Title 45

PART 155 SUBPART D

Subpart D - Exchange Functions in the Individual Market: Eligibility Determinations for Exchange Participation and Insurance Affordability Programs

• 42 U.S.C. 18021-18024, 18031-18033, 18041-18042, 18051, 18054, 18071, and 18081-18083.
• 77 FR 11718, Feb. 27, 2012, unless otherwise noted.

45:2.0.1.1.13.4.1.1	SECTION 155.300	155.300 Definitions and general standards for eligibility determinations.
45:2.0.1.1.13.4.1.2	SECTION 155.302	155.302 Options for conducting eligibility determinations.
45:2.0.1.1.13.4.1.3	SECTION 155.305	155.305 Eligibility standards.
45:2.0.1.1.13.4.1.4	SECTION 155.310	155.310 Eligibility process.
45:2.0.1.1.13.4.1.5	SECTION 155.315	155.315 Verification process related to eligibility for enrollment in a QHP through the Exchange.
45:2.0.1.1.13.4.1.6	SECTION 155.320	155.320 Verification process related to eligibility for insurance affordability programs.
45:2.0.1.1.13.4.1.7	SECTION 155.330	155.330 Eligibility redetermination during a benefit year.
45:2.0.1.1.13.4.1.8	SECTION 155.335	155.335 Annual eligibility redetermination.
45:2.0.1.1.13.4.1.9	SECTION 155.340	155.340 Administration of advance payments of the premium tax credit and cost-sharing reductions.
45:2.0.1.1.13.4.1.10	SECTION 155.345	155.345 Coordination with Medicaid, CHIP, the Basic Health Program, and the Pre-existing Condition Insurance Plan.
45:2.0.1.1.13.4.1.11	SECTION 155.350	155.350 Special eligibility standards and process for Indians.
45:2.0.1.1.13.4.1.12	SECTION 155.355	155.355 Right to appeal.

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