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CMS Issues Final 2015 Exchange and Insurance Market Standards Rule: Part 2
Timothy Jost, in Health Affairs Link to more items from this source
[Guidance Overview]
May 18, 2014

"Several provisions of the rule address the question of when coverage is terminated and when it is merely modified.... The final rule makes a number of changes in special enrollment period rules ... provides definitions of termination, cancellation, and reinstatement ... modifies the SHOP exchange rules to provide for an annual open enrollment period for all SHOPs that will be aligned with the open enrollment period for the individual market ... [and] provides additional guidance on the exchange quality reporting system.... For 2015 and subsequent years, the annual limit on cost sharing found in the statute is to be increased under a formula found in the [statute].... Finally, the rule makes some changes in minimum medical loss ratio requirements."

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