# Requirements for the Group Health Insurance Market; Non-Federal Governmental Plans Exempt From HIPAA Title I Requirements
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2004-07-23 · Effective 2002-09-24 · 69 FR 43926
## Document
- **Document number:** 04-16792
- **Category:** hipaa-privacy
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 69 FR 43926
- **CFR reference:** 45 CFR 146
- **Publication date:** 2004-07-23
- **Effective date:** 2002-09-24
- **HHS docket:** CMS-2033-F
## Abstract

This rule finalizes existing exemption election requirements that apply to self-funded non-Federal governmental plans. In it, we clarify the conditions under which plan sponsors may exempt these plans from most of the requirements of title XXVII of the PHS Act, and provide guidance on the procedures, limitations, and documentation associated with exemption elections. Finally, we revise the requirements to reinforce beneficiary protections for exemption elections.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2004/07/23/04-16792/requirements-for-the-group-health-insurance-market-non-federal-governmental-plans-exempt-from-hipaa)
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