Definitions and other rules

(A) Qualified health plan (i) 3 3 See Amendment of Subsection (c)(3)(A) note below. In general The term “qualified health plan” has the meaning given such term by section 1301(a) of the Patient Protection and Affordable Care Act, except that such term shall not include a qualified health plan which is a catastrophic plan described in section 1302(e) of such Act. (ii) 3 Pre-enrollment verification process required Such term shall not include any plan enrolled in through an Exchange, unless such Exchange provides a process for pre-enrollment verification through which any applicant may, beginning not later than August 1, verify with the Exchange the applicant’s household income and eligibility for enrollment in such plan for plan years beginning in the subsequent year. (iii) Exception in case of certain special enrollment periods Such term shall not include any plan enrolled in during a special enrollment period provided for by an Exchange— (I) on the basis of the relationship of the individual’s expected household income to such a percentage of the poverty line (or such other amount) as is prescribed by the Secretary of Health and Human Services for purposes of such period, and (II) not in connection with the occurrence of an event or change in circumstances specified by the Secretary of Health and Human Services for such purposes.

(B) Grandfathered health plan The term “grandfathered health plan” has the meaning given such term by section 1251 of the Patient Protection and Affordable Care Act.