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PPACA's New Claims Review Procedures: A Recap of the Implementation Status
Deloitte via BenefitsLink.com Link to more items from this source
[Guidance Overview]
Oct. 11, 2010
Excerpt: Self-insured plans will typically not be subject to state review procedures, so would ordinarily fall within the category of plans subject to the federal external review procedures. Under Department of Labor Technical Release 2010-10, however, self-insured plans can avoid being subject to the federal review procedures if they voluntarily elect to comply with their state's external review procedures (where permitted), or if they comply with the procedures outlined in the Technical Release (which are based on the NAIC Model Act).

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