§ 155.1080 Decertification of QHPs.

(a) Definition. The following definition applies to this section: Decertification means the termination by the Exchange of the certification status and offering of a QHP. (b) Decertification process. Except with respect to multi-State plans and CO-OP QHPs, the Exchange must establish a process for the decertification of QHPs, which, at a minimum, meets the requirements in this section. (c) Decertification by the Exchange. The Exchange may at any time decertify a health plan if the Exchange determines that the QHP issuer is no longer in compliance with the general certification criteria as outlined in § 155.1000(c). (d) Appeal of decertification. The Exchange must establish a process for the appeal of a decertification of a QHP. (e) Notice of decertification. Upon decertification of a QHP, the Exchange must provide notice of decertification to all affected parties, including: (1) The QHP issuer; (2) Exchange enrollees in the QHP who must receive information about a special enrollment period, as described in § 155.420; (3) HHS; and (4) The State department of insurance.