Health Plan Appeal, Preventive Services Coverage Rules under ACA
On July 23, 2010, the Obama Administration published an interim final rule with comment period implementing ACA requirements regarding internal claims and appeals and external review processes for group health plans and health insurance coverage in the group and individual markets. The rules generally apply to plan/policy years beginning on or after September 23, 2010. Comments will be accepted until September 21, 2010. In addition, on July 19, 2010, HHS, along with the Departments of Treasury and Labor, published an interim final rule implementing ACA requirements that group health plans and health insurance issuers provide preventive benefits coverage. The rule also prohibits the imposition of cost-sharing requirements for certain preventive health services. The rules generally apply to plan/policy years beginning on or after September 23, 2010. Comments will be accepted until September 17, 2010.
