ALJincludes a member or members of the Departmental Appeals Board who are designated to conduct a hearing.
knowinglyhas the meaning set forth in 31 U.S.C. 3729(b)(1)(A).
material changemeans the addition of a benefit option that does not impact the actuarial value of the retiree prescription drug coverage under the sponsor's plan such that it no longer meets the standards set forth in paragraph (d)(1)(i) or (ii) of this section.
partymeans the affected party or CMS, as appropriate.
review entitymeans an entity of up to three reviewers who are ALJs or members of the Departmental Appeals Board, as determined by the Secretary.