42 CFR 417.153
§ 417.153 Offer of HMO alternative.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 417.153, § 417.153 Offer of HMO alternative, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/204176
- Permanent ID
ys:prov:204176@1- SHA-256
8e0935801df6da2ff80645464f4eff5e780d1e0c45f37d963ca26f556dfb3099
The hash is SHA-256 of this version's text, with every run of whitespace collapsed to a single space and the ends trimmed. The ID always leads back here, and checking it says whether the text you cited is still the current version.
Full text
(a) Basic rule. An employing entity that is subject to this subpart and that elects to include one or more qualified HMOs must offer the HMO alternative in accordance with this section.
(b) Employees to whom the HMO option must be offered. Each employing entity must offer the option of enrollment in a qualified HMO to each eligible employee and his or her eligible dependents who reside in the HMO's service area.
(c) Manner of offering the HMO option.
(1) For employees who are represented by a bargaining representative, the option of enrollment in a qualified HMO—
(i) Must first be presented to the bargaining representative; and
(ii) If the representative accepts the option, must then be offered to each represented employee.
(2) For employees not represented by a bargaining representative, the option must be offered directly to those employees.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.