Source: https://www.ecfr.gov/cgi-bin/text-idx?mc=true&node=20200514y1.16
Timestamp: 2020-07-12 21:37:53
Document Index: 352186006

Matched Legal Cases: ['ART 155', '§155', '§155', '§155', '§155', '§155']

45 CFR--PART 155
View Printed Federal Register page 85 FR 29260 in PDF format.
Amendment(s) published May 14, 2020, in 85 FR 29260
6. Section 155.400 is amended by revising paragraphs (e)(1)(i) through (iii) and removing paragraph (e)(1)(iv) to read as follows:
§155.400 Enrollment of qualified individuals into QHPs.
(i) For prospective coverage to be effectuated under regular coverage effective dates, as provided for in §155.410(f), the binder payment must consist of the first month's premium, and the deadline for making the binder payment must be no earlier than the coverage effective date, and no later than 30 calendar days from the coverage effective date.
(ii) For prospective coverage to be effectuated under special effective dates, as provided for in §155.420(b)(2) and (3), the binder payment must consist of the first month's premium, and the deadline for making the binder payment must be no earlier than the coverage effective date and no later than 30 calendar days from the date the issuer receives the enrollment transaction or the coverage effective date, whichever is later.
(iii) For coverage to be effectuated under retroactive effective dates, as provided for in §155.420(b)(2), including when retroactive effective dates are due to a delay until after special enrollment period verification, the binder payment must consist of the premium due for all months of retroactive coverage through the first prospective month of coverage, and the deadline for making the binder payment must be no earlier than 30 calendar days from the date the issuer receives the enrollment transaction. If only the premium for 1 month of coverage is paid, only prospective coverage should be effectuated, in accordance with §155.420(b)(3).