jockey12 Posted September 16, 2015 Report Share Posted September 16, 2015 I'm dealing with a retiree health veba that's fully insured. There is a separate insurer for medical and prescription drug. Both the medical insurer and prescription insurer provide SPDs to the participants. What information is the veba obligated to include in its own spd? The TPA has prepared a SPD that essentially copies and pastes information from the insurers about coverage levels into the SPD. It seems odd to me for the veba to recycle the insurer's information in this manner. Should I be okay with this? Link to comment Share on other sites More sharing options...
GBurns Posted September 20, 2015 Report Share Posted September 20, 2015 NO., you should not be okay with this. Medical and prescription insurers do not provide SPD's, they provide product descriptions and Outlines of Coverage etc. I have never seen an insurer's information that met the SPD requirements of ERISA and now we have ACA. The Medical and prescription insurers are how the Plan provides its coverage. They are service providers to the Plan. They are not the Plan. The SPD is a Summary Plan Description, in other words, a summation of the Plan Document. George D. Burns Cost Reduction Strategies Burns and Associates, Inc www.costreductionstrategies.com(under construction) www.employeebenefitsstrategies.com(under construction) Link to comment Share on other sites More sharing options...
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