Title 45

PART 146

Part 146 - Requirements For The Group Health Insurance Market

PART 146 - REQUIREMENTS FOR THE GROUP HEALTH INSURANCE MARKET Authority:42 U.S.C. 300gg-1 through 300gg-5, 300gg-11 through 300gg-23, 300gg-91, and 300gg-92. Source:62 FR 16958, Apr. 8, 1997, unless otherwise noted.

45:2.0.1.1.4.1SUBPART A
Subpart A - General Provisions
45:2.0.1.1.4.1.1.1SECTION 146.101
   146.101 Basis and scope.
45:2.0.1.1.4.2SUBPART B
Subpart B - Requirements Relating to Access and Renewability of Coverage, and Limitations on Preexisting Condition Exclusion Periods
45:2.0.1.1.4.2.1.1SECTION 146.111
   146.111 Preexisting condition exclusions.
45:2.0.1.1.4.2.1.2SECTION 146.113
   146.113 Rules relating to creditable coverage.
45:2.0.1.1.4.2.1.3SECTION 146.115
   146.115 Certification and disclosure of previous coverage.
45:2.0.1.1.4.2.1.4SECTION 146.117
   146.117 Special enrollment periods.
45:2.0.1.1.4.2.1.5SECTION 146.119
   146.119 HMO affiliation period as an alternative to a preexisting condition exclusion.
45:2.0.1.1.4.2.1.6SECTION 146.120
   146.120 Interaction with the Family and Medical Leave Act. [Reserved]
45:2.0.1.1.4.2.1.7SECTION 146.121
   146.121 Prohibiting discrimination against participants and beneficiaries based on a health factor.
45:2.0.1.1.4.2.1.8SECTION 146.122
   146.122 Additional requirements prohibiting discrimination based on genetic information.
45:2.0.1.1.4.2.1.9SECTION 146.123
   146.123 Special rule allowing integration of Health Reimbursement Arrangements (HRAs) and other account-based group health plans with individual health insurance coverage and Medicare and prohibiting discrimination in HRAs and other account-based group health plans.
45:2.0.1.1.4.2.1.10SECTION 146.125
   146.125 Applicability dates.
45:2.0.1.1.4.3SUBPART C
Subpart C - Requirements Related to Benefits
45:2.0.1.1.4.3.1.1SECTION 146.130
   146.130 Standards relating to benefits for mothers and newborns.
45:2.0.1.1.4.3.1.2SECTION 146.136
   146.136 Parity in mental health and substance use disorder benefits.
45:2.0.1.1.4.4SUBPART D
Subpart D - Preemption and Special Rules
45:2.0.1.1.4.4.1.1SECTION 146.143
   146.143 Preemption; State flexibility; construction.
45:2.0.1.1.4.4.1.2SECTION 146.145
   146.145 Special rules relating to group health plans.
45:2.0.1.1.4.5SUBPART E
Subpart E - Provisions Applicable to Only Health Insurance Issuers
45:2.0.1.1.4.5.1.1SECTION 146.150
   146.150 Guaranteed availability of coverage for employers in the small group market.
45:2.0.1.1.4.5.1.2SECTION 146.152
   146.152 Guaranteed renewability of coverage for employers in the group market.
45:2.0.1.1.4.5.1.3SECTION 146.160
   146.160 Disclosure of information.
45:2.0.1.1.4.6SUBPART F
Subpart F - Exclusion of Plans and Enforcement
45:2.0.1.1.4.6.1.1SECTION 146.180
   146.180 Treatment of non-Federal governmental plans.