42 C.F.R. § 403.245

Current through October 31, 2024
Section 403.245 - Loss of certification
(a) A policy loses certification if-
(1) The insuring organization withdraws the policy from the voluntary certification program; or
(2) CMS determines that-
(i) The policy fails to meet the requirements specified in § 403.232(a) ; or
(ii) The insuring organization has failed to meet the requirements for submittal of material specified in § 403.239 .
(b) If a policy loses its certification, CMS will inform all State Commissioners and Superintendents of Insurance of that fact.
(c) If a policy that displays the emblem, or that has been marketed as a certified policy without the emblem, loses certification, the insuring organization must notify each holder of the policy, or of a certificate issued under the policy, of that fact. The notice must be in writing and sent by the earlier of-
(1) The date of the first regular premium notice after the date the policy loses its certification; or
(2) 60 days after the date the policy loses its certification.

42 C.F.R. §403.245