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Jan 15, 2021
Public Health Emergency Extended to April 21, 2021
The Department of Health and Human Services (HHS) has again extended the public health emergency (PHE) declared for the COVID-19...
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Apr 4, 2012
Foreign-Language Notice Statements Required
A recently released Fact Sheet provides an updated list of counties for group health plans to use to determine when they must include...
3 views
Nov 29, 2011
Consideration for Internal Appeals and External Review of Plan Denials
Healthcare reform places new requirements on internal appeals and external review of plan denials for non-grandfathered plans. There are...
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Jul 7, 2011
Revised Rules and Model Notices on External Review
As part of healthcare reform, non-grandfathered plans are required to comply with new claims and appeal rules that are broad reaching and...
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Mar 12, 2011
Extended Grace Period for Claims and Appeals Standards
The government agencies have issued a technical release modifying and extending the previous enforcement grace period for certain new...
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Oct 14, 2010
Extended Compliance Date for New Appeal Procedures; FAQs Released
In a last minute announcement, federal regulators issued guidance on September 20th giving employers, plan sponsors, and health plans...
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Sep 3, 2010
First Round of Approvals in Early Retirement Reinsurance Program
The U.S. Department of Health and Human Services (HHS) announced the first round of applicants accepted into the Early Retiree...
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Aug 30, 2010
Health Reform Rules on Claims, Appeals, and External Review –Model Forms Released
Under the health reform law, all non-grandfathered plans must comply with new federal internal appeals and external review requirements...
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