45 CFR §155.1080
Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
- (a)Definition. The following definition applies to this section:
- (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.
- (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).
- (d)Appeal of decertification. The Exchange must establish a process for the appeal of a decertification of a QHP.
- (e)Notice of decertification. Upon decertification of a QHP, the Exchange must provide notice of decertification to all affected parties, including:
Decertification means the termination by the Exchange of the certification status and offering of a QHP.