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

1. CFR
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3. Title 45
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5. Subtitle A
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7. Part 155
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9. Subpart D

Sections

Section numbering in the official eCFR can be non-consecutive. Omitted section numbers are not treated here as reserved unless the source explicitly labels them that way.

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