{"data":{"id":"us/45-cfr-155.1080","jurisdiction":"us","citation":"45 CFR 155.1080","heading":"Decertification of QHPs.","body":"(a) Definition. The following definition applies to this section:\nDecertification means the termination by the Exchange of the certification status and offering of a QHP.\n(b) Decertification process. Except with respect to multi-State plans and CO-OP QHPs, the Exchange must establish a process for the decertification of QHPs, which, at a minimum, meets the requirements in this section.\n(c) Decertification by the Exchange. The Exchange may at any time decertify a health plan if the Exchange determines that the QHP issuer is no longer in compliance with the general certification criteria as outlined in § 155.1000(c).\n(d) Appeal of decertification. The Exchange must establish a process for the appeal of a decertification of a QHP.\n(e) Notice of decertification. Upon decertification of a QHP, the Exchange must provide notice of decertification to all affected parties, including:\n(1) The QHP issuer;\n(2) Exchange enrollees in the QHP who must receive information about a special enrollment period, as described in § 155.420;\n(3) HHS; and\n(4) The State department of insurance.","path":["Title 45—Public Welfare","SUBTITLE A—Department of Health and Human Services","SUBCHAPTER B—REQUIREMENTS RELATING TO HEALTH CARE ACCESS","PART 155—EXCHANGE ESTABLISHMENT STANDARDS AND OTHER RELATED STANDARDS UNDER THE AFFORDABLE CARE ACT","Subpart K—Exchange Functions: Certification of Qualified Health Plans"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-45.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:21Z","sha256":"c6926839764a5de26d1b3a317e15e1f3951af9f71f48f3b9669316f49e842e5e","source_id":"us-cfr","stale":true,"prev":"us/45-cfr-155.1075","next":"us/45-cfr-155.1090"},"notice":"GroundRules: Original legal text. Not legal advice."}