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Regulations

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Summary
Regulations

 

Summary:

HIPAA has separate provisions for the large and small group markets, and the individual market. The group market is the health insurance market under which individuals obtain health insurance coverage (directly or through any arrangement) on behalf of themselves and their dependents through a group health plan maintained by an employer, a union, or both. The individual market is the market for health insurance coverage offered to individuals other than in connection with a group health plan.

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Regulations:

  • Nondiscrimination in Health Coverage in the Group Market; Interim Final Rules and Proposed Rules, (45 CFR Part 146), January 8, 2001
    Delay Notice     PDF (401K)     Factsheet (PDF 17K)     Q's and A's

  • Notice of Proposed Rulemaking for Bona Fide Wellness Programs (45 CFR Part 146), January 8, 2001
    PDF 180K

  • Federal Enforcement in Group and Individual Health Insurance Markets; Interim Rule, (45 CFR Parts 144, 146, 148, and 150), August 20, 1999
    PDF 167K

  • Group Health Plans and Health Insurance Issuers Under the Newborns' and Mothers' Health Protection Act, (45 CFR Parts 144, 146, and 148), October 27, 1998
    PDF 158K

  • Mental Health Parity; Interim Rules, HIPAA Mental Health Parity Act; Proposed Rule, December 22, 1997
    PDF 389K

  • Health Insurance Portability for Group Health Plans; Interim Rules and Proposed Rule (45 CFR Subtitle A, Parts 144 and 146, 45 CFR Part 148) April 8, 1997
    PDF 654K

  • Individual Market Health Insurance Reform: Portability From Group to Individual Coverage; Federal Rules for Access in the Individual Market; State Alternative Mechanisms to Federal Rules, (45 CFR Part 148), April 8, 1997
    PDF 150K

  • Regulation Text Regarding Self-Funded Nonfederal Governmental Plans (45 CFR 146.180)
    PDF 9K     Text

Questions and Answers for the Nondiscrimination regulation were developed by the U.S. Department of Labor. You may view the Qs and As by going to the Department of Labor's website.

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Last Modified on Friday, September 17, 2004