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45 CFR 156.815

§ 156.815 Plan suppression.

United States · 45 CFR — Public Welfare · Status: effective

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45 CFR 156.815, § 156.815 Plan suppression, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/217787
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(a) Suppression means temporarily making a QHP certified to be offered through the Federally-facilitated Exchange unavailable for enrollment through the Federally-facilitated Exchange. (b) Grounds for suppression. A QHP may be suppressed as described in paragraph (a) of this section on one or more of the following grounds: (1) The QHP issuer notifies HHS of its intent to withdraw the QHP from a Federally-facilitated Exchange when one of the exceptions to guaranteed renewability of coverage related to discontinuing a particular product or discontinuing all coverage under § 147.106(c) or (d) of this subchapter applies; (2) Data submitted for the QHP is incomplete or inaccurate; (3) The QHP is in the process of being decertified as described in § 156.810(c) or (d), or the QHP issuer is appealing a completed decertification as described in subpart J of this part; (4) The QHP issuer offering the QHP is the subject of a pending, ongoing, or final State regulatory or enforcement action or determination that could affect the issuer's ability to enroll consumers or otherwise relates to the issuer offering QHPs in the Federally-facilitated Exchanges; or (5) One of the exceptions to guaranteed availability of coverage related to special rules for network plans or financial capacity limits under § 147.104(c) or (d) of this subchapter applies. (c) A multi-State plan as defined in § 155.1000(a) of this subchapter may be suppressed as described in paragraph (a) of this section if OPM notifies the Exchange that: (1) OPM has found a compliance violation within the multi-State plan, or (2) One of the grounds for suppression in paragraph (b) of this section exists for the multi-State plan.

Legislative history

This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.