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.