Health Insurance Reform Requirements for the Group and Individual Health Insurance Markets

  1. Law
  2. CFR 45
  3. Public Welfare
  4. Department of Health and Human Services
  5. Requirements Relating to Health Care Access
  6. Health Insurance Reform Requirements for the Group and Individual Health Insurance Markets

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Section
147.100

Basis and scope.

Section
147.102

Fair health insurance premiums.

Section
147.103

State reporting.

Section
147.104

Guaranteed availability of coverage.

Section
147.106

Guaranteed renewability of coverage.

Section
147.108

Prohibition of preexisting condition exclusions.

Section
147.110

Prohibiting discrimination against participants, beneficiaries, and individuals based on a health factor.

Section
147.116

Prohibition on waiting periods that exceed 90 days.

Section
147.120

Eligibility of children until at least age 26.

Section
147.126

No lifetime or annual limits.

Section
147.128

Rules regarding rescissions.

Section
147.130

Coverage of preventive health services.

Section
147.131

Accommodations in connection with coverage of certain preventive health services.

Section
147.132

Religious exemptions in connection with coverage of certain preventive health services.

Section
147.133

Moral exemptions in connection with coverage of certain preventive health services.

Section
147.136

Internal claims and appeals and external review processes.

Section
147.138

Patient protections.

Section
147.140

Preservation of right to maintain existing coverage.

Section
147.145

Student health insurance coverage.

Section
147.150

Coverage of essential health benefits.

Section
147.160

Parity in mental health and substance use disorder benefits.

Section
147.200

Summary of benefits and coverage and uniform glossary.

Section
147.210

Transparency in coverage - definitions.

Section
147.211

Transparency in coverage - required disclosures to participants, beneficiaries, or enrollees.

Section
147.212

Transparency in coverage - requirements for public disclosure.