Code of Federal Regulations (Last Updated: November 8, 2024) |
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 |
§ 155.1010 - Certification process for QHPs.
-
§ 155.1010 Certification process for QHPs.
(a) Certification procedures. The Exchange must establish procedures for the certification of QHPs consistent with § 155.1000(c).
(1) Completion date. The Exchange must complete the certification of the QHPs that will be offered during the open enrollment period prior to the beginning of such period, as outlined in § 155.410.
(2) Ongoing compliance. The Exchange must monitor the QHP issuers for demonstration of ongoing compliance with the certification requirements in § 155.1000(c).
(b) Exchange recognition of plans deemed certified for participation in an Exchange. Notwithstanding paragraph (a) of this section, an Exchange must recognize as certified QHPs:
(1) A multi-State plan certified by and under contract with the U.S. Office of Personnel Management.
(2) A CO-OP QHP as described in subpart F of part 156 and deemed as certified under § 156.520(e).