Title 45

PART 150

Part 150 - Cms Enforcement In Group And Individual Insurance Markets

PART 150 - CMS ENFORCEMENT IN GROUP AND INDIVIDUAL INSURANCE MARKETS Authority:Secs. 2701 through 2763, 2791, and 2792 of the PHS Act (42 U.S.C. 300gg through 300gg-63, 300gg-91, and 300gg-92). Source:64 FR 45795, Aug. 20, 1999, unless otherwise noted.

45:2.0.1.1.8.1SUBPART A
Subpart A - General Provisions
45:2.0.1.1.8.1.1.1SECTION 150.101
   150.101 Basis and scope.
45:2.0.1.1.8.1.1.2SECTION 150.103
   150.103 Definitions.
45:2.0.1.1.8.2SUBPART B
Subpart B - CMS Enforcement Processes for Determining Whether States Are Failing To Substantially Enforce PHS Act Requirement
45:2.0.1.1.8.2.1.1SECTION 150.201
   150.201 State enforcement.
45:2.0.1.1.8.2.1.2SECTION 150.203
   150.203 Circumstances requiring CMS enforcement.
45:2.0.1.1.8.2.1.3SECTION 150.205
   150.205 Sources of information triggering an investigation of State enforcement.
45:2.0.1.1.8.2.1.4SECTION 150.207
   150.207 Procedure for determining that a State fails to substantially enforce PHS Act requirements.
45:2.0.1.1.8.2.1.5SECTION 150.209
   150.209 Verification of exhaustion of remedies and contact with State officials.
45:2.0.1.1.8.2.1.6SECTION 150.211
   150.211 Notice to the State.
45:2.0.1.1.8.2.1.7SECTION 150.213
   150.213 Form and content of notice.
45:2.0.1.1.8.2.1.8SECTION 150.215
   150.215 Extension for good cause.
45:2.0.1.1.8.2.1.9SECTION 150.217
   150.217 Preliminary determination.
45:2.0.1.1.8.2.1.10SECTION 150.219
   150.219 Final determination.
45:2.0.1.1.8.2.1.11SECTION 150.221
   150.221 Transition to State enforcement.
45:2.0.1.1.8.3SUBPART C
Subpart C - CMS Enforcement With Respect to Issuers and Non-Federal Governmental Plans - Civil Money Penalties
45:2.0.1.1.8.3.1.1SECTION 150.301
   150.301 General rule regarding the imposition of civil money penalties.
45:2.0.1.1.8.3.1.2SECTION 150.303
   150.303 Basis for initiating an investigation of a potential violation.
45:2.0.1.1.8.3.1.3SECTION 150.305
   150.305 Determination of entity liable for civil money penalty.
45:2.0.1.1.8.3.1.4SECTION 150.307
   150.307 Notice to responsible entities.
45:2.0.1.1.8.3.1.5SECTION 150.309
   150.309 Request for extension.
45:2.0.1.1.8.3.1.6SECTION 150.311
   150.311 Responses to allegations of noncompliance.
45:2.0.1.1.8.3.1.7SECTION 150.313
   150.313 Market conduct examinations.
45:2.0.1.1.8.3.1.8SECTION 150.315
   150.315 Amount of penalty - General.
45:2.0.1.1.8.3.1.9SECTION 150.317
   150.317 Factors CMS uses to determine the amount of penalty.
45:2.0.1.1.8.3.1.10SECTION 150.319
   150.319 Determining the amount of the penalty - mitigating circumstances.
45:2.0.1.1.8.3.1.11SECTION 150.321
   150.321 Determining the amount of penalty - aggravating circumstances.
45:2.0.1.1.8.3.1.12SECTION 150.323
   150.323 Determining the amount of penalty - other matters as justice may require.
45:2.0.1.1.8.3.1.13SECTION 150.325
   150.325 Settlement authority.
45:2.0.1.1.8.3.1.14SECTION 150.341
   150.341 Limitations on penalties.
45:2.0.1.1.8.3.1.15SECTION 150.343
   150.343 Notice of proposed penalty.
45:2.0.1.1.8.3.1.16SECTION 150.345
   150.345 Appeal of proposed penalty.
45:2.0.1.1.8.3.1.17SECTION 150.347
   150.347 Failure to request a hearing.
45:2.0.1.1.8.4SUBPART D
Subpart D - Administrative Hearings
45:2.0.1.1.8.4.1.1SECTION 150.401
   150.401 Definitions.
45:2.0.1.1.8.4.1.2SECTION 150.403
   150.403 Scope of ALJ's authority.
45:2.0.1.1.8.4.1.3SECTION 150.405
   150.405 Filing of request for hearing.
45:2.0.1.1.8.4.1.4SECTION 150.407
   150.407 Form and content of request for hearing.
45:2.0.1.1.8.4.1.5SECTION 150.409
   150.409 Amendment of notice of assessment or request for hearing.
45:2.0.1.1.8.4.1.6SECTION 150.411
   150.411 Dismissal of request for hearing.
45:2.0.1.1.8.4.1.7SECTION 150.413
   150.413 Settlement.
45:2.0.1.1.8.4.1.8SECTION 150.415
   150.415 Intervention.
45:2.0.1.1.8.4.1.9SECTION 150.417
   150.417 Issues to be heard and decided by ALJ.
45:2.0.1.1.8.4.1.10SECTION 150.419
   150.419 Forms of hearing.
45:2.0.1.1.8.4.1.11SECTION 150.421
   150.421 Appearance of counsel.
45:2.0.1.1.8.4.1.12SECTION 150.423
   150.423 Communications with the ALJ.
45:2.0.1.1.8.4.1.13SECTION 150.425
   150.425 Motions.
45:2.0.1.1.8.4.1.14SECTION 150.427
   150.427 Form and service of submissions.
45:2.0.1.1.8.4.1.15SECTION 150.429
   150.429 Computation of time and extensions of time.
45:2.0.1.1.8.4.1.16SECTION 150.431
   150.431 Acknowledgment of request for hearing.
45:2.0.1.1.8.4.1.17SECTION 150.435
   150.435 Discovery.
45:2.0.1.1.8.4.1.18SECTION 150.437
   150.437 Submission of briefs and proposed hearing exhibits.
45:2.0.1.1.8.4.1.19SECTION 150.439
   150.439 Effect of submission of proposed hearing exhibits.
45:2.0.1.1.8.4.1.20SECTION 150.441
   150.441 Prehearing conferences.
45:2.0.1.1.8.4.1.21SECTION 150.443
   150.443 Standard of proof.
45:2.0.1.1.8.4.1.22SECTION 150.445
   150.445 Evidence.
45:2.0.1.1.8.4.1.23SECTION 150.447
   150.447 The record.
45:2.0.1.1.8.4.1.24SECTION 150.449
   150.449 Cost of transcripts.
45:2.0.1.1.8.4.1.25SECTION 150.451
   150.451 Posthearing briefs.
45:2.0.1.1.8.4.1.26SECTION 150.453
   150.453 ALJ decision.
45:2.0.1.1.8.4.1.27SECTION 150.455
   150.455 Sanctions.
45:2.0.1.1.8.4.1.28SECTION 150.457
   150.457 Review by Administrator.
45:2.0.1.1.8.4.1.29SECTION 150.459
   150.459 Judicial review.
45:2.0.1.1.8.4.1.30SECTION 150.461
   150.461 Failure to pay assessment.
45:2.0.1.1.8.4.1.31SECTION 150.463
   150.463 Final order not subject to review.
45:2.0.1.1.8.4.1.32SECTION 150.465
   150.465 Collection and use of penalty funds.