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Federal Agencies Announce Availability of Model Forms for Health Plan Claims, Appeals and External Review; Interim Enforcement Rule Prescribed (PDF)
U.S. Department of Health and Human Services [HHS]; U.S. Department of Labor [DOL]; U.S. Department of the Treasury
[Official Guidance] Aug. 26, 2010
3 pages. Excerpt: [New] EBSA Technical Release No. 2010-01 ... provides an interim enforcement safe harbor for non-grandfathered self-insured group health plans not subject to a State external review process, and therefore subject to the Federal external review process. (In the case of health insurance coverage offered in connection with a group health plan, the issuer has primary responsibility to comply with the interim final regulations.) This interim enforcement safe harbor applies for plan years beginning on or after September 23, 2010 and until superseded by future guidance[.]
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