Part 2590 — Rules and Regulations for Group Health Plans
Subpart A — Continuation Coverage, Qualified Medical Child Support Orders, Coverage for Adopted Children
Subpart B — Health Coverage Portability, Nondiscrimination, and Renewability
- § 2590.701-1— Basis and scope.
- § 2590.701-2— Definitions.
- § 2590.701-3— Limitations on preexisting condition exclusion period.
- § 2590.701-4— Rules relating to creditable coverage.
- § 2590.701-5— Evidence of creditable coverage.
- § 2590.701-6— Special enrollment periods.
- § 2590.701-7— HMO affiliation period as an alternative to a preexisting condition exclusion.
- § 2590.702— Prohibiting discrimination against participants and beneficiaries based on a health factor.
- § 2590.702-1— Additional requirements prohibiting discrimination based on genetic information.
- § 2590.702-2— Special rule allowing integration of Health Reimbursement Arrangements (HRAs) and other account-based group health plans with individual health insurance coverage and Medicare and prohibiting discrimination in HRAs and other account-based group health plans.
Subpart C — Other Requirements
- § 2590.711— Standards relating to benefits for mothers and newborns.
- § 2590.712— Parity in mental health and substance use disorder benefits.
- § 2590.712-1— Nonquantitative treatment limitation comparative analysis requirements.
- § 2590.715-1251— Preservation of right to maintain existing coverage.
- § 2590.715-2704— Prohibition of preexisting condition exclusions.
- § 2590.715-2705— Prohibiting discrimination against participants and beneficiaries based on a health factor.
- § 2590.715-2708— Prohibition on waiting periods that exceed 90 days.
- § 2590.715-2711— No lifetime or annual limits.
- § 2590.715-2712— Rules regarding rescissions.
- § 2590.715-2713— Coverage of preventive health services.
- § 2590.715-2713A— Accommodations in connection with coverage of preventive health services.
- § 2590.715-2714— Eligibility of children until at least age 26.
- § 2590.715-2715— Summary of benefits and coverage and uniform glossary.
- § 2590.715-2715A1— Transparency in coverage—definitions.
- § 2590.715-2715A2— Transparency in coverage—required disclosures to participants and beneficiaries.
- § 2590.715-2715A3— Transparency in coverage—requirements for public disclosure.
- § 2590.715-2719— Internal claims and appeals and external review processes.
- § 2590.715-2719A— Patient protections.
Subpart D — Surprise Billing and Transparency Requirements
- § 2590.716-1— Basis and scope.
- § 2590.716-2— Applicability.
- § 2590.716-3— Definitions.
- § 2590.716-4— Preventing surprise medical bills for emergency services.
- § 2590.716-5— Preventing surprise medical bills for non-emergency services performed by nonparticipating providers at certain participating facilities.
- § 2590.716-6— Methodology for calculating qualifying payment amount.
- § 2590.716-7— Complaints process for surprise medical bills regarding group health plans and group health insurance coverage.
- § 2590.716-8— Independent dispute resolution process.
- § 2590.717-1— Preventing surprise medical bills for air ambulance services.
- § 2590.717-2— Independent dispute resolution process for air ambulance services.
- § 2590.722— Choice of health care professional.
- § 2590.725-1— Definitions.
- § 2590.725-2— Reporting requirements related to prescription drug and health care spending.
- § 2590.725-3— Aggregate reporting.
- § 2590.725-4— Required information.