DOL Fine-Tunes Health Plan Appeals Under ACA Rules
Published Date: 4/30/2025
Notice
Summary
The Department of Labor is asking for approval to collect info about how health plans handle claims and appeals under the Affordable Care Act, especially for ERISA plans. This affects employers, health plans, and people using these plans, aiming to make sure claims and appeals are fair and clear. They’re inviting public comments now before moving forward, so keep an eye on deadlines and possible paperwork changes.
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
DOL to Collect ERISA Claims Data
The Department of Labor’s Employee Benefits Security Administration is asking OMB to approve an information collection about how health plans handle claims, appeals, and external review under the Affordable Care Act, with a focus on ERISA (employer-sponsored) plans. If your employer provides health insurance, your employer or plan may be asked to provide information, and people who use those plans may see changes or clearer rules about claims and appeals. The agency is inviting public comments now under the Paperwork Reduction Act of 1995 before it moves forward.
Your PRIA Score
Personalized for You
How does this regulation affect your finances?
Sign up for a PRIA Policy Scan to see your personalized alignment score for this federal register document and every other regulation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.
Key Dates
Take It Personal
Get Your Personalized Policy View
Start a Free Government Policy Watch to see how policy affects your household, then upgrade to PRIA Full Coverage for year-round monitoring.
Already have an account? Sign in