Part 2590 - Rules and Regulations for Group Health Plans  


Subpart A - Continuation Coverage, Qualified Medical Child Support Orders, Coverage for Adopted Children
§ 2590.606-1 - General notice of continuation coverage.
§ 2590.606-2 - Notice requirement for employers.
§ 2590.606-3 - Notice requirements for covered employees and qualified beneficiaries.
§ 2590.606-4 - Notice requirements for plan administrators.
§ 2590.609-1 - [Reserved]
§ 2590.609-2 - National Medical Support Notice.
Subpart B - Health Coverage Portability, Nondiscrimination, and Renewability
§ 2590.702 - Prohibiting discrimination against participants and beneficiaries based on a health factor.
§ 2590.703 - Guaranteed renewability in multiemployer plans and multiple employer welfare arrangements.
§ 2590.701-1 - Basis and scope.
§ 2590.701-2 - Definitions.
§ 2590.701-3 - Limitations on preexisting condition exclusion period.
§ 2590.701-4 - Rules relating to creditable coverage.
§ 2590.701-5 - Evidence of creditable coverage.
§ 2590.701-6 - Special enrollment periods.
§ 2590.701-7 - HMO affiliation period as an alternative to a preexisting condition exclusion.
§ 2590.701-8 - Interaction With the Family and Medical Leave Act.
§ 2590.702-1 - Additional requirements prohibiting discrimination based on genetic information.
§ 2590.702-2 - xxx
Subpart C - Other Requirements
§ 2590.711 - Standards relating to benefits for mothers and newborns.
§ 2590.712 - Parity in mental health and substance use disorder benefits.
§ 2590.712-1 - xxx
§ 2590.715-2713A - Accommodations in connection with coverage of preventive health services.
§ 2590.715-1251 - Preservation of right to maintain existing coverage.
§ 2590.715-2704 - Prohibition of preexisting condition exclusions.
§ 2590.715-2705 - Prohibiting discrimination against participants and beneficiaries based on a health factor.
§ 2590.715-2708 - Prohibition on waiting periods that exceed 90 days.
§ 2590.715-2711 - No lifetime or annual limits.
§ 2590.715-2712 - Rules regarding rescissions.
§ 2590.715-2713 - Coverage of preventive health services.
§ 2590.715-2714 - Eligibility of children until at least age 26.
§ 2590.715-2715 - Summary of benefits and coverage and uniform glossary.
§ 2590.715-2719 - Internal claims and appeals and external review processes.
§ 2590.715-2715A1 - Transparency in coverage - definitions.
§ 2590.715-2715A2 - Transparency in coverage - required disclosures to participants and beneficiaries.
§ 2590.715-2715A3 - Transparency in coverage - requirements for public disclosure.
§§ 2590.715-2715A1--2590.715-2715A3 - xxx
§ 2590.715-2719A - Patient protections.
Subpart D - Surprise Billing and Transparency Requirements
§ 2590.722 - Choice of health care professional.
§§ 2590.725-1--2590.725-4 - xxx
§ 2590.725-1 - Definitions.
§ 2590.725-2 - Reporting requirements related to prescription drug and health care spending.
§ 2590.725-3 - Aggregate reporting.
§ 2590.725-4 - Required information.
§ 2590.716-1 - Basis and scope.
§ 2590.716-2 - Applicability.
§ 2590.716-3 - Definitions.
§ 2590.716-4 - Preventing surprise medical bills for emergency services.
§ 2590.716-5 - Preventing surprise medical bills for non-emergency services performed by nonparticipating providers at certain participating facilities.
§ 2590.716-6 - Methodology for calculating qualifying payment amount.
§ 2590.716-7 - Complaints process for surprise medical bills regarding group health plans and group health insurance coverage.
§ 2590.716-8 - Independent dispute resolution process.
§ 2590.716-8 - Independent dispute resolution process.
§ 2590.717-1 - Preventing surprise medical bills for air ambulance services.
§ 2590.717-2 - Independent dispute resolution process for air ambulance services.
Subpart E - General Provisions Related to Subparts B and C
§ 2590.731 - Preemption; State flexibility; construction.
§ 2590.732 - Special rules relating to group health plans.
§ 2590.734 - Enforcement.
§ 2590.736 - Applicability dates.