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Code of Federal Regulations (Last Updated: May 6, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter D - State Children'S Health Insurance Programs (Schips) |
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Part 457 - Allotments and Grants to States |
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Subpart K - State Plan Requirements: Applicant and Enrollee Protections |
§ 457.1190 - Application of review procedures when States offer premium assistance for group health plans.
Latest version.
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§ 457.1190 Application of review procedures when States offer premium assistance for group health plans.
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.
[66 FR 2686, Jan. 11, 2001, as amended at 66 FR 33824, June 25, 2001]