§ 153.720 - Establishment and usage of masked enrollee identification numbers.  


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  • § 153.720 Establishment and usage of masked enrollee identification numbers.

    (a) Enrollee identification numbers. An issuer of a risk adjustment covered plan or a reinsurance-eligible plan in a State in which HHS is operating the risk adjustment or reinsurance program, as applicable, must -

    (1) Establish a unique masked enrollee identification number for each enrollee; and

    (2) Maintain the same masked enrollee identification number for an enrollee across enrollments or plans within the issuer, within the State, during a benefit year.

    (b) Prohibition on personally identifiable information. An issuer of a risk adjustment covered plan or a reinsurance-eligible plan in a State in which HHS is operating the risk adjustment or reinsurance program on behalf of the State, as applicable, may not -

    (1) Include enrollee's personally identifiable information in the masked enrollee identification number; or

    (2) Use the same masked enrollee identification number for different enrollees enrolled with the issuer.