Category Archives: Uncategorized

PPACA External Review Process for ERISA Plans

Under the Patient Protection and Affordable Care Act (“PPACA”), insurers and the sponsors of non-grandfathered self-insured health plans must allow for an external review process in the event of an adverse benefit determination.  An adverse benefit determination is essentially any … Continue reading

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DOL releases Model Notices employers must distribute regarding new Health Insurance Marketplaces (Exchanges)

The Department of Labor released the long-awaited Model Notices employers must distribute regarding the new Health Insurance Marketplace (commonly referred to as “exchanges”).  The original deadline for distribution of the notice to employees was March 1, 2013, but the DOL … Continue reading

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