Title 45

PART 152

Part 152 - Pre-existing Condition Insurance Plan Program

PART 152 - PRE-EXISTING CONDITION INSURANCE PLAN PROGRAM Authority:Sec. 1101 of the Patient Protection and Affordable Care Act (Pub. L. 111-148). Source:75 FR 45029, July 30, 2010, unless otherwise noted.

• Authority: Sec. 1101 of the Patient Protection and Affordable Care Act (Pub. L. 111-148).
• Source: 75 FR 45029, July 30, 2010, unless otherwise noted.

45:2.0.1.1.10.1	SUBPART A	Subpart A - General Provisions
45:2.0.1.1.10.1.1.1	SECTION 152.1	152.1 Statutory basis.
45:2.0.1.1.10.1.1.2	SECTION 152.2	152.2 Definitions.
45:2.0.1.1.10.2	SUBPART B	Subpart B - PCIP Program Administration
45:2.0.1.1.10.2.1.1	SECTION 152.6	152.6 Program administration.
45:2.0.1.1.10.2.1.2	SECTION 152.7	152.7 PCIP proposal process.
45:2.0.1.1.10.3	SUBPART C	Subpart C - Eligibility and Enrollment
45:2.0.1.1.10.3.1.1	SECTION 152.14	152.14 Eligibility.
45:2.0.1.1.10.3.1.2	SECTION 152.15	152.15 Enrollment and disenrollment process.
45:2.0.1.1.10.4	SUBPART D	Subpart D - Benefits
45:2.0.1.1.10.4.1.1	SECTION 152.19	152.19 Covered benefits.
45:2.0.1.1.10.4.1.2	SECTION 152.20	152.20 Prohibitions on pre-existing condition exclusions and waiting periods.
45:2.0.1.1.10.4.1.3	SECTION 152.21	152.21 Premiums and cost-sharing.
45:2.0.1.1.10.4.1.4	SECTION 152.22	152.22 Access to services.
45:2.0.1.1.10.5	SUBPART E	Subpart E - Oversight
45:2.0.1.1.10.5.1.1	SECTION 152.26	152.26 Appeals procedures.
45:2.0.1.1.10.5.1.2	SECTION 152.27	152.27 Fraud, waste, and abuse.
45:2.0.1.1.10.5.1.3	SECTION 152.28	152.28 Preventing insurer dumping.
45:2.0.1.1.10.6	SUBPART F	Subpart F - Funding
45:2.0.1.1.10.6.1.1	SECTION 152.32	152.32 Use of funds.
45:2.0.1.1.10.6.1.2	SECTION 152.33	152.33 Initial allocation of funds.
45:2.0.1.1.10.6.1.3	SECTION 152.34	152.34 Reallocation of funds.
45:2.0.1.1.10.6.1.4	SECTION 152.35	152.35 Insufficient funds.
45:2.0.1.1.10.7	SUBPART G	Subpart G - Relationship to Existing Laws and Programs
45:2.0.1.1.10.7.1.1	SECTION 152.39	152.39 Maintenance of effort.
45:2.0.1.1.10.7.1.2	SECTION 152.40	152.40 Relation to State laws.
45:2.0.1.1.10.8	SUBPART H	Subpart H - Transition to Exchanges
45:2.0.1.1.10.8.1.1	SECTION 152.44	152.44 End of PCIP program coverage.
45:2.0.1.1.10.8.1.2	SECTION 152.45	152.45 Transition to the exchanges.

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