Fed Regist. 2015 Nov 18;80(222):72191-294.
This document contains final regulations regarding grandfathered health plans, preexisting condition exclusions, lifetime and annual dollar limits on benefits, rescissions, coverage of dependent children to age 26, internal claims and appeal and external review processes, and patient protections under the Affordable Care Act. It finalizes changes to the proposed and interim final rules based on comments and incorporates subregulatory guidance issued since publication of the proposed and interim final rules.
本文件包含有关享有优惠条件的健康计划、既往病症排除条款、终身和年度福利金额限制、保险单撤销、26岁以下受抚养子女保险范围、内部理赔与申诉以及外部审查程序,以及《平价医疗法案》规定的患者保护措施的最终法规。它根据收到的意见确定了对拟议和暂行最终规则的修改,并纳入了自拟议和暂行最终规则发布以来发布的次级监管指南。