30 Apr 2025

📋Impact of ACA Claims and Appeals Regulations on Businesses

Agency Information Collection Activities; Submission for OMB Review; Comment Request; Affordable Care Act Internal Claims and Appeals and External Review Procedures for ERISA Plans

Summary

The Department of Labor (DOL) is submitting this Employee Benefits Security Administration (EBSA)-sponsored information collection request (ICR) to the Office of Management and Budget (OMB) for review and approval in accordance with the Paperwork Reduction Act of 1995 (PRA). Public comments on the ICR are invited.

Agencies

  • Labor Department

Business Impact ?

$$ - Med

The regulatory text outlines compliance requirements for ERISA plans regarding claims and appeals procedures under the Affordable Care Act, which directly impacts businesses offering health plans. Companies must adhere to these guidelines, increasing administrative responsibilities and potential costs associated with compliance.

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