Ambulatory Patient Services (EHB) (Cont’d) Applications Carrier must 45 CFR The federal statutory guaranteed issue requirement and implementing rule Submit 147.104(a) do not distinguish between exchange and non-exchange products and do Application not except plans from the requirement that all products approved for sale to be Used in the individual market must be made available to any individual who for Direct applies for any of those products inside or outside the exchange. Carriers Sale of must submit an application to be used for the direct sale of Exchange-only products outside of the Exchange when requested. Plans
Ambulatory Patient Services (EHB) (Cont’d) Applications Carrier must Submit Application to be Used for Direct Sale of Plans 45 CFR 147.104(a) The federal statutory guaranteed issue requirement and implementing rule do not distinguish between exchange and non-exchange products and do not except plans from the requirement that all products approved for sale in the individual market must be made available to any individual who applies for any of those products inside or outside the exchange. Carriers must submit an application to be used for the direct sale of Exchange-only products outside of the Exchange when requested.
checklist-forms-2018-hmo-individual-analyst-checklist.docx