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42 U.S.C. § 18044Level playing field

submitted 16 years ago by Pub. L. 111-148 to r/title-42-THE-PUBLIC-HEALTH-AND-WELFARE · 141 words · no verdicts yet

in plain englishAI-generated · not legal advice

If a CO-OP plan or a multi-State plan is exempt from a particular federal or state insurance law, private insurers selling similar coverage get that same exemption. The rule covers thirteen listed categories of insurance law, including rating rules, preexisting conditions, licensure, and privacy.

(a) In general If a private insurer sells a health plan, and a CO-OP plan under section 18042, or a multi-State plan under section 18054, is not subject to some federal or state law listed in subsection (b), then the private insurer's plan is not subject to that law either, no matter what any other law would otherwise say. (b) Laws described This rule covers federal and state laws about: guaranteed renewal; rating; preexisting conditions; non-discrimination; quality improvement and reporting; fraud and abuse; solvency and financial requirements; market conduct; prompt payment; appeals and grievances; privacy and confidentiality; licensure; and benefit plan material or information.
the actual law source: uscode.house.gov ↗public domain
(a) In general

Notwithstanding any other provision of law, any health insurance coverage offered by a private health insurance issuer shall not be subject to any Federal or State law described in subsection (b) if a qualified health plan offered under the Consumer Operated and Oriented Plan program under section 18042 of this title, or a multi-State qualified health plan under section 18054 of this title, is not subject to such law.

(b) Laws described

The Federal and State laws described in this subsection are those Federal and State laws relating to—

(1)

guaranteed renewal;

(2)

rating;

(3)

preexisting conditions;

(4)

non-discrimination;

(5)

quality improvement and reporting;

(6)

fraud and abuse;

(7)

solvency and financial requirements;

(8)

market conduct;

(9)

prompt payment;

(10)

appeals and grievances;

(11)

privacy and confidentiality;

(12)

licensure; and

(13)

benefit plan material or information.

Source credit: (Pub. L. 111–148, title I, § 1324, title X, § 10104(n), Mar. 23, 2010, 124 Stat. 199, 902.)

history & why it existsrecord from the source credit
  • 2010Enacted · Pub. L. 111-148 · 124 Stat. 199, 902

A history note hasn’t been published yet. The record shows enactment by Pub. L. 111-148 on 2010-03-23.

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