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HEALTH PLANS: COMPLIANCE WITH PPACA’S HEALTH CLAIMS AND APPEALS PROCESS

ABA JOINT COMMITTEE ON EMPLOYEE BENEFITS  • DATE: November 17, 2010
SPONSORS: The Sections of Business Law; Health Law; Labor and Employment Law; Real Property, Trust and Estate Law; Taxation; Tort Trial and Insurance Practice; and the American College of Employee Benefits Counsel

General Information

Untitled Document

A 90-minute TeleConference
WEDNESDAY, NOVEMBER 17, 2010

1:00-2:30 pm ET / 12:00-1:30 pm CT / 11:00 am-12:30 pm MT / 10:00 am-11:30 am PT

Moderator:
Mary Ellen Signorille
, AARP, Washington, DC

Panelists:
Amy J. Turner
, Esq., Senior Advisor and Special Projects Manager, Office of Health Plan Standards and Compliance Assistance, Employee Benefits Security Administration, U.S. Department of Labor, Washington, DC
Martha Jo Wagner, Venable LLP, Washington, DC
Clarissa A. Kang, Trucker Huss, APC, San Francisco, CA

The Departments of the Treasury, Labor and Health and Human Services released Interim Final Regulations and guidance under the Patient Protection and Affordable Care Act detailing the internal claims and appeals and external review processes for non-grandfathered insured and self-insured group health plans. This program will discuss these significant changes to the claims and appeals procedures for non-grandfathered plans that must be implemented for plan years beginning after September 23, 2010.

The program will cover the following topics:

  • Changes to internal health claims procedures
  • New external review process including state and federal standards
  • Required Notices
  • Impact on benefit claim litigation


   
HEALTH PLANS: COMPLIANCE WITH PPACA’S HEALTH CLAIMS AND APPEALS PROCESS
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