Title 45

PART 152

Part 152 - Pre-existing Condition Insurance Plan Program

PART 152 - PRE-EXISTING CONDITION INSURANCE PLAN PROGRAM Authority:Sec. 1101 of the Patient Protection and Affordable Care Act (Pub. L. 111-148). Source:75 FR 45029, July 30, 2010, unless otherwise noted.

45:2.0.1.1.10.1SUBPART A
Subpart A - General Provisions
45:2.0.1.1.10.1.1.1SECTION 152.1
   152.1 Statutory basis.
45:2.0.1.1.10.1.1.2SECTION 152.2
   152.2 Definitions.
45:2.0.1.1.10.2SUBPART B
Subpart B - PCIP Program Administration
45:2.0.1.1.10.2.1.1SECTION 152.6
   152.6 Program administration.
45:2.0.1.1.10.2.1.2SECTION 152.7
   152.7 PCIP proposal process.
45:2.0.1.1.10.3SUBPART C
Subpart C - Eligibility and Enrollment
45:2.0.1.1.10.3.1.1SECTION 152.14
   152.14 Eligibility.
45:2.0.1.1.10.3.1.2SECTION 152.15
   152.15 Enrollment and disenrollment process.
45:2.0.1.1.10.4SUBPART D
Subpart D - Benefits
45:2.0.1.1.10.4.1.1SECTION 152.19
   152.19 Covered benefits.
45:2.0.1.1.10.4.1.2SECTION 152.20
   152.20 Prohibitions on pre-existing condition exclusions and waiting periods.
45:2.0.1.1.10.4.1.3SECTION 152.21
   152.21 Premiums and cost-sharing.
45:2.0.1.1.10.4.1.4SECTION 152.22
   152.22 Access to services.
45:2.0.1.1.10.5SUBPART E
Subpart E - Oversight
45:2.0.1.1.10.5.1.1SECTION 152.26
   152.26 Appeals procedures.
45:2.0.1.1.10.5.1.2SECTION 152.27
   152.27 Fraud, waste, and abuse.
45:2.0.1.1.10.5.1.3SECTION 152.28
   152.28 Preventing insurer dumping.
45:2.0.1.1.10.6SUBPART F
Subpart F - Funding
45:2.0.1.1.10.6.1.1SECTION 152.32
   152.32 Use of funds.
45:2.0.1.1.10.6.1.2SECTION 152.33
   152.33 Initial allocation of funds.
45:2.0.1.1.10.6.1.3SECTION 152.34
   152.34 Reallocation of funds.
45:2.0.1.1.10.6.1.4SECTION 152.35
   152.35 Insufficient funds.
45:2.0.1.1.10.7SUBPART G
Subpart G - Relationship to Existing Laws and Programs
45:2.0.1.1.10.7.1.1SECTION 152.39
   152.39 Maintenance of effort.
45:2.0.1.1.10.7.1.2SECTION 152.40
   152.40 Relation to State laws.
45:2.0.1.1.10.8SUBPART H
Subpart H - Transition to Exchanges
45:2.0.1.1.10.8.1.1SECTION 152.44
   152.44 End of PCIP program coverage.
45:2.0.1.1.10.8.1.2SECTION 152.45
   152.45 Transition to the exchanges.