…present insurance risk selection or risk segmentation, rather than random acute events; Whether the HCCs represent poor quality of care; and Whether the HCC is applicable to the model age group. We also included a factor to measure increased utilization due to receipt of CSRs. Ea…

…ainst potentially discriminatory risk pooling practices. We note that nothing prevents a State from requiring broader risk pooling with respect to student health insurance coverage than provided for in this final rule (for example, requiring each student health insurance issuer t…

… → Petăr I.) 49–50, 78, 96–97, 122, Mumahhid ad-Dawla Abū l-Manṣūr 152, 18063, 257–260, 283 || #34 Saʿīd b. Marwān (Emir v. Maǧǧā- Maria v. Antiochien (Frau d. → Ma- farīqīn 9./10. Jh.) 192, 279 || #47 nuēl I. Komnēnos) #112 Mundos (Sohn d. Kg.s d. Gepiden 6. Maria (Frau d. bulga…

…nalized new special enrollment periods related to untimely notice of triggering events, cessation of employer contributions or government subsidies to COBRA continuation coverage, and loss of APTC eligibility. In the September 27, 2021 Federal Register ( 86 FR 53412 ) (part 3 of …

…9 ( 42 U.S.C. 18021-18024 , 18031-18032 , 18041-18042 , 18044 , 18054 , 18061 , 18063 , 18071 , 18082 , 26 U.S.C. 36B , and 31 U.S.C. 9701 ). List of Subjects 26 CFR Part 54 Excise taxes Health care Health insurance Pensions Reporting and recordkeeping requirements 29 CFR Part 25…

… concerns into their decision-making. This reading of section 2713(a)(4) also prevents the statute from being interpreted in a cramped way that allows no flexibility or tailoring, and that would force the Departments to choose between ignoring religious objections in violation of…

…dvantage of having many undesirable side effects[,] are associated with adverse events, and obese women are at higher risk for serious complications such as deep venous thrombosis.” [ 39 ] In addition, IOM 2011 stated that “[l]ong-term use of oral contraceptives has been shown to…

…ainst potentially discriminatory risk pooling practices. We note that nothing prevents a State from requiring broader risk pooling with respect to student health insurance coverage than provided for in this final rule (for example, requiring each student health insurance issuer t…

…ainst potentially discriminatory risk pooling practices. We note that nothing prevents a State from requiring broader risk pooling with respect to student health insurance coverage than provided for in this final rule (for example, requiring each student health insurance issuer t…

…er-based prior authorization system, including life-threatening adverse medical events, missed, or abandoned treatments, hospitalization, and permanent bodily damage. The provisions of this proposed rule, if finalized, could be an important step in reducing these adverse health e…

…ainst potentially discriminatory risk pooling practices. We note that nothing prevents a State from requiring broader risk pooling with respect to student health insurance coverage than provided for in this final rule (for example, requiring each student health insurance issuer t…

…tual arrangement in effect as of the publication date of this final rule that prevents it from offering coverage to an employer that is located outside the issuer's service area as required under section 2702 of the PHS Act, if the following conditions are met: (1) An affiliate i…

…quire QHP issuers to send to enrollees a termination notice for all termination events. We also are amending the regulation addressing state selection of EHB-benchmark plans to require the reporting of state-required benefits. We also offer QHP issuers the option to design value-…

…rminology used at § 155.420(d) to describe special enrollment period triggering events. We do not anticipate that this wording change will create additional cost or burden for Exchanges or for any other stakeholders. Comment: We received broad support from commenters for the prop…

…rminology used at § 155.420(d) to describe special enrollment period triggering events. We do not anticipate that this proposed wording change will create additional cost or burden for Exchanges or for any other stakeholders. We seek comment on these proposals. 4. Eligibility Sta…