Subpart A General Provisions
Subpart B State Notice of Benefit and Payment Parameters
Subpart C State Standards Related to the Reinsurance Program
Subpart D State Standards Related to the Risk Adjustment Program
Subpart E Health Insurance Issuer and Group Health Plan Standards Related to the Reinsurance Program
Subpart F Health Insurance Issuer Standards Related to the Risk Corridors Program
Subpart G Health Insurance Issuer Standards Related to the Risk Adjustment Program
Subpart H Distributed Data Collection for Hhs-Operated Programs

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Terms Used In 45 CFR Part 153 - Standards Related to Reinsurance, Risk Corridors, and Risk Adjustment Under the Affordable Care Act

  • 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.
  • Attachment: A procedure by which a person's property is seized to pay judgments levied by the court.
  • 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.
  • 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.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • 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.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Trustee: A person or institution holding and administering property in trust.
  • User fees: Fees charged to users of goods or services provided by the government. In levying or authorizing these fees, the legislature determines whether the revenue should go into the treasury or should be available to the agency providing the goods or services.