Fed Regist. 2016 Dec 19;81(243):92316-43.
This document contains a final regulation revising the claims procedure regulations under the Employee Retirement Income Security Act of 1974 (ERISA) for employee benefit plans providing disability benefits. The final rule revises and strengthens the current rules primarily by adopting certain procedural protections and safeguards for disability benefit claims that are currently applicable to claims for group health benefits pursuant to the Affordable Care Act. This rule affects plan administrators and participants and beneficiaries of plans providing disability benefits, and others who assist in the provision of these benefits, such as third-party benefits administrators and other service providers.
本文件包含一项最终法规，该法规修订了1974年《雇员退休收入保障法》（ERISA）中有关提供残疾福利的雇员福利计划的理赔程序规定。最终规则主要通过对残疾福利理赔采用某些目前根据《平价医疗法案》适用于团体健康福利理赔的程序保护措施和保障措施，对现行规则进行了修订和强化。本规则影响提供残疾福利计划的计划管理人、参与者及受益人，以及协助提供这些福利的其他各方，如第三方福利管理人及其他服务提供商。
