CFR /  Title 45  /  Part 155: Exchange Establishment Standards And Other Related Standards Under The Affordable Care Act

Section No.	Description
Section 155.10	Definitions
Section 155.20	Establishment of a State Exchange
Section 155.100	Approval of a State Exchange
Section 155.105	Election to operate an Exchange after 2014
Section 155.106	Entities eligible to carry out Exchange functions
Section 155.110	Non-interference with Federal law and non-discrimination standards
Section 155.120	Stakeholder consultation
Section 155.130	Establishment of a regional Exchange or subsidiary Exchange
Section 155.140	Transition process for existing State health insurance exchanges
Section 155.150	Financial support for continued operations
Section 155.160	Additional required benefits
Section 155.170	Functions of an Exchange
Section 155.200	Consumer assistance tools and programs of an Exchange
Section 155.205	Civil money penalties for violations of applicable Exchange standards by consumer assistance entities in Federally-
Section 155.206	Navigator program standards
Section 155.210	Standards applicable to Navigators and Non-Navigator Assistance Personnel carrying out consumer assistance functions under
Section 155.215	Ability of States to permit agents and brokers to assist qualified individuals, qualified employers, or qualified
Section 155.220	Standards for HHS-approved vendors of Federally- facilitated Exchange training and information verification for
Section 155.222	Certified application counselors
Section 155.225	Authorized representatives
Section 155.227	General standards for Exchange notices
Section 155.230	Payment of premiums
Section 155.240	Privacy and security of personally identifiable information
Section 155.260	Use of standards and protocols for electronic transactions
Section 155.270	Oversight and monitoring of privacy and security requirements
Section 155.280	Bases and process for imposing civil penalties for provision of false or fraudulent information to an Exchange or
Section 155.285	Definitions and general standards for eligibility determinations
Section 155.300	Options for conducting eligibility determinations
Section 155.302	Eligibility standards
Section 155.305	Eligibility process
Section 155.310	Verification process related to eligibility for enrollment in a QHP through the Exchange
Section 155.315	Verification process related to eligibility for insurance affordability programs
Section 155.320	Eligibility redetermination during a benefit year
Section 155.330	Annual eligibility redetermination
Section 155.335	Administration of advance payments of the premium tax credit and cost-sharing reductions
Section 155.340	Coordination with Medicaid, CHIP, the Basic Health Program, and the Pre-existing Condition Insurance Plan
Section 155.345	Special eligibility standards and process for Indians
Section 155.350	Right to appeal
Section 155.355	Enrollment of qualified individuals into QHPs
Section 155.400	Single streamlined application
Section 155.405	Initial and annual open enrollment periods
Section 155.410	Allowing issuer application assisters to assist with eligibility applications
Section 155.415	Special enrollment periods
Section 155.420	Termination of Exchange enrollment or coverage
Section 155.430	Definitions
Section 155.500	General eligibility appeals requirements
Section 155.505	Appeals coordination
Section 155.510	Notice of appeal procedures
Section 155.515	Appeal requests
Section 155.520	Eligibility pending appeal
Section 155.525	Dismissals
Section 155.530	Informal resolution and hearing requirements
Section 155.535	Expedited appeals
Section 155.540	Appeal decisions
Section 155.545	Appeal record
Section 155.550	Employer appeals process
Section 155.555	Definitions and general requirements
Section 155.600	Eligibility standards for exemptions
Section 155.605	Eligibility process for exemptions
Section 155.610	Verification process related to eligibility for exemptions
Section 155.615	Eligibility redeterminations for exemptions during a calendar year
Section 155.620	Options for conducting eligibility determinations for exemptions
Section 155.625	Reporting
Section 155.630	Right to appeal
Section 155.635	Standards for the establishment of a SHOP
Section 155.700	Functions of a SHOP
Section 155.705	Eligibility standards for SHOP
Section 155.710	Eligibility determination process for SHOP
Section 155.715	Enrollment of employees into QHPs under SHOP
Section 155.720	Enrollment periods under SHOP
Section 155.725	Application standards for SHOP
Section 155.730	Termination of SHOP enrollment or coverage
Section 155.735	SHOP employer and employee eligibility appeals requirements
Section 155.740	Certification standards for QHPs
Section 155.1000	Certification process for QHPs
Section 155.1010	QHP issuer rate and benefit information
Section 155.1020	QHP certification standards related to advance payments of the premium tax credit and cost-sharing reductions
Section 155.1030	Transparency in coverage
Section 155.1040	Accreditation timeline
Section 155.1045	Establishment of Exchange network adequacy standards
Section 155.1050	Service area of a QHP
Section 155.1055	Stand-alone dental plans
Section 155.1065	Recertification of QHPs
Section 155.1075	Decertification of QHPs
Section 155.1080	General program integrity and oversight requirements
Section 155.1200	Maintenance of records
Section 155.1210	Basis and purpose
Section 155.1300	Coordinated waiver process
Section 155.1302	Definitions
Section 155.1304	Application procedures
Section 155.1308	State public notice requirements
Section 155.1312	Federal public notice and approval process
Section 155.1316	Monitoring and compliance
Section 155.1320	State reporting requirements
Section 155.1324	Periodic evaluation requirements
Section 155.1328	Quality rating system
Section 155.1400	Enrollee satisfaction survey system
Section 155.1405	Basis and scope