Applicability of Federal Requirements to Selected Health Coverage Arrangements: An Overview [November 13, 2019] [open pdf - 444KB]
From the Introduction: "A majority of individuals in the United States have private health insurance coverage. In general, health plans sold in the private health insurance market (i.e., individual coverage, small- and large-group coverage, and self-insured plans) must comply with applicable federal and state health insurance requirements. [...] However, not all private health coverage arrangements comply with federal health insurance requirements. This includes 'exempted health coverage arrangements' and 'noncompliant health coverage arrangements', as discussed below. This document provides an overview of such arrangements."
CRS In Focus, IF11359
Congressional Research Service: https://crsreports.congress.gov/