Program Integrity Final Rule: Exchange, Premium Stabilization Programs, and Market Standards

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This final rule outlines financial integrity and oversight standards with respect to Affordable Insurance Exchanges, qualified health plan (QHP) issuers in Federally-facilitated Marketplaces (FFMs), and States with regard to the operation of risk adjustment and reinsurance programs. It also establishes additional standards for special enrollment periods, survey vendors that may conduct enrollee satisfaction surveys on behalf of QHP issuers, and issuer participation in an FFM, and makes certain amendments to definitions and standards related to the market reform rules.

Resource Details

Date: Oct 2013
Author: Department of Health and Human Services