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