45 CFR § 152.32 Pre-Existing Condition Insurance Plan Program

§ 152.32 Use of funds.

Current through Aug 10, 2026 · Read all of Part 152

(a) Limitation on use of funding. All funds awarded through the contracts established under this program must be used exclusively to pay allowable claims and administrative costs incurred in the development and operation of the PCIP that are in excess of the amounts of premiums collected from individuals enrolled in the program.

(b) Limitation on administrative expenses. No more than 10 percent of available funds shall be used for administrative expenses over the life of the contract with the PCIP, absent approval from HHS.

← § 152.28 Preventing insurer dumping.§ 152.33 Initial allocation of funds. →