---
kind: "section"
citation: "45 C.F.R. § 155.1080"
title: "45"
number: "155.1080"
heading: "Decertification of QHPs."
url: "https://uscodex.org/cfr/45/155.1080"
---

# §155.1080. Decertification of QHPs.

- (a) **Definition.** The following definition applies to this section:

  Decertification means the termination by the Exchange of the certification status and offering of a QHP.

- (b) **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.
- (c) **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)](/cfr/45/155.1000.md?p=c).
- (d) **Appeal of decertification.** The Exchange must establish a process for the appeal of a decertification of a QHP.
- (e) **Notice of decertification.** Upon decertification of a QHP, the Exchange must provide notice of decertification to all affected parties, including:
  - (1) The QHP issuer;
  - (2) Exchange enrollees in the QHP who must receive information about a special enrollment period, as described in [§ 155.420](/cfr/45/155.420.md);
  - (3) HHS; and
  - (4) **The State department of insurance.**

## Notes

### 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]