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Go to 29 C.F.R. § 2560.503 (not yet in the library — opens the official source)
87 documents · 0.25sAllIRCERISAPBGCJoint Board
  1. 75 FR 43330 — Interim Final Rules for Group Health Plans and Health Insurance Issuers Relating to Internal Claims and Appeals and External Review Processes Under the Patient…
    IRCFinal Rules (FR)Jul 23, 2010
    escissions of coverage are subject to the requirements of 45 CFR 147.128.) (B) Expedited notification of benefit determinations involving urgent care. Notwithstanding the rule of 29 CFR 2560.503-1(f)(2)(i) that provides for notification in the case of urgent care claims not later than 72 hours after the receipt of the …
  2. 80 FR 72192 — Final Rules for Grandfathered Plans, Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, Dependent Coverage, Appeals, and Patient Protec…
    IRCFinal Rules (FR)Nov 18, 2015
    … determination as defined in paragraph (a)(2)(i) of this section. Accordingly, in complying with 29 CFR 2560.503-1, as well as the other provisions of this paragraph (b)(2), a plan or issuer must treat a rescission of coverage (whether or not the rescission has an adverse effect on any particular benefit at that time) …
  3. 91 FR 9213 — Requirement To Provide Paper Statements in Certain Cases-Amendments to Electronic Disclosure Safe Harbors
    ERISAProposed Rules (FR)Proposed Feb 25, 2026★ strong match
    …* * * (g) * * * (1) * * * Any electronic notification shall comply with the standards imposed by 29 CFR 2520.104b-1(c)(1)(i) and (iii), or with the standards imposed by 29 CFR 2520.104b-31 (for pension benefit plans). * * * * * * * * (j) * * * Any electronic notification shall comply with the standards imposed by 29 CF…
  4. 85 FR 31884 — Default Electronic Disclosure by Employee Pension Benefit Plans Under ERISA
    ERISAFinal Rules (FR)May 27, 2020★ strong match
    …the provision shall be severable from this section and shall not affect the remainder thereof. PART 2560—RULES AND REGULATIONS FOR ADMINISTRATION AND ENFORCEMENT 5. The authority citation for part 2560 continues to read as follows: Authority: 29 U.S.C. 1132, 1135, and Secretary of Labor's Order 1-2011, 77 FR 1088 (Jan.…
  5. 78 FR 13797 — Ex Parte Cease and Desist and Summary Seizure Orders-Multiple Employer Welfare Arrangements
    ERISAFinal Rules (FR)Mar 1, 2013★ strong match
    …ilies when abusive MEWAs become insolvent and fail to reimburse medical claims. List of Subjects 29 CFR Part 2560 Administrative practice and procedure Employee welfare benefit plans Employee Retirement Income Security Act Law enforcement Pensions Multiple employer welfare arrangements Cease and desist Seizure 29 CFR P…
  6. DOL Info. Ltr. 06-14-2021 — Information Letter concerning whether the provisions of the claims procedure regulation at 29 CFR 2560.503-1 require the plan to provide to a claimant, a copy …
    ERISADOL Information LettersJun 14, 2021
    …t claims, notification of benefit determinations, and appeal of adverse benefit determinations.” 29 CFR 2560.503-1(b). The regulations further require that the claims procedures of a plan will not provide a reasonable opportunity for a full and fair review of a denied claim, unless, among other things, “the claims proc…
  7. 80 FR 72014 — Claims Procedure for Plans Providing Disability Benefits
    ERISAProposed Rules (FR)Proposed Nov 18, 2015
    …plans Pensions For the reasons stated in the preamble, the Department of Labor proposes to amend 29 CFR part 2560 as set forth below: PART 2560—RULES AND REGULATIONS FOR ADMINISTRATION AND ENFORCEMENT 1. The authority citation for part 2560 is revised to read as follows: Authority: 29 U.S.C. 1132, 1135, and Secretary o…
  8. 81 FR 92316 — Claims Procedure for Plans Providing Disability Benefits
    ERISAFinal Rules (FR)Dec 19, 2016
    …this assessment at the proposed rule stage but did not receive any comments. List of Subjects in 29 CFR Part 2560 Claims Employee benefit plans For the reasons stated in the preamble, the Department of Labor amends 29 CFR part 2560 as set forth below: PART 2560—RULES AND REGULATIONS FOR ADMINISTRATION AND ENFORCEMENT 1…
  9. ERISARegulationsJan 1, 2017related by meaning
    [Reserved]
  10. ERISARegulationsJan 1, 2017related by meaning
    [Reserved]
  11. 29 C.F.R. § 2530.205 — [Reserved]
    ERISARegulationsJan 1, 2017related by meaning
    [Reserved]
  12. 89 FR 88642 — Extension of Certain Timeframes for Employee Benefit Plans, Participants, Beneficiaries, Qualified Beneficiaries, and Claimants Affected by Hurricane Helene, T…
    IRCFinal Rules (FR)Nov 8, 2024
    …ir rights to elect COBRA continuation coverage. ERISA section 606, Code section 4980B(f)(6), and 29 CFR 2590.606-3. C. Claims Procedure Timeframes Section 503 of ERISA and 29 CFR 2560.503-1, as well as section 2719 of the PHS Act, incorporated into ERISA by ERISA section 715 and 29 CFR 2590.715-2719, and into the Code …
  13. ERISARegulationsJan 1, 2017related by meaning
    [Reserved]
  14. Notice 2024-86 — Extension of Certain Timeframes for Employee Benefit Plans, Participants, Beneficiaries, Qualified Beneficiaries, and Claimants Affected by Hurricane Helene, T…
    IRCNoticesDec 23, 2024
    …ir rights to elect COBRA continuation coverage. ERISA section 606, Code section 4980B(f)(6), and 29 CFR 2590.606–3. C. Claims Procedure Timeframes Section 503 of ERISA and 29 CFR 2560.503–1, as well as section 2719 of the PHS Act, incorporated into ERISA by ERISA section 715 and 29 CFR 2590.715– 2719, and into the Code…
  15. ERISARegulationsJan 1, 2017related by meaning
    [Reserved]
  16. 85 FR 39831 — Default Electronic Disclosure by Employee Pension Benefit Plans Under ERISA; Correction
    ERISAFinal Rules (FR)Jul 2, 2020
    …essary and that this technical correction will take effect on July 27, 2020. List of Subjects in 29 CFR Part 2560 Employee benefit plans Pensions For the reasons stated in the preamble, the Department amends 29 CFR part 2560 by making the following correcting amendment: PART 2560—RULES AND REGULATIONS FOR ADMINISTRATIO…
  17. 75 FR 8796 — Civil Penalties Under ERISA Section 502(c)(8)
    ERISAFinal Rules (FR)Feb 26, 2010
    …n of power between the national government and the States. ( printed page 8800) List of Subjects 29 CFR Part 2560 Employee benefit plans Employee Retirement Income Security Act Law enforcement Pensions 29 CFR Part 2570 Administrative practice and procedure Employee benefit plans Employee Retirement Income Security Act …
  18. ERISARegulationsJan 1, 2017related by meaning
    [Reserved]
  19. 91 FR 46602 — Electronic Disclosure by Group Health Plans Under ERISA
    ERISAProposed Rules (FR)Proposed Jul 23, 2026
    …the provision shall be severable from this section and shall not affect the remainder thereof. PART 2560—RULES AND REGULATIONS FOR ADMINISTRATION AND ENFORCEMENT 4. The authority citation for part 2560 continues to read as follows: Authority: 29 U.S.C. 1132, 1135, and Secretary of Labor's Order 1-2011, 77 FR 1088 (Jan.…
  20. ERISARegulationsJan 1, 2017related by meaning
    [Reserved]