§155.545. Appeal decisions. — Inbound Citations

(B) Within 30 days of the date of the party's request for administrative review, the CMS Administrator must:

(1) Decline to review the Exchange eligibility appeal decision;

(2) Render a final decision as described in § 155.545(a)(1) based on their review of the eligibility appeal decision; or

(3) Choose to take no action on the request for review.

(2) Comply with the standards set forth in § 155.545(a)(2) through (5); and

(2) Comply with the standards set forth in § 155.545(a)(2) through (5)

(3) Comply with the requirements set forth in § 155.545(a)(3) through (5).

(2) Comply with the standards set forth in § 155.545(a)(2) through (5); and

(2) Comply with the standards set forth in § 155.545(a)(2) through (5)

(3) Comply with the requirements set forth in § 155.545(a)(3) through (5).

(2) Comply with the standards set forth in § 155.545(a)(2) through (5); and

(2) Comply with the standards set forth in § 155.545(a)(2) through (5)

(B) If the CMS Administrator renders a final decision after reviewing an Exchange eligibility appeal decision as described in paragraphs (g)(1)(i)(B)(2) and (g)(1)(ii)(B)(2) of this section, the CMS Administrator may choose to change the effective date of the Exchange eligibility appeal decision as described in § 155.545(a)(5).

(3) Comply with the requirements set forth in § 155.545(a)(3) through (5).

(2) Comply with the standards set forth in § 155.545(a)(2) through (5); and

(2) Comply with the standards set forth in § 155.545(a)(2) through (5)

(5) An appeal decision issued by a State Exchange appeals entity in accordance with § 155.545(b), consistent with § 155.520(c).

(1) Handle the appeal request under the standard process and issue the appeal decision in accordance with § 155.545(b)(1); and

(5) A taxpayer who is eligible for advance credit payments pursuant to an eligibility appeal decision implemented under 45 CFR 155.545(c)(1)(ii) for coverage of a member of the taxpayer's coverage family who, based on the appeal decision, retroactively enrolls in a qualified health plan is considered to have met the requirement in paragraph (c)(1)(ii) of this section for a month if the taxpayer pays the taxpayer's share of the premiums for coverage under the plan for the month on or before the 120th day following the date of the appeals decision.