Subpart E. Subpart E—Limitations on Payment for Services Covered Under Group Health Plans: General Provisions

• § 411.100 - Basis and scope.
• § 411.101 - Definitions.
• § 411.102 - Basic prohibitions and requirements.
• § 411.103 - Prohibition against financial and other incentives.
• § 411.104 - Current employment status.
• § 411.106 - Aggregation rules.
• § 411.108 - Taking into account entitlement to Medicare.
• § 411.110 - Basis for determination of nonconformance.
• § 411.112 - Documentation of conformance.
• § 411.114 - Determination of nonconformance.
• § 411.115 - Notice of determination of nonconformance.
• § 411.120 - Appeals.
• § 411.121 - Hearing procedures.
• § 411.122 - Hearing officer's decision.
• § 411.124 - Administrator's review of hearing decision.
• § 411.126 - Reopening of determinations and decisions.
• § 411.130 - Referral to Internal Revenue Service (IRS).