DOL Guidance on ACA Internal Claims and Appeals Procedures, FAQs
The Department of Labor (DOL) has issued Technical Release No. 2010-02, "Interim Procedures for Internal Claims and Appeals under the Patient Protection and Affordable Care Act," which sets forth an enforcement grace period until July 1, 2011 for compliance with certain new ACA provisions regarding internal claims and appeals. In addition, the DOL has posted a series of questions and answers regarding ACA implementation, focusing on Compliance; Grandfathered Plans; Claims, Internal Appeals, and External Review; Dependent Coverage of Children; Out-Of-Network Emergency Services, and Highly Compensated Employees.
