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45 C.F.R. Part 147 – Health Insurance Reform Requirements for the Group and Individual Health Insurance Markets | Midpage
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Code of Federal Regulations
Title 45
Subchapter B
Part 147
45 C.F.R. Part 147
Health Insurance Reform Requirements for the Group and Individual Health Insurance Markets
147.100
Basis and scope.
147.102
Fair health insurance premiums.
147.103
State reporting.
147.104
Guaranteed availability of coverage.
147.106
Guaranteed renewability of coverage.
147.108
Prohibition of preexisting condition exclusions.
147.110
Prohibiting discrimination against participants, beneficiaries, and individuals based on a health factor.
147.116
Prohibition on waiting periods that exceed 90 days.
147.120
Eligibility of children until at least age 26.
147.126
No lifetime or annual limits.
147.128
Rules regarding rescissions.
147.130
Coverage of preventive health services.
147.131
Accommodations in connection with coverage of certain preventive health services.
147.132
Religious exemptions in connection with coverage of certain preventive health services.
147.133
Moral exemptions in connection with coverage of certain preventive health services.
147.136
Internal claims and appeals and external review processes.
147.138
Patient protections.
147.140
Preservation of right to maintain existing coverage.
147.145
Student health insurance coverage.
147.150
Coverage of essential health benefits.
147.160
Parity in mental health and substance use disorder benefits.
147.200
Summary of benefits and coverage and uniform glossary.
147.210
Transparency in coverage—definitions.
147.211
Transparency in coverage—required disclosures to participants, beneficiaries, or enrollees.
147.212
Transparency in coverage—requirements for public disclosure.