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Six Things Insurers Need to Know About the DOL's Proposed Procedural Protections for Disability Claimants
Hinshaw & Culbertson LLPLink to more items from this source
[Guidance Overview]
Dec. 9, 2015

"If adopted, the proposed regulations will subject most group disability plans to many of the same requirements currently imposed on group health plans under the [ACA]. The proposed regulations affect six main aspects of the disability claim process.... [1] Conflicts of interest ... [2] Adverse benefit determinations ... [3] Right to review and respond to new information ... [4] Deemed exhaustion of administrative remedies ... [5] Rescission -- expanded definition of 'adverse benefit determination' ... [6] Linguistically appropriate notice requirements."

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