StacksVerified U.S. regulatory reference

42 CFR §457.510

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
When a State imposes premiums, enrollment fees, or similar fees on enrollees, the State plan must describe—
  1. (a)The amount of the premium, enrollment fee or similar fee imposed on enrollees;
  2. (b)The time period for which the charge is imposed;
  3. (c)The group or groups that are subject to the premiums, enrollment fees, or similar charges;
  4. (d)The consequences for an enrollee or applicant who does not pay a charge, and the disenrollment protections adopted by the State in accordance with § 457.570; and
  5. (e)The methodology used to ensure that total cost-sharing liability for a family does not exceed the cumulative cost-sharing maximum specified in § 457.560.