Claims Procedure Requirements for Group Health Plans Checklist
Resource type: Checklist
This Checklist describes the claims and appeals procedures under the Employee Retirement Income Security Act of 1974 (ERISA) and the Department of Labor (DOL) claims regulations for group health plans. The Checklist explains the requirements for written claims procedures, the process for a group health plan claim, and the manner, timing and content of the initial and appeal decision notices.
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