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

OMB 1210-0144

OMB 1210-0144

This collection of information request includes the information collection and third party notice and disclosure requirements that a plan must satisfy under final regulations implementing provisions of the Affordable Care Act pertaining to internal claims and appeals, and the external review process.

The latest form for Affordable Care Act Internal Claims and Appeals and External Review Procedures for ERISA Plans expires 2022-05-31 and can be found here.

OMB Details

Non-Grandfathered Group Health Plans Internal Claims and Appeals and External Review Processes

Federal Enterprise Architecture: Income Security - General Retirement and Disability


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