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Code of Federal Regulations

Subpart E

Limitations on Payment for Services Covered Under Group Health Plans: General Provisions

411.100Basis and scope.411.101Definitions.411.102Basic prohibitions and requirements.411.103Prohibition against financial and other incentives.411.104Current employment status.411.106Aggregation rules.411.108Taking into account entitlement to Medicare.411.110Basis for determination of nonconformance.411.112Documentation of conformance.411.114Determination of nonconformance.411.115Notice of determination of nonconformance.411.120Appeals.411.121Hearing procedures.411.122Hearing officer's decision.411.124Administrator's review of hearing decision.411.126Reopening of determinations and decisions.411.130Referral to Internal Revenue Service (IRS).