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American Bar Association Sections of
Business Law, Health Law, Labor and Employment Law,
Real Property, Probate and Trust Law, Taxation and Tort Trial and Insurance Practice
(under the Auspices of the ABA Joint Committee on Employee Benefits) and
The American College of Employee Benefits Counsel Present
Employee Benefit Plan Claims
Procedures for 2002
Administrative Claims Procedures for Group Health, Pension, Disability, and Other Welfare Plans
A 90-minute Teleconference
This program has already taken place.
Audiotapes are available for $150.
For ordering information, contact Nancy Matthews at matthewsn@staff.abanet.org
or (202) 662-8640.
The administrative claims procedures that must be followed by all employee benefit plans are subject to new regulations effective on January 1, 2002 for pension, disability and most welfare benefit plans and effective for plan years beginning on or after July 1, 2002, for group health plans. The implementation of the new claims procedure regulations raises questions for plan sponsors regarding the new time lines that must be followed, the initial and appeal review process that may be used, and documentation that must be reviewed and kept. This teleconference will focus on key issues affecting plan sponsors and service providers regarding the implementation of the new benefit claims administrative review process.
Moderator
Martha L. Hutzelman, Bosley Hutzelman, Alexandria, VA
Speakers
Jeffrey J. Turner, Office of Regulations and Interpretations, Pension and Welfare
Benefits Administration, U.S. Department of Labor, Washington, DC
Phyllis C. Borzi, O'Donoghue & O'Donoghue, Washington, DC
Dan S. Brandenburg, Sanders, Schnabel & Brandenburg, PC, Washington, DC
Topics Include:
- when must initial benefit claim decisions be issued for group health, pension, disability, and other welfare plans?
- when must decisions upon appeal be issued for group health, pension, disability, and other welfare plans?
- who may make benefit claim decisions upon appeal?
- what information must be provided in the notice of an adverse benefit determination?
- what information must be provided or made available to the claimant?
- what documentation of claims decisions must be kept on file?
- how is consistency among claims decisions documented?
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