CFR /  Title 45  /  Part 156: Health Insurance Issuer Standards Under The Affordable Care Act, Including Standards Related To Exchanges

Section No.	Description
Section 156.10	Definitions
Section 156.20	Financial support
Section 156.50	Single risk pool
Section 156.80	State selection of benchmark
Section 156.100	Determination of EHB for multi-state plans
Section 156.105	EHB-benchmark plan standards
Section 156.110	Provision of EHB
Section 156.115	Collection of data to define essential health benefits
Section 156.120	Prescription drug benefits
Section 156.122	Prohibition on discrimination
Section 156.125	Cost-sharing requirements
Section 156.130	AV calculation for determining level of coverage
Section 156.135	Levels of coverage
Section 156.140	Determination of minimum value
Section 156.145	Application to stand-alone dental plans inside the Exchange
Section 156.150	Enrollment in catastrophic plans
Section 156.155	QHP issuer participation standards
Section 156.200	QHP rate and benefit information
Section 156.210	Advance payments of the premium tax credit and cost-sharing reduction standards
Section 156.215	Transparency in coverage
Section 156.220	Marketing and Benefit Design of QHPs
Section 156.225	Network adequacy standards
Section 156.230	Essential community providers
Section 156.235	Essential community providers
Section 156.235	Treatment of direct primary care medical homes
Section 156.245	Meaningful access to qualified health plan information
Section 156.250	Rating variations
Section 156.255	Enrollment periods for qualified individuals
Section 156.260	Enrollment process for qualified individuals
Section 156.265	Termination of coverage or enrollment for qualified individuals
Section 156.270	Accreditation of QHP issuers
Section 156.275	Segregation of funds for abortion services
Section 156.280	Additional standards specific to SHOP
Section 156.285	Additional standards specific to SHOP
Section 156.285	Non-renewal and decertification of QHPs
Section 156.290	Prescription drug distribution and cost reporting
Section 156.295	Meaningful difference standard for Qualified Health Plans in the Federally-facilitated Exchanges
Section 156.298	Changes of ownership of issuers of Qualified Health Plans in Federally-facilitated Exchanges
Section 156.330	Standards for downstream and delegated entities
Section 156.340	Definitions
Section 156.400	Cost-sharing reductions for enrollees
Section 156.410	Plan variations
Section 156.420	Changes in eligibility for cost-sharing reductions
Section 156.425	Payment for cost-sharing reductions
Section 156.430	Plans eligible for advance payments of the premium tax credit and cost-sharing reductions
Section 156.440	Reduction of enrollee's share of premium to account for advance payments of the premium tax credit
Section 156.460	Allocation of rates for advance payments of the premium tax credit
Section 156.470	Oversight of the administration of the cost-sharing reductions and advance payments of the premium tax credit programs
Section 156.480	Basis and scope
Section 156.500	Definitions
Section 156.505	Eligibility
Section 156.510	CO-OP standards
Section 156.515	Loan terms
Section 156.520	The definition of minimum essential coverage
Section 156.600	Other coverage that qualifies as minimum essential coverage
Section 156.602	Requirements for recognition as minimum essential coverage for types of coverage not otherwise designated minimum
Section 156.604	HHS audit authority
Section 156.606	Maintenance of records for Federally-facilitated Exchanges
Section 156.705	Compliance reviews of QHP issuers in Federally- facilitated Exchanges
Section 156.715	Available remedies; Scope
Section 156.800	Bases and process for imposing civil money penalties in Federally-facilitated Exchanges
Section 156.805	Notice of non-compliance
Section 156.806	Bases and process for decertification of a QHP offered by an issuer through a Federally-facilitated Exchange
Section 156.810	Plan suppression
Section 156.815	Definitions
Section 156.901	Scope of Administrative Law Judge's (ALJ) authority
Section 156.903	Filing of request for hearing
Section 156.905	Form and content of request for hearing
Section 156.907	Amendment of notice of assessment or decertification request for hearing
Section 156.909	Dismissal of request for hearing
Section 156.911	Settlement
Section 156.913	Intervention
Section 156.915	Issues to be heard and decided by ALJ
Section 156.917	Forms of hearing
Section 156.919	Appearance of counsel
Section 156.921	Communications with the ALJ
Section 156.923	Motions
Section 156.925	Form and service of submissions
Section 156.927	Computation of time and extensions of time
Section 156.929	Acknowledgment of request for hearing
Section 156.931	Discovery
Section 156.935	Submission of briefs and proposed hearing exhibits
Section 156.937	Effect of submission of proposed hearing exhibits
Section 156.939	Prehearing conferences
Section 156.941	Standard of proof
Section 156.943	Evidence
Section 156.945	The record
Section 156.947	Posthearing briefs
Section 156.951	ALJ decision
Section 156.953	Sanctions
Section 156.955	Review by Administrator
Section 156.957	Judicial review
Section 156.959	Failure to pay assessment
Section 156.961	Final order not subject to review
Section 156.963	Standards
Section 156.1010	Establishment of standards for HHS-approved enrollee satisfaction survey vendors for use by QHP issuers in Exchanges
Section 156.1105	Establishment of patient safety standards for QHP issuers
Section 156.1110	Quality rating system
Section 156.1120	Enrollee satisfaction survey system
Section 156.1125	Quality improvement strategy
Section 156.1130	Confirmation of HHS payment and collections reports
Section 156.1210	Payment and collections processes
Section 156.1215	Administrative appeals
Section 156.1220	Direct enrollment with the QHP issuer in a manner considered to be through the Exchange
Section 156.1230	Enrollment process for qualified individuals
Section 156.1240	Acceptance of certain third party payments
Section 156.1250	Renewal and re-enrollment notices
Section 156.1255	Basis and scope