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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...
Jan 15, 2021
12 views
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...
Apr 4, 2012
3 views
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...
Nov 29, 2011
2 views
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...
Jul 7, 2011
5 views
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...
Mar 12, 2011
2 views
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...
Oct 14, 2010
2 views
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...
Sep 3, 2010
0 views
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...
Aug 30, 2010
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