| (a) The purpose of this subchapter is to implement
Insurance Code Chapter 1698, concerning Rates for Certain Coverage,
and to establish an effective rate review program in the individual
and small group markets, consistent with 45 CFR §154.301, concerning
CMS's Determinations of Effective Rate Review Programs.
(b) This subchapter applies to a plan that is subject
to Insurance Code Chapter 1698.
(c) This subchapter does not apply to:
(1) "short-term limited-duration insurance" as defined
in Insurance Code Chapter 1509, concerning Short-Term Limited-Duration
Insurance;
(2) "grandfathered health plan coverage" as defined
by 45 CFR §147.140, concerning Preservation of Right to Maintain
Existing Coverage; or
(3) individual limited scope plans, including but not
limited to dental benefit plans and vision benefit plans.
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