Illustrated Highlights for Employer Group Health Plans

The Business Group developed an illustrated summary of the July 1 rules’ main provisions to help employer plan sponsors follow these new requirements.

August 20, 2021

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TABLE OF CONTENTS

  1. Applicability
  2. Coverage of Emergency Services
  3. Coverage of Nonemergency Services Provided by Nonparticipating Provider at Participating Facility
  4. Details of “Notice and Consent”
  5. Payment Provisions for Plans and Individuals under the IFR
  6. Disclosure Requirements and Model Notice