§155.1080. Decertification of QHPs.
45 C.F.R. § 155.1080
Definition. The following definition applies to this section:
Decertification means the termination by the Exchange of the certification status and offering of a QHP.
Decertification process. Except with respect to multi-State plans and CO-OP QHPs, the Exchange must establish a process for the decertification of QHPs, which, at a minimum, meets the requirements in this section.
Decertification by the Exchange. The Exchange may at any time decertify a health plan if the Exchange determines that the QHP issuer is no longer in compliance with the general certification criteria as outlined in § 155.1000(c).
Appeal of decertification. The Exchange must establish a process for the appeal of a decertification of a QHP.
Notice of decertification. Upon decertification of a QHP, the Exchange must provide notice of decertification to all affected parties, including:
The QHP issuer;
Exchange enrollees in the QHP who must receive information about a special enrollment period, as described in § 155.420;
HHS; and
The State department of insurance.
Notes, amendments, and revision history
Amendments
[77 FR 18467, Mar. 27, 2012, as amended at 77 FR 31515, May 29, 2012]
Source
Source: 77 FR 18467, Mar. 27, 2012, unless otherwise noted.
Authority
Authority: 42 U.S.C. 18021-18024, 18031-18033, 18041-18042, 18051, 18054, 18071, and 18081-18083.
Source
Source: 77 FR 11718, Feb. 27, 2012, unless otherwise noted.
Amendments
[77 FR 18467, Mar. 27, 2012, as amended at 77 FR 31515, May 29, 2012]