42 CFR 440.350
§ 440.350 Employer-sponsored insurance health plans.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 440.350, § 440.350 Employer-sponsored insurance health plans, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/206252
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Full text
(a) A State may provide benchmark or benchmark-equivalent coverage by obtaining employer sponsored health plans (either alone or with additional services covered separately under Medicaid) for individuals with access to private health insurance.
(b) The State must assure that employer sponsored plans meet the requirements of benchmark or benchmark-equivalent coverage, including the economy and efficiency requirements at § 440.370.
(c) A State may provide benchmark or benchmark-equivalent coverage through a combination of employer sponsored health plans and additional benefit coverage provided by the State that wraps around the employer sponsored health plan which, in the aggregate, results in benchmark or benchmark-equivalent level of coverage for those individuals.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.