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Limitations on Payment for Services Covered Under Group Health Plans: General Provisions | Midpage
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Code of Federal Regulations
Title 42
Chapter IV
Subchapter B
Part 411
Subpart E
Limitations on Payment for Services Covered Under Group Health Plans: General Provisions
411.100
Basis and scope.
411.101
Definitions.
411.102
Basic prohibitions and requirements.
411.103
Prohibition against financial and other incentives.
411.104
Current employment status.
411.106
Aggregation rules.
411.108
Taking into account entitlement to Medicare.
411.110
Basis for determination of nonconformance.
411.112
Documentation of conformance.
411.114
Determination of nonconformance.
411.115
Notice of determination of nonconformance.
411.120
Appeals.
411.121
Hearing procedures.
411.122
Hearing officer's decision.
411.124
Administrator's review of hearing decision.
411.126
Reopening of determinations and decisions.
411.130
Referral to Internal Revenue Service (IRS).