Section 4500.120  Standards for QHP Issuers in Specific Types of Exchanges

a)         Until the Exchange operates as a State-based Exchange, a QHP issuer must comply with the requirements related to changes in ownership provided in 45 CFR 156.330 (Oct. 30, 2013) (no later editions or amendments). When the Exchange operates as a State-based Exchange, this Section incorporates 45 CFR 156.330 with "State-based Exchange" substituted for "Federally-facilitated Exchange" and "Illinois Exchange" substituted for "HHS."

b)         A QHP issuer must comply with the requirements related to downstream and delegated entities depending on the type of Exchange in operation as provided in 45 CFR 156.340 (May 6, 2022) (no later editions or amendments).

c)         Until the Exchange operates as a State-based Exchange, a QHP issuer must comply with the requirements related to eligibility and enrollment standards in the manner provided in 45 CFR 156.350.

(Source:  Amended at 49 Ill. Reg. 14672, effective October 28, 2025)