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HHS/CMS

RIN: 0938-AI08

Publication ID: Spring 1997

Title: ●Portability and Nondiscrimination in the Group Health Insurance Market (BPD-890-IFC)
Abstract: This interim final rule sets forth minimum requirements applicable with respect to group health plans and health insurance issuers offering group health insurance coverage. A group health plan or health insurance issuer offering group health coverage may provide greater rights to participants and beneficiaries than those currently provided. This rule includes the following: (1) Limitations on preexisting condition exclusion periods. (2) Certification and disclosure of previous coverage. (3) Special enrollment periods for individuals (and dependents) losing other coverage. (4) Use of affiliation period by HMOs as alternative to preexisting condition exclusion. (5) Prohibited discrimination against individual participants and beneficiaries based on health status. (6) Guaranteed renewability in multi employer plans and multiple employer welfare arrangements.
Agency: Department of Health and Human Services(HHS)	Priority: Other Significant
RIN Status: First time published in the Unified Agenda	Agenda Stage of Rulemaking: Final Rule Stage
Major: Yes	Unfunded Mandates: No
CFR Citation: 45 CFR 146 (New)
Legal Authority: 42 USC 201

Legal Deadline:

Action	Source	Description	Date
Final	Statutory		04/01/1997

Timetable:

Action	Date	FR Cite
Interim Final Rule	04/08/1997	62 FR 16894
Interim Final Rule Effective	06/07/1997
Interim Final Rule Comment Period End	07/07/1997

Additional Information: BPD-890-IFC
Regulatory Flexibility Analysis Required: Yes	Government Levels Affected: Federal
Small Entities Affected: Businesses
Included in the Regulatory Plan: No
Agency Contact: Julie Walton Insurance Reform Implementation Task Force Department of Health and Human Services Centers for Medicare & Medicaid Services 7500 Security Boulevard, Baltimore, MD 21244 Phone:410 786-4622