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2011-09-03
article
Rate Increase Disclosure and Review: Definitions of “Individual Market” and “Small Group Market”
Rules and Regulations
D09002ee1bdcf5057
D09002ee1bdcf50d1
United States
Department of Health and Human Services
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org
United States Government Agency or Subagency
This final rule amends a May 23, 2011, final rule entitled ``Rate Increase Disclosure and Review''. The final rule provided that, for purposes of rate review only, definitions of ``individual market'' and ``small group market'' under State rate filing laws would govern even if those definitions departed from the definitions that otherwise apply under title XXVII of the Public Health Service Act (PHS Act). The preamble to the final rule requested comments on whether this policy should apply in cases in which State rate filing law definitions of ``individual market'' and ``small group market'' exclude association insurance policies that would be included in these definitions for other purposes under the PHS Act. In response to comments, this final rule amends the definitions of ``individual market'' and ``small group market'' that apply for rate review purposes to include coverage sold to individuals and small groups through associations even if the State does not include such coverage in its definitions of individual and small group market. This final rule also updates standards for health insurance issuers regarding disclosure and review of unreasonable premium increases under section 2794 of the Public Health Service Act.
76 FR 54969
https://www.govinfo.gov/app/details/FR-2011-09-06/2011-22663
2011-22663
fr06se11-8
RIN 0938-AR26
4120-01-P
CMS-9999-F
https://www.govinfo.gov/app/details/FR-2011-09-06/2011-22663
https://www.govinfo.gov/content/pkg/FR-2011-09-06/html/2011-22663.htm
https://www.govinfo.gov/content/pkg/FR-2011-09-06/pdf/2011-22663.pdf
Administrative Practice and Procedure
Claims
Health Care
Health Insurance
Health Plans
Penalties
Reporting and Recordkeeping Requirements
9 p.
54969
54977
76 FR 54969
Code of Federal Regulations
Title 45 Part 154
45 CFR Part 154
Regulation Identification Number 0938-AR26
RIN 0938-AR26
Rate Increase Disclosure and Review: Definitions of “Individual Market” and “Small Group Market”; Federal Register Vol. 76, Issue
RULE
2011-22663
DEPARTMENT OF HEALTH AND HUMAN SERVICES
2011-11-01
CMS-9999-F
4120-01-P
2011-22663
Final rule.
This final rule amends a May 23, 2011, final rule entitled ``Rate Increase Disclosure and Review''. The final rule provided that, for purposes of rate review only, definitions of ``individual market'' and ``small group market'' under State rate filing laws would govern even if those definitions departed from the definitions that otherwise apply under title XXVII of the Public Health Service Act (PHS Act). The preamble to the final rule requested comments on whether this policy should apply in cases in which State rate filing law definitions of ``individual market'' and ``small group market'' exclude association insurance policies that would be included in these definitions for other purposes under the PHS Act. In response to comments, this final rule amends the definitions of ``individual market'' and ``small group market'' that apply for rate review purposes to include coverage sold to individuals and small groups through associations even if the State does not include such coverage in its definitions of individual and small group market. This final rule also updates standards for health insurance issuers regarding disclosure and review of unreasonable premium increases under section 2794 of the Public Health Service Act.
Effective date. This rule is effective on November 1, 2011.
Sally McCarty, (301) 492-4489 (or by e-mail: ratereview@hhs.gov).
Administrative Practice and Procedure
Claims
Health Care
Health Insurance
Health Plans
Penalties
Reporting and Recordkeeping Requirements
Rate Increase Disclosure and Review:
Definitions of Individual Market and Small Group Market
,
ratereview@hhs.gov
http://www.dol.gov/ebsa/Publications/mewas.html
http://www.dol.gov/ebsa/regs/aos/ao2001-04a.html
http://www.dol.gov/ebsa/regs/aos/ao2003-13a.html
http://www.dol.gov/ebsa/regs/aos/ao2008-07a.html
Federal Register
Vol. 76, no. 172
Office of the Federal Register, National Archives and Records Administration
2011-09-06
continuing
daily
deposited
born digital
297 p.
Table of Contents:
AE 2.7:
GS 4.107:
AE 2.106:
KF70.A2
https://www.govinfo.gov/app/details/FR-2011-09-06
P0b002ee180df2e7b
0097-6326
0042-1219
0364-1406
769-004-00000-9
000582072
f:fr06se11
https://www.govinfo.gov/app/details/FR-2011-09-06
https://www.govinfo.gov/content/pkg/FR-2011-09-06/pdf/FR-2011-09-06.pdf
https://www.govinfo.gov/content/pkg/FR-2011-09-06/xml/FR-2011-09-06.xml
fdlp
54921
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DGPO
2011-09-03
2023-04-30
FR-2011-09-06
machine generated
eng
FR
FR-2011-09-06
76
172