Source: https://www.law.cornell.edu/cfr/text/45/156.111
Timestamp: 2020-04-04 06:43:56
Document Index: 107604851

Matched Legal Cases: ['§ 156', '§ 156', '§ 156', '§ 156', '§ 156', '§ 156', '§ 156', '§ 156', '§ 156', '§ 144', '§ 156', '§ 146', '§ 148', '§ 156', '§ 156', '§ 156', '§ 156', '§ 156']

45 CFR § 156.111 - State selection of EHB-benchmark plan for plan years beginning on or after January 1, 2020. | CFR | US Law | LII / Legal Information Institute
Section 156.111. State selection of EHB-benchmark plan for plan years beginning on or after January 1, 2020.
45 CFR § 156.111 - State selection of EHB-benchmark plan for plan years beginning on or after January 1, 2020.
§ 156.111 State selection of EHB-benchmark plan for plan years beginning on or after January 1, 2020.
(1) Selecting the EHB-benchmark plan that another State used for the 2017 plan year under §§ 156.100 and 156.110;
(2) Replacing one or more categories of EHBs established at § 156.110(a) in the State's EHB-benchmark plan used for the 2017 plan year with the same category or categories of EHB from the EHB-benchmark plan that another State used for the 2017 plan year under §§ 156.100 and 156.110; or
(1) EHB coverage. Provide coverage of items and services for at least the categories of benefits at § 156.110(a), including an appropriate balance of coverage for these categories of benefits.
(2) Scope of benefits.
(i) Provide a scope of benefits equal to, or greater than, to the extent any supplementation is required to provide coverage within each EHB category at § 156.110(a), the scope of benefits provided under a typical employer plan, defined as either:
(A) One of the selecting State's 10 base-benchmark plan options established at § 156.100, and available for the selecting State's selection for the 2017 plan year; or
(B) The largest health insurance plan by enrollment within one of the five largest large group health insurance products by enrollment in the State, as product and plan are defined at § 144.103 of this subchapter, provided that:
(2) The plan provides minimum value, as defined under § 156.145;
(3) The benefits are not excepted benefits, as established under § 146.145(b), and § 148.220 of this subchapter; and
(B) Any of the State's base-benchmark plan options for the 2017 plan year described in § 156.100(a)(1), supplemented as necessary under § 156.110.
(iii) Not have benefits unduly weighted towards any of the categories of benefits at § 156.110(a);
(v) Not include discriminatory benefit designs that contravene the non-discrimination standards defined in § 156.125.
(d) A State must notify HHS of the selection of a new EHB-benchmark plan by a date to be determined by HHS for each applicable plan year.
(i) That the State's EHB-benchmark plan provides a scope of benefits that is equal to, or greater than, to the extent any supplementation is required to provide coverage within each EHB category at § 156.110(a), the scope of benefits provided under a typical employer plan, as defined at (b)(2)(i) of this section; and
[83 FR 17068, Apr. 17, 2018]