This CLE webinar will provide employee benefits counsel and plan sponsors a detailed analysis of practical methods for creating and implementing claims procedures in accord with Section 503 of ERISA and DOL regulations. The panel will discuss ERISA requirements for establishing claims procedures, implications of new DOL regulations, and techniques for drafting claims procedures to minimize violations and ensure compliance.
Section 503 of ERISA requires employee benefit plans to establish claims procedures that will provide participants and beneficiaries written notice of any denial of benefits and the opportunity for a full and fair review of the denial. Failure to do so can result in lawsuits, penalties, and a stricter standard upon judicial review.
Benefits counsel and plan sponsors must abide by the DOL regulations and ERISA requirements. Implementing claims procedures can limit liability under Section 502(a) and increase the likelihood a court will uphold claim denial challenges.
Listen as our panel provides techniques for crafting and implementing claims procedures in accord with Section 503 and DOL regulations to minimize liability and ensure compliance.
- Claims procedure requirements under ERISA Section 503
- Impact of DOL final rule on disability claims procedures
- DOL regulation §2560.503-1(l) and lawsuits under Section 502(a)
- Tips for drafting and implementing ERISA compliant claims procedures
The panel will review these and other critical issues:
- Understanding the requirements of plan claims procedures under ERISA Section 503
- Filing limitations in plan documents and required SPD disclosures
- Drafting effective denial of claim and appeal notices
- Complying with all DOL claims procedure regulations
- DOL Regulation §2560.503-1(l) and understanding court review standards for lawsuits to recover benefits
- Reviewing and amending plan documents to minimize Section 502(a) lawsuits
- Timothy K. Eicher, Principal, Slevin & Hart
- Roberta Casper Watson, Partner, The Wagner Law Group
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