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Regulations last checked for updates: Jun 15, 2025
Title 42 - Public Health last revised: Jun 03, 2025
All Titles
Title 42
Chapter IV
Part 411
Subpart E - Subpart E—Limitations on Payment for Services Covered Under Group Health Plans: General Provisions
§ 411.100 - Basis and scope.
§ 411.101 - Definitions.
§ 411.102 - Basic prohibitions and requirements.
§ 411.103 - Prohibition against financial and other incentives.
§ 411.104 - Current employment status.
§ 411.106 - Aggregation rules.
§ 411.108 - Taking into account entitlement to Medicare.
§ 411.110 - Basis for determination of nonconformance.
§ 411.112 - Documentation of conformance.
§ 411.114 - Determination of nonconformance.
§ 411.115 - Notice of determination of nonconformance.
§ 411.120 - Appeals.
§ 411.121 - Hearing procedures.
§ 411.122 - Hearing officer's decision.
§ 411.124 - Administrator's review of hearing decision.
§ 411.126 - Reopening of determinations and decisions.
§ 411.130 - Referral to Internal Revenue Service (IRS).
authority:
42 U.S.C. 1302
,
1395w
,
1395hh
,
and
source:
54 FR 41734, Oct. 11, 1989, unless otherwise noted.
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