Title 45

PART 150

Part 150 - Cms Enforcement In Group And Individual Insurance Markets

PART 150 - CMS ENFORCEMENT IN GROUP AND INDIVIDUAL INSURANCE MARKETS Authority:Secs. 2701 through 2763, 2791, and 2792 of the PHS Act (42 U.S.C. 300gg through 300gg-63, 300gg-91, and 300gg-92). Source:64 FR 45795, Aug. 20, 1999, unless otherwise noted.

• Authority: Secs. 2701 through 2763, 2791, and 2792 of the PHS Act (42 U.S.C. 300gg through 300gg-63, 300gg-91, and 300gg-92).
• Source: 64 FR 45795, Aug. 20, 1999, unless otherwise noted.

45:2.0.1.1.8.1	SUBPART A	Subpart A - General Provisions
45:2.0.1.1.8.1.1.1	SECTION 150.101	150.101 Basis and scope.
45:2.0.1.1.8.1.1.2	SECTION 150.103	150.103 Definitions.
45:2.0.1.1.8.2	SUBPART B	Subpart B - CMS Enforcement Processes for Determining Whether States Are Failing To Substantially Enforce PHS Act Requirement
45:2.0.1.1.8.2.1.1	SECTION 150.201	150.201 State enforcement.
45:2.0.1.1.8.2.1.2	SECTION 150.203	150.203 Circumstances requiring CMS enforcement.
45:2.0.1.1.8.2.1.3	SECTION 150.205	150.205 Sources of information triggering an investigation of State enforcement.
45:2.0.1.1.8.2.1.4	SECTION 150.207	150.207 Procedure for determining that a State fails to substantially enforce PHS Act requirements.
45:2.0.1.1.8.2.1.5	SECTION 150.209	150.209 Verification of exhaustion of remedies and contact with State officials.
45:2.0.1.1.8.2.1.6	SECTION 150.211	150.211 Notice to the State.
45:2.0.1.1.8.2.1.7	SECTION 150.213	150.213 Form and content of notice.
45:2.0.1.1.8.2.1.8	SECTION 150.215	150.215 Extension for good cause.
45:2.0.1.1.8.2.1.9	SECTION 150.217	150.217 Preliminary determination.
45:2.0.1.1.8.2.1.10	SECTION 150.219	150.219 Final determination.
45:2.0.1.1.8.2.1.11	SECTION 150.221	150.221 Transition to State enforcement.
45:2.0.1.1.8.3	SUBPART C	Subpart C - CMS Enforcement With Respect to Issuers and Non-Federal Governmental Plans - Civil Money Penalties
45:2.0.1.1.8.3.1.1	SECTION 150.301	150.301 General rule regarding the imposition of civil money penalties.
45:2.0.1.1.8.3.1.2	SECTION 150.303	150.303 Basis for initiating an investigation of a potential violation.
45:2.0.1.1.8.3.1.3	SECTION 150.305	150.305 Determination of entity liable for civil money penalty.
45:2.0.1.1.8.3.1.4	SECTION 150.307	150.307 Notice to responsible entities.
45:2.0.1.1.8.3.1.5	SECTION 150.309	150.309 Request for extension.
45:2.0.1.1.8.3.1.6	SECTION 150.311	150.311 Responses to allegations of noncompliance.
45:2.0.1.1.8.3.1.7	SECTION 150.313	150.313 Market conduct examinations.
45:2.0.1.1.8.3.1.8	SECTION 150.315	150.315 Amount of penalty - General.
45:2.0.1.1.8.3.1.9	SECTION 150.317	150.317 Factors CMS uses to determine the amount of penalty.
45:2.0.1.1.8.3.1.10	SECTION 150.319	150.319 Determining the amount of the penalty - mitigating circumstances.
45:2.0.1.1.8.3.1.11	SECTION 150.321	150.321 Determining the amount of penalty - aggravating circumstances.
45:2.0.1.1.8.3.1.12	SECTION 150.323	150.323 Determining the amount of penalty - other matters as justice may require.
45:2.0.1.1.8.3.1.13	SECTION 150.325	150.325 Settlement authority.
45:2.0.1.1.8.3.1.14	SECTION 150.341	150.341 Limitations on penalties.
45:2.0.1.1.8.3.1.15	SECTION 150.343	150.343 Notice of proposed penalty.
45:2.0.1.1.8.3.1.16	SECTION 150.345	150.345 Appeal of proposed penalty.
45:2.0.1.1.8.3.1.17	SECTION 150.347	150.347 Failure to request a hearing.
45:2.0.1.1.8.4	SUBPART D	Subpart D - Administrative Hearings
45:2.0.1.1.8.4.1.1	SECTION 150.401	150.401 Definitions.
45:2.0.1.1.8.4.1.2	SECTION 150.403	150.403 Scope of ALJ's authority.
45:2.0.1.1.8.4.1.3	SECTION 150.405	150.405 Filing of request for hearing.
45:2.0.1.1.8.4.1.4	SECTION 150.407	150.407 Form and content of request for hearing.
45:2.0.1.1.8.4.1.5	SECTION 150.409	150.409 Amendment of notice of assessment or request for hearing.
45:2.0.1.1.8.4.1.6	SECTION 150.411	150.411 Dismissal of request for hearing.
45:2.0.1.1.8.4.1.7	SECTION 150.413	150.413 Settlement.
45:2.0.1.1.8.4.1.8	SECTION 150.415	150.415 Intervention.
45:2.0.1.1.8.4.1.9	SECTION 150.417	150.417 Issues to be heard and decided by ALJ.
45:2.0.1.1.8.4.1.10	SECTION 150.419	150.419 Forms of hearing.
45:2.0.1.1.8.4.1.11	SECTION 150.421	150.421 Appearance of counsel.
45:2.0.1.1.8.4.1.12	SECTION 150.423	150.423 Communications with the ALJ.
45:2.0.1.1.8.4.1.13	SECTION 150.425	150.425 Motions.
45:2.0.1.1.8.4.1.14	SECTION 150.427	150.427 Form and service of submissions.
45:2.0.1.1.8.4.1.15	SECTION 150.429	150.429 Computation of time and extensions of time.
45:2.0.1.1.8.4.1.16	SECTION 150.431	150.431 Acknowledgment of request for hearing.
45:2.0.1.1.8.4.1.17	SECTION 150.435	150.435 Discovery.
45:2.0.1.1.8.4.1.18	SECTION 150.437	150.437 Submission of briefs and proposed hearing exhibits.
45:2.0.1.1.8.4.1.19	SECTION 150.439	150.439 Effect of submission of proposed hearing exhibits.
45:2.0.1.1.8.4.1.20	SECTION 150.441	150.441 Prehearing conferences.
45:2.0.1.1.8.4.1.21	SECTION 150.443	150.443 Standard of proof.
45:2.0.1.1.8.4.1.22	SECTION 150.445	150.445 Evidence.
45:2.0.1.1.8.4.1.23	SECTION 150.447	150.447 The record.
45:2.0.1.1.8.4.1.24	SECTION 150.449	150.449 Cost of transcripts.
45:2.0.1.1.8.4.1.25	SECTION 150.451	150.451 Posthearing briefs.
45:2.0.1.1.8.4.1.26	SECTION 150.453	150.453 ALJ decision.
45:2.0.1.1.8.4.1.27	SECTION 150.455	150.455 Sanctions.
45:2.0.1.1.8.4.1.28	SECTION 150.457	150.457 Review by Administrator.
45:2.0.1.1.8.4.1.29	SECTION 150.459	150.459 Judicial review.
45:2.0.1.1.8.4.1.30	SECTION 150.461	150.461 Failure to pay assessment.
45:2.0.1.1.8.4.1.31	SECTION 150.463	150.463 Final order not subject to review.
45:2.0.1.1.8.4.1.32	SECTION 150.465	150.465 Collection and use of penalty funds.

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