Interim final rules for group health plans and health insurance issuers relating to internal claims and appeals and external review processes under the Patient Protection and affordable Care Act. Interim final rules with request for comments.
This document contains interim final regulations implementing the requirements regarding internal claims and appeals and external review processes for group health plans and health insurance coverage in the group and individual markets under the Patient Protection and Affordable Care Act. The regulations will generally affect health insurance issuers; group health plans; and participants, beneficiaries, and enrollees in health insurance coverage and in group health plans. The regulations provide plans and issuers with guidance necessary to comply with the law.
D019461:Employee Retirement Income Security Act; D018166:Health Care Reform / Q000331:legislation & jurisprudence*; D006801:Humans; D007342:Insurance Benefits / Q000331:legislation & jurisprudence*; D007345:Insurance Claim Review / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D019458:Insurance Coverage / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D007348:Insurance, Health / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D014481:United States