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Federal regulations · Through 2026-08-25 · Newer source version available

42 CFR 457.1190: Application of review procedures when States offer premium assistance for group health plans.

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Where this section sits in the code
  1. Title 42—Public Health
  2. CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  3. SUBCHAPTER D—STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs)
  4. PART 457—ALLOTMENTS AND GRANTS TO STATES
  5. Subpart K—State Plan Requirements: Applicant and Enrollee Protections

A State that has a premium assistance program through which it provides coverage under a group health plan that does not meet the requirements of a program specific review or a Statewide standard review, as described in § 457.1120, must give applicants and enrollees the option to obtain health benefits coverage other than through that group health plan. The State must provide this option at initial enrollment and at each redetermination of eligibility.

Collected 2026-08-27T02:26:11Z. Source file · JSON

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