42 C.F.R. § 417.164   Effect of revocation of qualification on inclusion in employee's health benefit plans.


Title 42 - Public Health


Title 42: Public Health
PART 417—HEALTH MAINTENANCE ORGANIZATIONS, COMPETITIVE MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS
Subpart F—Continued Regulation of Federally Qualified Health Maintenance Organizations

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§ 417.164   Effect of revocation of qualification on inclusion in employee's health benefit plans.

When an HMO's qualification is revoked under §417.163(d), the following rules apply:

(a) The HMO may not seek inclusion in employees health benefits plans under subpart E of this part.

(b) Inclusion of the HMO in an employer's health benefits plan—

(1) Is disregarded in determining whether the employer is subject to the requirements of subpart E of this part; and

(2) Does not constitute compliance with subpart E of this part by the employer.

[59 FR 49842, Sept. 30, 1994, as amended at 61 FR 27288, May 31, 1996]

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