DOL Claims Regs & Providing "Relevant" Documents to a Cl

By Guest Peter K.
October 3, 2002 in Health Plans (Including ACA, COBRA, HIPAA)

https://benefitslink.com/boards/topic/16612-dol-claims-regs-providing-relevant-documents-to-a-cl/

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Guest Peter K.

Posted October 3, 2002

I am in compliance at a health plan, and we have received our first request persuant to the November, 2000 DOL claims procedure regs for documents relevant to a claim for benefits. How much info have other plans provided in this circumstance? My understanding is that we have to provide pretty much everything generated in making the determination, including consultant reviews and medical records.

What has your experience been?

Thanks.

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