§156.815. Plan suppression.
45 C.F.R. § 156.815
Suppression means temporarily making a QHP certified to be offered through the Federally-facilitated Exchange unavailable for enrollment through the Federally-facilitated Exchange.
Grounds for suppression. A QHP may be suppressed as described in paragraph (a) of this section on one or more of the following grounds:
The QHP issuer notifies HHS of its intent to withdraw the QHP from a Federally-facilitated Exchange when one of the exceptions to guaranteed renewability of coverage related to discontinuing a particular product or discontinuing all coverage under § 147.106(c) or (d) of this subchapter applies;
Data submitted for the QHP is incomplete or inaccurate;
The QHP is in the process of being decertified as described in § 156.810(c) or (d), or the QHP issuer is appealing a completed decertification as described in subpart J of this part;
The QHP issuer offering the QHP is the subject of a pending, ongoing, or final State regulatory or enforcement action or determination that could affect the issuer's ability to enroll consumers or otherwise relates to the issuer offering QHPs in the Federally-facilitated Exchanges; or
One of the exceptions to guaranteed availability of coverage related to special rules for network plans or financial capacity limits under § 147.104(c) or (d) of this subchapter applies.
A multi-State plan as defined in § 155.1000(a) of this subchapter may be suppressed as described in paragraph (a) of this section if OPM notifies the Exchange that:
OPM has found a compliance violation within the multi-State plan, or
One of the grounds for suppression in paragraph (b) of this section exists for the multi-State plan.
Notes, amendments, and revision history
Amendments
[80 FR 10875, Feb. 27, 2015]
Source
Source: 78 FR 54143, Aug. 30, 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
[80 FR 10875, Feb. 27, 2015]