Code of Federal Regulations (Last Updated: February 15, 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 |
§ 155.1090 - Request for reconsideration.
-
§ 155.1090 Request for reconsideration.
(a) Request for reconsideration of denial of certification specific to a Federally-facilitated Exchange -
(1) Request for reconsideration. The Federally-facilitated Exchanges will permit an issuer that has submitted a complete application to a Federally-facilitated Exchange for certification of a health plan as a QHP and is denied certification to request reconsideration of such action.
(2) Form and manner of request. An issuer submitting a request for reconsideration under paragraph (a)(1) of this section must submit a written request for reconsideration to HHS, in the form and manner specified by HHS, within 7 calendar days of the date of the written notice of denial of certification. The issuer must include any and all documentation the issuer wishes to provide in support of its request with its request for reconsideration.
(3) HHS reconsideration decision. HHS will provide the issuer with a written notice of the reconsideration decision. The decision will constitute HHS's final determination.
(b) [Reserved]
[81 FR 94180, Dec. 22, 2016]