Title 42

PART 411 SUBPART E

Subpart E - Limitations on Payment for Services Covered Under Group Health Plans: General Provisions Source:60 FR 45362, Aug. 31, 1995, unless otherwise noted.

42:2.0.1.2.12.5.35.1SECTION 411.100
   411.100 Basis and scope.
42:2.0.1.2.12.5.35.2SECTION 411.101
   411.101 Definitions.
42:2.0.1.2.12.5.35.3SECTION 411.102
   411.102 Basic prohibitions and requirements.
42:2.0.1.2.12.5.35.4SECTION 411.103
   411.103 Prohibition against financial and other incentives.
42:2.0.1.2.12.5.35.5SECTION 411.104
   411.104 Current employment status.
42:2.0.1.2.12.5.35.6SECTION 411.106
   411.106 Aggregation rules.
42:2.0.1.2.12.5.35.7SECTION 411.108
   411.108 Taking into account entitlement to Medicare.
42:2.0.1.2.12.5.35.8SECTION 411.110
   411.110 Basis for determination of nonconformance.
42:2.0.1.2.12.5.35.9SECTION 411.112
   411.112 Documentation of conformance.
42:2.0.1.2.12.5.35.10SECTION 411.114
   411.114 Determination of nonconformance.
42:2.0.1.2.12.5.35.11SECTION 411.115
   411.115 Notice of determination of nonconformance.
42:2.0.1.2.12.5.35.12SECTION 411.120
   411.120 Appeals.
42:2.0.1.2.12.5.35.13SECTION 411.121
   411.121 Hearing procedures.
42:2.0.1.2.12.5.35.14SECTION 411.122
   411.122 Hearing officer's decision.
42:2.0.1.2.12.5.35.15SECTION 411.124
   411.124 Administrator's review of hearing decision.
42:2.0.1.2.12.5.35.16SECTION 411.126
   411.126 Reopening of determinations and decisions.
42:2.0.1.2.12.5.35.17SECTION 411.130
   411.130 Referral to Internal Revenue Service (IRS).