Part 150 — CMS Enforcement in Group and Individual Insurance Markets
Subpart A — General Provisions
Subpart B — CMS Enforcement Processes for Determining Whether States Are Failing To Substantially Enforce PHS Act Requirement
- § 150.201— State enforcement.
- § 150.203— Circumstances requiring CMS enforcement.
- § 150.205— Sources of information triggering an investigation of State enforcement.
- § 150.207— Procedure for determining that a State fails to substantially enforce PHS Act requirements.
- § 150.209— Verification of exhaustion of remedies and contact with State officials.
- § 150.211— Notice to the State.
- § 150.213— Form and content of notice.
- § 150.215— Extension for good cause.
- § 150.217— Preliminary determination.
- § 150.219— Final determination.
- § 150.221— Transition to State enforcement.
Subpart C — CMS Enforcement With Respect to Issuers and Non-Federal Governmental Plans—Civil Money Penalties
- § 150.301— General rule regarding the imposition of civil money penalties.
- § 150.303— Basis for initiating an investigation of a potential violation.
- § 150.305— Determination of entity liable for civil money penalty.
- § 150.307— Notice to responsible entities.
- § 150.309— Request for extension.
- § 150.311— Responses to allegations of noncompliance.
- § 150.313— Market conduct examinations.
- § 150.315— Amount of penalty—General.
- § 150.317— Factors CMS uses to determine the amount of penalty.
- § 150.319— Determining the amount of the penalty—mitigating circumstances.
- § 150.321— Determining the amount of penalty—aggravating circumstances.
- § 150.323— Determining the amount of penalty—other matters as justice may require.
- § 150.325— Settlement authority.
- § 150.341— Limitations on penalties.
- § 150.343— Notice of proposed penalty.
- § 150.345— Appeal of proposed penalty.
- § 150.347— Failure to request a hearing.
Subpart D — Administrative Hearings
- § 150.401— Definitions.
- § 150.403— Scope of ALJ's authority.
- § 150.405— Filing of request for hearing.
- § 150.407— Form and content of request for hearing.
- § 150.409— Amendment of notice of assessment or request for hearing.
- § 150.411— Dismissal of request for hearing.
- § 150.413— Settlement.
- § 150.415— Intervention.
- § 150.417— Issues to be heard and decided by ALJ.
- § 150.419— Forms of hearing.
- § 150.421— Appearance of counsel.
- § 150.423— Communications with the ALJ.
- § 150.425— Motions.
- § 150.427— Form and service of submissions.
- § 150.429— Computation of time and extensions of time.
- § 150.431— Acknowledgment of request for hearing.
- § 150.435— Discovery.
- § 150.437— Submission of briefs and proposed hearing exhibits.
- § 150.439— Effect of submission of proposed hearing exhibits.
- § 150.441— Prehearing conferences.
- § 150.443— Standard of proof.
- § 150.445— Evidence.
- § 150.447— The record.
- § 150.449— Cost of transcripts.
- § 150.451— Posthearing briefs.
- § 150.453— ALJ decision.
- § 150.455— Sanctions.
- § 150.457— Review by Administrator.
- § 150.459— Judicial review.
- § 150.461— Failure to pay assessment.
- § 150.463— Final order not subject to review.
- § 150.465— Collection and use of penalty funds.