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ABA
Joint Committee on Employee Benefits
The Sections of Business Law, Health Law, Labor and Employment
Law,
Real Property, Probate and Trust Law, Taxation and Tort Trial
and Insurance Practice
and The American College of Employee Benefits Counsel Present
Group Health Plan Claims Procedures:
Implementation in 2003 – Are You Ready?
A 90-minute Teleconference
Thursday, January
9, 2003
1:00-2:30 pm ET / 12:00-1:30 pm CT / 11:00 am-12:30 pm MT / 10:00 am-11:30 am PT
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.
Ref. #JCEBT030109CPA
All group health plans must follow the new
administrative claims procedures for claims filed on or after
January 1, 2003. Shorter time periods and new review procedures
apply to both initial benefit claims and claims submitted
on administrative appeal. This teleconference will focus on
complex issues that face plan sponsors, health insurance providers,
State insurance commissioners and the U.S. Department of Labor
as the new procedures are put into place. Ample time will
be provided to address attendees' questions.
Topics Include:
- What are the most common problems still faced by
employers and service providers in implementing the
group health claims procedures?
- What are the compliance responsibilities of the
employer and the insurance provider?
- What procedures may be adopted for a two-tiered
appeal process for health and disability claims?
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- How are the Federal claims procedures coordinated
with State external review procedures for insured
plans?
- Can arbitration be included in the administrative
claims process?
- What is the role of the State in the claims procedure
process?
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Moderator
Martha L. Hutzelman, Bosley Hutzelman,
Alexandria, VA
Speakers
Greta Cowart, Hayes and Boone, Dallas, Texas
Jeffrey J. Turner, Office of Regulations and Interpretations,
Pension and Welfare Benefits Administration, U.S. Department
of Labor, Washington, DC
James Touse, Vice President and General Counsel, BCBS
Tennessee, Chattanooga, TN
Jolie Matthews, Counsel / Health Policy, National Association
of Insurance Commissioners, Washington, DC
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