Where are the rules applicable to federally-regulated health plans primarily found?

The rules applicable to federally-regulated health plans are primarily found in a federal statute. This is because federally-regulated health plans are governed by laws enacted at the federal level, which provide a framework for how these health plans must operate, including guidelines on coverage, rights of participants, and obligations of the plans themselves.

Federal statutes such as the Employee Retirement Income Security Act (ERISA) and the Affordable Care Act (ACA) set forth the standards for federally-regulated health plans, ensuring uniformity and minimum required protections for beneficiaries across states. These statutes are designed to ensure that participants in federally-regulated health plans receive certain rights and benefits and that there are consistent regulatory standards for the plans themselves.

While state regulations might apply to state-regulated health plans, they do not hold jurisdiction over federally-regulated plans. Insurance company policies and contractual agreements also play a role in defining specific terms and conditions between the insurer and the policyholder, but they are subject to the broader context of federal law. Therefore, when considering where to find the rules that govern federally-regulated health plans, federal statutes are the primary source.