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Regulations last checked for updates: May 16, 2025

Title 45 - Public Welfare last revised: May 05, 2025
All TitlesTitle 45Chapter APart 155Subpart D - Subpart D—Exchange Functions in the Individual Market: Eligibility Determinations for Exchange Participation and Insurance Affordability Programs
  • § 155.300 - Definitions and general standards for eligibility determinations.
  • § 155.302 - Options for conducting eligibility determinations.
  • § 155.305 - Eligibility standards.
  • § 155.310 - Eligibility process.
  • § 155.315 - Verification process related to eligibility for enrollment in a QHP through the Exchange.
  • § 155.320 - Verification process related to eligibility for insurance affordability programs.
  • § 155.330 - Eligibility redetermination during a benefit year.
  • § 155.335 - Annual eligibility redetermination.
  • § 155.340 - Administration of advance payments of the premium tax credit and cost-sharing reductions.
  • § 155.345 - Coordination with Medicaid, CHIP, the Basic Health Program, and the Pre-existing Condition Insurance Plan.
  • § 155.350 - Special eligibility standards and process for Indians.
  • § 155.355 - Right to appeal.
authority: 42 U.S.C. 18021-18024,18031,18041,18051,18054,18071,and
source: 77 FR 11718, Feb. 27, 2012, unless otherwise noted.
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