StacksVerified U.S. regulatory reference

45 CFR §155.1080

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov
  1. (a)Definition. The following definition applies to this section:
  2. (b)Decertification process. Except with respect to multi-State plans and CO-OP QHPs, the Exchange must establish a process for the decertification of QHPs, which, at a minimum, meets the requirements in this section.
  3. (c)Decertification by the Exchange. The Exchange may at any time decertify a health plan if the Exchange determines that the QHP issuer is no longer in compliance with the general certification criteria as outlined in § 155.1000(c).
  4. (d)Appeal of decertification. The Exchange must establish a process for the appeal of a decertification of a QHP.
  5. (e)Notice of decertification. Upon decertification of a QHP, the Exchange must provide notice of decertification to all affected parties, including:
    1. (1)The QHP issuer;
    2. (2)Exchange enrollees in the QHP who must receive information about a special enrollment period, as described in § 155.420;
    3. (3)HHS; and
    4. (4)The State department of insurance.
Decertification means the termination by the Exchange of the certification status and offering of a QHP.