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Including Limitations Periods in Denial Letters: From 'Best Practice' to Necessity
Verrill Dana LLP Link to more items from this source
Apr. 4, 2016

"Sponsors of group health plans in the First Circuit must now describe any contractual limitations period, if the plan applies one, in the letter advising a participant of a final adverse benefit determination.... The limitations period should be included in the plan document and the SPD and, until recently, it was a 'best practice' to make the limitations period known in adverse benefit determination letters. Following Santana-Diaz, however, including a description of the applicable limitations period in the final benefit determination is now a necessity for plan sponsors in the First Circuit."  MORE >>

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