§ 147.100 Basis and scope
§ 147.102 Fair health insurance premiums
§ 147.103 State reporting
§ 147.104 Guaranteed availability of coverage
§ 147.106 Guaranteed renewability of coverage
§ 147.108 Prohibition of preexisting condition exclusions
§ 147.110 Prohibiting discrimination against participants, beneficiaries, and individuals based on a health factor
§ 147.116 Prohibition on waiting periods that exceed 90 days
§ 147.120 Eligibility of children until at least age 26
§ 147.126 No lifetime or annual limits
§ 147.128 Rules regarding rescissions
§ 147.130 Coverage of preventive health services
§ 147.131 Accommodations in connection with coverage of certain preventive health services
§ 147.132 Religious exemptions in connection with coverage of certain preventive health services
§ 147.133 Moral exemptions in connection with coverage of certain preventive health services
§ 147.136 Internal claims and appeals and external review processes
§ 147.138 Patient protections
§ 147.140 Preservation of right to maintain existing coverage
§ 147.145 Student health insurance coverage
§ 147.150 Coverage of essential health benefits
§ 147.160 Parity in mental health and substance use disorder benefits
§ 147.200 Summary of benefits and coverage and uniform glossary
§ 147.210 Transparency in coverage–definitions
§ 147.211 Transparency in coverage–required disclosures to participants, beneficiaries, or enrollees
§ 147.212 Transparency in coverage–requirements for public disclosure

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Terms Used In 45 CFR Part 147 - Health Insurance Reform Requirements for the Group and Individual Health Insurance Markets

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Contract: A legal written agreement that becomes binding when signed.
  • Dependent: A person dependent for support upon another.
  • Entitlement: A Federal program or provision of law that requires payments to any person or unit of government that meets the eligibility criteria established by law. Entitlements constitute a binding obligation on the part of the Federal Government, and eligible recipients have legal recourse if the obligation is not fulfilled. Social Security and veterans' compensation and pensions are examples of entitlement programs.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fiduciary: A trustee, executor, or administrator.
  • Fraud: Intentional deception resulting in injury to another.
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Rescission: The cancellation of budget authority previously provided by Congress. The Impoundment Control Act of 1974 specifies that the President may propose to Congress that funds be rescinded. If both Houses have not approved a rescission proposal (by passing legislation) within 45 days of continuous session, any funds being withheld must be made available for obligation.
  • Service of process: The service of writs or summonses to the appropriate party.
  • Testimony: Evidence presented orally by witnesses during trials or before grand juries.
  • Uphold: The decision of an appellate court not to reverse a lower court decision.