Section 220-RICR-90-00-1.1 - PurposeA. The purpose of these Regulations is to establish certain Rules governing: 1. Individual eligibility for enrollment in a Qualified Health Plan;2. Individual eligibility for receipt of advance payments of the premium tax credit and cost sharing reductions;3. Enrollment of qualified individuals in a Qualified Health Plan;4. Initial open enrollment, annual open enrollment and special enrollment periods for qualified individuals;5. Premium payments and termination of coverage for qualified individuals;6. Eligibility for Minimum Essential Coverage exemptions;7. The operation of a SHOP Exchange, including enrollment of qualified employers and qualified employees into Qualified Health Plans;8. A mechanism for handling all Rhode Island Health Benefits Exchange Appeals; and9. Establishment of a trust to facilitate the collection and payment of premiums to Qualified Health Plan issuers and the receipt of payments for such products and services as may be offered by and/or through the Exchange related to the goals of improving the health, wellbeing and outcomes of all Rhode Islanders.B. Exchange Functions The Exchange carries out the functions described in 45 C.F.R. Part 155, incorporated below at sect; 1.3 of this Part.
C. Additional Guidance Policies and procedures for implementation of these Regulations may be established in manuals and other documents promulgated by the Exchange.
D. Relation to Other Laws Nothing in these Regulations shall preempt or otherwise conflict with any applicable State and Federal laws and Rules.
220 R.I. Code R. § 220-RICR-90-00-1.1
Amended effective 12/22/2019
Amended effective 12/31/2020
Amended effective 4/2/2023