acknowledgement of request for hearing.
- 45 CFR 156.935 · Discovery.
- 45 CFR 156.937 · Submission of briefs and proposed hearing exhibits.
- 45 CFR 156.939 · Effect of submission of proposed hearing exhibits.
- 45 CFR 156.941 · Prehearing conferences.
- 45 CFR 156.943 · Standard of proof.
- 45 CFR 156.945 · Evidence.
- 45 CFR 156.947 · The record.
- 45 CFR 156.951 · Posthearing briefs.
- 45 CFR 156.953 · ALJ decision.
- 45 CFR 156.955 · Sanctions.
- 45 CFR 156.957 · Review by Administrator.
- 45 CFR 156.959 · Judicial review.
- 45 CFR 156.961 · Failure to pay assessment.
- 45 CFR 156.963 · Final order not subject to review.
- 45 CFR 156.1010 · Standards.
- 45 CFR 156.1105 · Establishment of standards for HHS-approved enrollee satisfaction survey vendors for use by QHP issuers in Exchanges.
- 45 CFR 156.1110 · Establishment of patient safety standards for QHP issuers.
- 45 CFR 156.1120 · Quality rating system.
- 45 CFR 156.1125 · Enrollee satisfaction survey system.
- 45 CFR 156.1130 · Quality improvement strategy.
- 45 CFR 156.1210 · Dispute submission.
- 45 CFR 156.1215 · Payment and collections processes.
- 45 CFR 156.1220 · Administrative appeals.
- 45 CFR 156.1230 · Direct enrollment with the QHP issuer in a manner considered to be through the Exchange.
- 45 CFR 156.1240 · Enrollment process for qualified individuals.
- 45 CFR 156.1250 · Acceptance of certain third party payments.
- 45 CFR 156.1255 · Renewal and re-enrollment notices.
- 45 CFR 156.1256 · Other notices.
- 45 CFR 157.10 · Basis and scope.
- 45 CFR 157.20 · Definitions.
- 45 CFR 157.200 · Eligibility of qualified employers to participate in a SHOP.
- 45 CFR 157.205 · Qualified employer participation process in a SHOP for plan years beginning prior to January 1, 2018.
- 45 CFR 157.206 · Qualified employer participation process in a SHOP for plan years beginning on or after January 1, 2018.
- 45 CFR 158.101 · Basis and scope.
- 45 CFR 158.102 · Applicability.
- 45 CFR 158.103 · Definitions.
- 45 CFR 158.110 · Reporting requirements related to premiums and expenditures.
- 45 CFR 158.120 · Aggregate reporting.
- 45 CFR 158.121 · Newer experience.
- 45 CFR 158.130 · Premium revenue.
- 45 CFR 158.140 · Reimbursement for clinical services provided to enrollees.
- 45 CFR 158.150 · Activities that improve health care quality.
- 45 CFR 158.151 · Expenditures related to Health Information Technology and meaningful use requirements.
- 45 CFR 158.160 · Other non-claims costs.
- 45 CFR 158.161 · Reporting of Federal and State licensing and regulatory fees.
- 45 CFR 158.162 · Reporting of Federal and State taxes.
- 45 CFR 158.170 · Allocation of expenses.
- 45 CFR 158.210 · Minimum medical loss ratio.
- 45 CFR 158.211 · Requirement in States with a higher medical loss ratio.
- 45 CFR 158.220 · Aggregation of data in calculating an issuer's medical loss ratio.
- 45 CFR 158.221 · Formula for calculating an issuer's medical loss ratio.
- 45 CFR 158.230 · Credibility adjustment.
- 45 CFR 158.231 · Life-years used to determine credible experience.
- 45 CFR 158.232 · Calculating the credibility adjustment.
- 45 CFR 158.240 · Rebating premium if the applicable medical loss ratio standard is not met.
- 45 CFR 158.241 · Form of rebate.
- 45 CFR 158.242 · Recipients of rebates.
- 45 CFR 158.243 · De minimis rebates.
- 45 CFR 158.244 · Unclaimed rebates.
- 45 CFR 158.250 · Notice of rebates.
- 45 CFR 158.251 · Notice of MLR information.
- 45 CFR 158.260 · Reporting of rebates.
- 45 CFR 158.270 · Effect of rebate payments on solvency.
- 45 CFR 158.301 · Standard for adjustment to the medical loss ratio.
- 45 CFR 158.310 · Who may request adjustment to the medical loss ratio.
- 45 CFR 158.311 · Duration of adjustment to the medical loss ratio.
- 45 CFR 158.320 · Information supporting a request for adjustment to the medical loss ratio.
- 45 CFR 158.321 · Information regarding the State's individual health insurance market.