Covered Group Health Plans: ERISA Section 408(b)(2)(B) covers insured and self-insured group health plans. Excepted Benefits: Excepted benefits are subject to the ERISA Section 408(b)(2)(B) disclosure requirements. Definition of Covered Service Providers:...
The Employee Retirement Income Security Act (ERISA) 1 established important new reporting and disclosure requirements for employee benefit plans, including health plans. Besides specifying the information that plan administrators must provide to employees, ERISA requires that it be presented in ...
The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that requires employers to abide by specific regulations concerning their health and welfare benefit plans. ERISA’s disclosure requirements are the responsibility of the employer, not the insurance company. Failure to comply...
Final ACA Section 1557 Nondiscrimination Rules: New Requirements for Group Health Plans, H... October 1, 2024 • CLE • CLE On-Demand This CLE webinar will provide guidance on the U.S. Department of Health and Human Services (HHS) Office for Civil Rights' (OCR) recently issued final...
Interim rules amending ERISA disclosure requirements for group health plans--DoL Interim rules with request for comments This document contains interim rules governing the content of the summary plan description (SPD) for group health plans, the furnishing of summaries of material reductions in covered...
Do you haveplan documentsandsummary plandescriptions for your ERISA plans? Are they up-to-date? Do they satisfyDOL requirements? Do you have contracts in place with yourplan providers? (TPA's, recordkeepers, etc.) Are the terms of plans followed in operation?
and limitations imposed on mental health and substance use disorder benefits. In accordance with the MHPAEA’s requirements, the investigations focus on cost sharing, benefit limitations, and administrative practices that could impact parity, such as medical necessity requirements, and testing ...
and the courts issue new decisions interpreting these laws nearly every year. According to the Department of Labor, 65% of EBSA civil investigations result in monetary recovery or other corrective action. ERISA compliance does not have to be confusing. While there are many requirements, ERISA Solut...
HIPAA and its related legislation also potentially signal a new approach by Congress to the issue of ERISA preemption of state insurance laws in the private health care plan context for those targeted areas where Congress has created new federal requirements. These changes may foreshadow a new ...
ERISA does not compel employers to provide benefits, and the laws only apply to particular types of benefits offered by employers who fit the statutory standard. While a large number of employers must comply with ERISA requirements, these requirements do not apply to group health plans offered thr...