The recent health care reform legislation requires a group health plan to maintain an internal claim and appeal process that meets certain standards and to provide for an external appeal process. The U.S. Departments of Treasury, Labor, and Health and Human Services have jointly released regulations that address these subjects. Internal Claims and Appeals The [&hellip… Continue Reading »
The U.S. Departments of Treasury, Labor, and Health and Human Services have jointly released regulations that address several requirements established by the recent health care reform legislation. Most of the changes addressed by the regulations apply to plan years beginning on and after September 23, 2010. For calendar year plans, the rules take effect January [&hellip… Continue Reading »
