---
kind: "section"
citation: "45 C.F.R. § 156.150"
title: "45"
number: "156.150"
heading: "Application to stand-alone dental plans inside the Exchange."
url: "https://uscodex.org/cfr/45/156.150"
---

# §156.150. Application to stand-alone dental plans inside the Exchange.

- (a) **Annual limitation on cost-sharing.** For a stand-alone dental plan covering the pediatric dental EHB under [§ 155.1065](/cfr/45/155.1065.md) of this subchapter in any Exchange, cost sharing may not exceed $350 for one covered child and $700 for two or more covered children.
  - (1) **For plan years beginning after 2017, for one covered child—** the dollar limit applicable to a stand-alone dental plan for one covered child specified in this [paragraph (a)](#a) increased by the percent increase of the consumer price index for dental services for the year 2 years prior to the applicable plan year over the consumer price index for dental services for 2016.
  - (2) **For plan years after 2017, for two or more covered children—** twice the dollar limit for one child described in [paragraph (a)(1)](#a-1) of this section.
- (b) **Calculation of AV.** A stand-alone dental plan:
  - (1) May not use the AV calculator in [§ 156.135](/cfr/45/156.135.md); and
  - (2) Must have the plan's actuarial value of coverage for pediatric dental essential health benefits certified by a member of the American Academy of Actuaries using generally accepted actuarial principles and reported to the Exchange.
- (c) **Consumer price index for dental services defined.** The consumer price index for dental services is a sub-component of the U.S. Department of Labor's Bureau of Labor Statistics Consumer Price Index specific to dental services.
- (d) **Increments of cost sharing increases.** Any increase in the annual dollar limits described in [paragraph (a)(1)](#a-1) of this section that does not result in a multiple of 25 dollars will be rounded down, to the next lowest multiple of 25 dollars.

## Notes

### Amendments

[78 FR 12866, Feb. 25, 2013, as amended at 79 FR 13840, Mar. 11, 2014; 81 FR 12349, Mar. 8, 2016; 83 FR 17069, Apr. 17, 2018]

### Source

Source: 78 FR 12866, Feb. 25, 2013, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 18021-18024, 18031-18032, 18041-18042, 18044, 18054, 18061, 18063, 18071, 18082, and 26 U.S.C. 36B.

### Source

Source: 76 FR 77411, Dec. 13, 2011, unless otherwise noted.

### Amendments

[78 FR 12866, Feb. 25, 2013, as amended at 79 FR 13840, Mar. 11, 2014; 81 FR 12349, Mar. 8, 2016; 83 FR 17069, Apr. 17, 2018]