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37
1 periodic updating of the benefit standards previously
2 adopted under this section.
3 (3) REQUIREMENT.—The Secretary may not
4 adopt any benefit standards for an essential benefits
5 package or for level of cost-sharing that are incon-
6 sistent with the requirements for such a package or
7 level under sections 122 and 123(b)(5).
8 Subtitle D—Additional Consumer
9 Protections
10 SEC. 131. REQUIRING FAIR MARKETING PRACTICES BY

11 HEALTH INSURERS.

12 The Commissioner shall establish uniform marketing

13 standards that all insured QHBP offering entities shall
14 meet.
15 SEC. 132. REQUIRING FAIR GRIEVANCE AND APPEALS

16 MECHANISMS.

17 (a) IN GENERAL.—A QHBP offering entity shall pro-

18 vide for timely grievance and appeals mechanisms that the
19 Commissioner shall establish.
20 (b) INTERNAL CLAIMS AND APPEALS PROCESS.—
21 Under a qualified health benefits plan the QHBP offering
22 entity shall provide an internal claims and appeals process
23 that initially incorporates the claims and appeals proce-
24 dures (including urgent claims) set forth at section
25 2560.503–1 of title 29, Code of Federal Regulations, as

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