Regulations
- Market Reform Final Rules
- Amendment to the Interim Final Rule
- Correction
- Interim Final Rule
- NAIC Uniform Review Model Act
- Public Comments in Interim Final Rule
- Public Comments on Amendment to Interim Final Rule
Guidance
- Technical Release 2013-01 — Extension of the transition period for the temporary NAIC-similar State external review process under ACA
- Technical Release 2011-02 — Guidance on external review for group health plans and health insurance issuers offering group and individual health coverage, and guidance for states on external review processes
- Technical Release 2011-01 — Extension of non-enforcement period relating to certain interim procedures for internal claims and appeals under ACA
- Technical Release 2010-02 — Interim procedures for internal claims and appeals under ACA
- Technical Release 2010-01 — Interim procedures for federal external review relating to internal claims and appeals and external review under ACA
- Revised Model Notice of Adverse Benefit Determination
- Revised Model Notice of Final Internal Adverse Benefit Determination
- Revised Model Notice of Final External Review Decision | en español
- Consumer Assistance Programs
- Status of State External Review Processes
- 2016 Culturally and Linguistically Appropriate Services (CLAS) County Data - for plans years beginning prior to 1/1/25
- 2023 Culturally and Linguistically Appropriate Services (CLAS) County Data - for plans years beginning on or after 1/1/25