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Self-Funded ERISA Health Plans and New Jersey's 'Surprise' Out-of-Network Medical Bill Law
Epstein Becker Green
[Guidance Overview] Aug. 20, 2018 "[P]lan sponsors will want to weigh the administrative burdens of complying with the Surprise Medical Bill Law's protections and disclosure requirements against the protective advantages offered to its covered participants.... Most notably, Electing Plans will be sparing participants from being balance billed for 'inadvertent [out of network] services' and services provided on an 'emergency or urgent basis' in excess of the deductible, copayment, or coinsurance amount, and will potentially be shifting the dispute resolution process to the Electing Plan and provider without participant involvement." MORE >> |
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