What Patient Protection and Affordable Care Act; Health Insurance Market Rules; Rate Review (45 CFR Parts 144, 147, 153, 154, 156, and 158) requires
This regulation requires health insurance issuers in the individual and small group markets to provide guaranteed availability of coverage to all applicants (45 CFR §147.104), use modified community rating to set premiums based only on age, tobacco use, family size, and geography (45 CFR §147.102), and cover a comprehensive package of Essential Health Benefits (EHB) (45 CFR Part 156).
Pillar: Insurance & Risk · Authority: U.S. Department of Health and Human Services (HHS) · Version: 1.0.0 · Last updated:
Primary source: https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-B
SHA-256 integrity: 72960fa046a784c1e182dfeb859fde0bc71eec850455aee34ddb5cb3ca7f7768
Primary Citations — 7 traced to source
- 45 CFR §147.102 - Fair health insurance premiums
- 45 CFR §147.104 - Guaranteed availability of coverage
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