Group Health Plans Internal Claims and Appeals and External Review Processes

Affordable Care Act Internal Claims and Appeals and External Review Procedures for ERISA Plans

OMB: 1210-0144

IC ID: 193842

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Group Health Plans Internal Claims and Appeals and External Review Processes
 
No Modified
 
Mandatory
 
29 CFR 2560.503-1 29 CFR 2590.715-2719

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Income Security General Retirement and Disability

 

1,262,121 1,098,045
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   93 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 155,165 -136,153 0 0 0 291,318
Annual IC Time Burden (Hours) 349 -372 0 0 0 721
Annual IC Cost Burden (Dollars) 750,537 -559,023 0 0 0 1,309,560

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