§ 155.1010 - Certification process for QHPs.  


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  • § 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).