C.F.R. » Title 45 » SUBCHAPTER B—REQUIREMENTS RELATING TO HEALTH CARE ACCESS › PART 156—HEALTH INSURANCE ISSUER STANDARDS UNDER THE AFFORDABLE CARE ACT, INCLUDING STANDARDS RELATED TO EXCHANGES › Subpart C—Qualified Health Plan Minimum Certification Standards

45 C.F.R. § 156.272

Issuer participation for the full plan year

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(a) An issuer offering a QHP through an individual market Exchange must make the QHP available for enrollment through the Exchange for the full plan year for which the plan was certified, including to eligible enrollees during limited open enrollment periods, unless a basis for suppression under § 156.815 applies.

(b) Unless a basis for suppression under § 156.815 applies, an issuer offering a QHP through a SHOP must make the QHP available for enrollment through the SHOP for the full plan year for which the QHP was certified.

(c) An issuer offering a QHP through a Federally-facilitated Exchange or a Federally-facilitated SHOP that does not comply with paragraph (a) or (b) of this section may, at the discretion of HHS, be precluded from offering QHPs in a Federally-facilitated Exchange or Federally-facilitated SHOP for up to the two succeeding plan years.

[81 FR 94181, Dec. 22, 2016]
Notes of Decisions
Cited in 4 cases, 2019–2019 · leading case: Maine Community Health Options v. United States
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Maine Community Health Options v. United States (2019) uscfc “45 C.F.R. § 156.272 (a). B. Termination of Cost-Sharing Reduction Payments On April 10, 2013, before the exchanges opened for business, President Barack H.”
Community Health Choice, Inc. v. United States (2019) uscfc “45 C.F.R. § 156.272 (a). B. Termination of Cost-Sharing Reduction Payments On April 10, 2013, before the exchanges opened for business, President Barack H.”
Common Ground Healthcare Cooperative v. United States (2019) uscfc “45 C.F.R. § 156.272 (a). B. Termination of Cost-Sharing Reduction Payments On April 10, 2013, before the exchanges opened for business, President Barack H.”
Maine Community Health Options v. United States (2019) uscfc “45 C.F.R. § 156.272 (a). B. Termination of Cost-Sharing Reduction Payments On April 10, 2013, before the exchanges opened for business, President Barack H.”
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