45 C.F.R. § 154.103

Applicability

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(a) In general. The requirements of this part apply to health insurance issuers offering health insurance coverage in the individual market and small group market.

(b) Exceptions. The requirements of this part do not apply to—

(1) Grandfathered health plan coverage as defined in § 147.140 of this subchapter;

(2) Excepted benefits as described in section 2791(c) of the PHS Act; and

(3) For coverage effective on or after July 1, 2018, student health insurance coverage as defined in § 147.145 of this subchapter.

[76 FR 29985, May 23, 2011, as amended at 83 FR 17060, Apr. 17, 2018]

Notes of Decisions

Cited in 1 case (1 in the last 5 years), 2021–2021 · leading case: City of Columbus v. Trump (D. Maryland 2021).

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City of Columbus v. Trump (D. Maryland 2021). “The statute vests discretion in 15 See 45 C.F.R. § 154.103 , 200, 205, 210, 215, 225, and 230.”

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