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28 documents · 0.07sAllIRCERISAPBGCJoint Board
  1. ERISA § 712(a)(7)(C)(ix) (29 U.S.C. § 1185a) — Parity in mental health and substance use disorder benefits
    ERISACode / StatuteJan 6, 2025related by meaning
    (a)(7)(C)(ix) (ix) additional illustrative examples of methods, processes, strategies, evidentiary standards, and other factors for which the Secretary determines that additional guidance is necessary to improve compliance with this section, section 300gg–26 of title 42, or section 9812 of title 26, as applicable. (a)(…
  2. ERISA § 716(d) (29 U.S.C. § 1185e) — Preventing surprise medical bills
    ERISACode / StatuteJan 6, 2025related by meaning
    (d) (d) Certain access fees to certain databases In the case of a sponsor of a group health plan or health insurance issuer offering group health insurance coverage that, pursuant to subsection (a)(3)(E)(iii), uses a database described in such subsection to determine a rate to apply under such subsection for an item or…
  3. 91 FR 4348 — Improving Transparency Into Pharmacy Benefit Manager Fee Disclosure
    ERISAProposed Rules (FR)Proposed Jan 30, 2026★ strong match
    …& Dana P. Goldman, Overpaying for Prescription Drugs: The Copay Clawback, (2018), https://schaeffer.usc.edu/​research/​overpaying-for-prescription-drugs/​.) Back to Citation 183.  Megan Thompson (2018), W hy a Patient Paid a $285 Copay for a $40 Drug, https://www.pbs.org/​newshour/​health/​why-a-patient-paid-a-285-copa…
  4. 91 FR 46602 — Electronic Disclosure by Group Health Plans Under ERISA
    ERISAProposed Rules (FR)Proposed Jul 23, 2026related by meaning
    6, 2015). Back to Citation 13.  26 CFR 54.9815-2715(a)(4)(ii)(A), 29 CFR 2590.715-2715(a)(4)(ii)(A), 45 CFR 147.200(a)(4)(ii)(A). Back to Citation 14.  26 CFR 54.9815-2715(a)(4)(ii)(B), 29 CFR 2590.715-2715(a)(4)(ii)(B), 45 CFR 147.200(a)(4)(ii)(B). Back to Citation 15.  85 FR 72158 (Nov. 12, 2020). See also On Decembe…
  5. ERISA § 609(a)(3)(B) (29 U.S.C. § 1169) — Additional standards for group health plans
    ERISACode / StatuteJan 5, 1999★ strong match
    …w relating to medical child support described in section 1908 of the Social Security Act [42 U.S.C. 1396g–1] (as added by section 13822 1 of the Omnibus Budget Reconciliation Act of 1993). (a)(5) (5) Procedural requirements (a)(5)(A) (A) Timely notifications and determinations In the case of any medical child support o…
  6. ERISA § 723(a)(1)(B) (29 U.S.C. § 1185m) — Increasing transparency by removing gag clauses on price and quality information
    ERISACode / StatuteJan 6, 2025related by meaning
    (a)(1)(B) (B) electronically accessing de-identified claims and encounter information or data for each participant or beneficiary in the plan or coverage, upon request and consistent with the privacy regulations promulgated pursuant to section 264(c) of the Health Insurance Portability and Accountability Act of 1996, t…
  7. 81 FR 43430 — Department of Labor Federal Civil Penalties Inflation Adjustment Act Catch-Up Adjustments
    ERISAFinal Rules (FR)Jul 1, 2016related by meaning
    4301(c)(2) of the Omnibus Budget Reconciliation Act of 1993, Pub. L. 103-66, 107 Stat. 312 August 10, 1993.10 29 U.S.C. § 1132(c)(5)/ERISA § 502(c)(5) Section 101(e)(2) of the Health Insurance and Portability and Accountability Act of 1996, Pub. L. 104-91, 110 Stat. 1936 August 21, 1996. 29 U.S.C. § 1132(c)(6)/ERISA § …
  8. TR 2023-01P — Technical Release 2023-01P
    ERISADOL Technical ReleasesJul 25, 2023related by meaning
    lliman.com/-/media/milliman/importedfiles/ektron/addictionandmentalhealthvsphysicalhealthwideningdisparitiesinnetworkuseandproviderreimbursement.ashx. Proposed 26 CFR 54.9812-1(c)(4)(iv)(C), 29 CFR 2590.712(c)(4)(iv)(C), and 45 CFR 146.136(c)(4)(iv)(C). Any change that enhances access to covered MH/SUD services and/or …
  9. ERISA § 720(c)(1)(B) (29 U.S.C. § 1185i) — Protecting patients and improving the accuracy of provider directory information
    ERISACode / StatuteJan 6, 2025related by meaning
    (c)(1)(B) (B) if provided for under applicable State law, any other requirements on providers and facilities regarding the amounts such providers and facilities may, with respect to an item or service, charge a participant or beneficiary of such plan or coverage with respect to which such a provider or facility does no…
  10. 91 FR 9213 — Requirement To Provide Paper Statements in Certain Cases-Amendments to Electronic Disclosure Safe Harbors
    ERISAProposed Rules (FR)Proposed Feb 25, 2026
    … a result, DB Beneficiaries will not be included in calculations discussing “beneficiaries”. See 29 USC 1025 for more information. 3  Bureau of Labor Statistics, Job Opening and Labor Turnover. Table A, Total Private. February 2025. Most recent release can be found here: https://www.bls.gov/​news.release/​pdf/​jolts.pd…
  11. 84 FR 37545 — "Open MEPs" and Other Issues Under Section 3(5) of the Employee Retirement Income Security Act
    ERISAProposed Rules (FR)Proposed Jul 31, 2019
    …e)(3)(C)), all employees of such corporations shall be treated as employed by a single employer. 29 USC 1060(c). Back to Citation [FR Doc. 2019-16072 Filed 7-29-19; 8:45 am] BILLING CODE 4510-29-P
  12. TR 2012-01 — Technical Release 2012-01
    ERISADOL Technical ReleasesFeb 9, 2012related by meaning
    mployer shared responsibility provisions under Code section 4980H and the 90-day waiting period limitation under PHS Act section 2708 are coordinated? A3. Yes. Treasury and the IRS intend to issue proposed regulations or other guidance under Code section 4980H (which imposes shared responsibility on large employers wit…
  13. 91 FR 10033 — Improving Transparency Into Pharmacy Benefit Manager Fee Disclosure; Extension of Comment Period
    ERISAProposed Rules (FR)Proposed Mar 2, 2026related by meaning
    lower-prescription-drug-prices/​. Back to Citation 3.  Consolidated Appropriations Act, 2026, Division J, Title VII, section 6702. Back to Citation 4.  See ERISA section 408(b)(2)(B)(iii) (“A covered service provider shall disclose to a responsible plan fiduciary, in writing, the following (in accordance with regulatio…
  14. TR 2011-01 — Technical Release 2011-01
    ERISADOL Technical ReleasesMar 18, 2011related by meaning
    failure to provide payment (in whole or in part) for a benefit is an adverse benefit determination eligible for internal claims and appeals processes. A claim involving urgent care is generally a claim for medical care or treatment with respect to which the application of the time periods for making non-urgent care det…
  15. TR 2012-02 — Technical Release 2012-02
    ERISADOL Technical ReleasesAug 31, 2012related by meaning
    ct section 2708 merely prevents an otherwise eligible employee (or dependent) from having to wait more than 90 days before coverage becomes effective. The Departments invited comments on the 90-day waiting period limitation, in addition to requesting comments on the employer shared responsibility provisions of Code sec…
  16. 81 FR 92639 — Savings Arrangements Established by Qualified State Political Subdivisions for Non-Governmental Employees
    ERISAFinal Rules (FR)Dec 20, 2016related by meaning
    income to its employees, or results in a deferral of income by its employees for periods extending to the termination of covered employment or beyond. (5) For purposes of paragraph (h)(1)(iii) of this section, amounts withheld from an employee's wages by the employer are deemed to be transmitted promptly if such amount…
  17. 82 FR 5373 — Department of Labor Federal Civil Penalties Inflation Adjustment Act Annual Adjustments for 2017
    ERISAFinal Rules (FR)Jan 18, 2017related by meaning
    portunities under Section 701(f)(3)(B)(i)(l)—each employee a separate violation 29 CFR 2575.2(h) 110 112. EBSA Employee Retirement Income Security Act Section 502(c)(9)(B)—Per day for each failure by a plan to timely provide to any State information required to be disclosed under Section 701(f)(3)(B)(ii), as added by C…
  18. ERISA § 717(b)(5)(C)(iii) (29 U.S.C. § 1185f) — Ending surprise air ambulance bills
    ERISACode / StatuteJan 6, 2025related by meaning
    (b)(5)(C)(iii) (iii) Prohibition on consideration of certain factors In determining which offer is the payment amount to be applied with respect to qualified IDR air ambulance services furnished by a provider, the certified IDR entity with respect to such determination shall not consider usual and customary charges, th…
  19. 87 FR 71164 — Voluntary Fiduciary Correction Program
    ERISAProposed Rules (FR)Proposed Nov 21, 2022related by meaning
    ection of information unless it displays a currently valid OMB Control Number. Signed at Washington, DC, this 7th day of November, 2022. Lisa M. Gomez Assistant Secretary, Employee Benefits Security Administration, U.S. Department of Labor. Footnotes 1.  Under Reorganization Plan No. 4 of 1978, 5 U.S.C. App. at 252 (20…
  20. 81 FR 47496 — Annual Reporting and Disclosure
    ERISAProposed Rules (FR)Proposed Jul 21, 2016related by meaning
    This includes: (1) Claims payment policies and practices; (2) periodic financial disclosures; (3) data on enrollment and disenrollment; (4) data on the number of denied claims; (5) data on rating practices; (6) information on cost-sharing and payments with respect to any out-of-network coverage; (7) information on enro…