Source: https://taxcredits.healthreformquotes.com/individual-mandate/mandated-get-health-insurance/5000-requirement-maintain-minimum-essential-coverage/minimum-essential-coverage/qhp-qualified-health-plan-standards-definition/
Timestamp: 2019-04-22 20:38:28+00:00

Document:
(iv) complies with the regulations developed by the Secretary under section 18031(d) of this title and such other requirements as an applicable Exchange may establish.
Any reference in this title  1 to a qualified health plan shall be deemed to include a qualified health plan offered through the CO–OP program under section 18042 of this title, and a multi-State plan under section 18054 of this title, unless specifically provided for otherwise.
The Secretary of Health and Human Services shall permit a qualified health plan to provide coverage through a qualified direct primary care medical home plan that meets criteria established by the Secretary, so long as the qualified health plan meets all requirements that are otherwise applicable and the services covered by the medical home plan are coordinated with the entity offering the qualified health plan.
A qualified health plan, including a multi-State qualified health plan, may as appropriate vary premiums by rating area (as defined in section 300gg(a)(2) of this title).
The term “health plan” means health insurance coverage and a group health plan.
the term “health plan” shall not include a group health plan or multiple employer welfare arrangement to the extent the plan or arrangement is not subject to State insurance regulation under section 1144 of title 29.
The terms “health insurance coverage” and “health insurance issuer” have the meanings given such terms by section 300gg–91(b) of this title.
The term “group health plan” has the meaning given such term by section 300gg–91(a) of this title.
§156.200 QHP issuer participation standards.
§156.215 Advance payments of the premium tax credit and cost-sharing reduction standards.
§156.225 Marketing and Benefit Design of QHPs.
§156.245 Treatment of direct primary care medical homes.
§156.250 Meaningful access to qualified health plan information.
§156.260 Enrollment periods for qualified individuals.
§156.265 Enrollment process for qualified individuals.
§156.270 Termination of coverage or enrollment for qualified individuals.
§156.275 Accreditation of QHP issuers.
§156.280 Segregation of funds for abortion services.
§156.285 Additional standards specific to SHOP.
§156.290 Non-renewal and decertification of QHPs.
§156.295 Prescription drug distribution and cost reporting.
§156.298 Meaningful difference standard for Qualified Health Plans in the Federally-facilitated Exchanges.

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