§457.510. Premiums, enrollment fees, or similar fees: State plan requirements.
42 C.F.R. § 457.510
When a State imposes premiums, enrollment fees, or similar fees on enrollees, the State plan must describe—
The amount of the premium, enrollment fee or similar fee imposed on enrollees;
The time period for which the charge is imposed;
The group or groups that are subject to the premiums, enrollment fees, or similar charges;
The consequences for an enrollee or applicant who does not pay a charge, and the disenrollment protections adopted by the State in accordance with § 457.570; and
The methodology used to ensure that total cost-sharing liability for a family does not exceed the cumulative cost-sharing maximum specified in § 457.560.
Notes, amendments, and revision history
Source
Source: 66 FR 2681, Jan. 11, 2001, unless otherwise noted.
Authority
Authority: 42 U.S.C. 1302.
Source
Source: 65 FR 33622, May 24, 2000, unless otherwise noted.