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Text of Final CMS Regs: Annual Eligibility Redeterminations for Exchange Participation and Insurance Affordability Programs; ACA Health Insurance Issuer Standards, Including Standards Related to Exchanges
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS] Link to more items from this source
[Official Guidance]
Sept. 2, 2014
50 pages. "This final rule specifies additional options for annual eligibility redeterminations and renewal and re-enrollment notice requirements for qualified health plans offered through the Exchange, beginning with annual redeterminations for coverage for benefit year 2015.... In this final rule, we amend the guaranteed renewability regulations at Section 146.152(b)(5), Section 147.106(b)(5), and Section 148.122(c)(4) to direct an issuer that nonrenews coverage based on enrollees' movement outside the service area to provide notice in writing to each plan sponsor or individual, as applicable, (and to all participants and beneficiaries covered under the coverage) affected by such nonrenewal."

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