Title 45

PART 147

Part 147 - Health Insurance Reform Requirements For The Group And Individual Health Insurance Markets

PART 147 - HEALTH INSURANCE REFORM REQUIREMENTS FOR THE GROUP AND INDIVIDUAL HEALTH INSURANCE MARKETS Authority:42 U.S.C. 300gg through 300gg-63, 300gg-91, and 300gg-92, as amended, and section 3203, Pub. L. 116-136, 134 Stat. 281. Source:75 FR 27138, May 13, 2010, unless otherwise noted.

45:2.0.1.1.5.0.1.1SECTION 147.100
   147.100 Basis and scope.
45:2.0.1.1.5.0.1.2SECTION 147.102
   147.102 Fair health insurance premiums.
45:2.0.1.1.5.0.1.3SECTION 147.103
   147.103 State reporting.
45:2.0.1.1.5.0.1.4SECTION 147.104
   147.104 Guaranteed availability of coverage.
45:2.0.1.1.5.0.1.5SECTION 147.106
   147.106 Guaranteed renewability of coverage.
45:2.0.1.1.5.0.1.6SECTION 147.108
   147.108 Prohibition of preexisting condition exclusions.
45:2.0.1.1.5.0.1.7SECTION 147.110
   147.110 Prohibiting discrimination against participants, beneficiaries, and individuals based on a health factor.
45:2.0.1.1.5.0.1.8SECTION 147.116
   147.116 Prohibition on waiting periods that exceed 90 days.
45:2.0.1.1.5.0.1.9SECTION 147.120
   147.120 Eligibility of children until at least age 26.
45:2.0.1.1.5.0.1.10SECTION 147.126
   147.126 No lifetime or annual limits.
45:2.0.1.1.5.0.1.11SECTION 147.128
   147.128 Rules regarding rescissions.
45:2.0.1.1.5.0.1.12SECTION 147.130
   147.130 Coverage of preventive health services.
45:2.0.1.1.5.0.1.13SECTION 147.131
   147.131 Accommodations in connection with coverage of certain preventive health services.
45:2.0.1.1.5.0.1.14SECTION 147.132
   147.132 Religious exemptions in connection with coverage of certain preventive health services.
45:2.0.1.1.5.0.1.15SECTION 147.133
   147.133 Moral exemptions in connection with coverage of certain preventive health services.
45:2.0.1.1.5.0.1.16SECTION 147.136
   147.136 Internal claims and appeals and external review processes.
45:2.0.1.1.5.0.1.17SECTION 147.138
   147.138 Patient protections.
45:2.0.1.1.5.0.1.18SECTION 147.140
   147.140 Preservation of right to maintain existing coverage.
45:2.0.1.1.5.0.1.19SECTION 147.145
   147.145 Student health insurance coverage.
45:2.0.1.1.5.0.1.20SECTION 147.150
   147.150 Coverage of essential health benefits.
45:2.0.1.1.5.0.1.21SECTION 147.160
   147.160 Parity in mental health and substance use disorder benefits.
45:2.0.1.1.5.0.1.22SECTION 147.200
   147.200 Summary of benefits and coverage and uniform glossary.
45:2.0.1.1.5.0.1.23SECTION 147.210
   147.210 Transparency in coverage - definitions.
45:2.0.1.1.5.0.1.24SECTION 147.211
   147.211 Transparency in coverage - required disclosures to participants, beneficiaries, or enrollees.
45:2.0.1.1.5.0.1.25SECTION 147.212
   147.212 Transparency in coverage - requirements for public disclosure.