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New Federal Health Claims & Appeals Laws & Regulations

for 193 Million Americans

Effective 09-23-2010

©2010, Jin Zhou, ERISAclaim.com

President Obama Signing Health Bill on 03/23/2010

President Gerald R. Ford Signing ERISA on 09/02/1974

New Webinars, Seminars & Certification Classes Announced for New Federal Health Claim Appeals Regulations on July 22, 2010 from HHS, DOL & IRS, Effective On Sept. 23, 2010 for 193 Million Americans

UNITED STATES

DEPARTMENT OF LABOR

(Links to DOL) ©2010, Jin Zhou, ERISAclaim.com

Patient Protection and Affordable Care Act

Statutory Laws [PDF] [PDF]

• Affordable Care Act Regulations and Guidance

  • Interim Procedures for Federal External Review • Technical Release • Model Notice of Adverse Benefit Determination • Model Notice of Final Internal Adverse Benefit Determination • Model Notice of Final External Review Decision
  • Interim Final Rules on Internal Claims and Appeals and External Review Processes: News Release • Regulation • Fact Sheet • NAIC Uniform External Review Model Act
  • Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, and Patient Protections: Regulation • Fact Sheet • Patient Protection Model Notice • Lifetime Limits Model Notice • Dependents Model Notice
  • Grandfathered Health Plans: Fact Sheet • Regulation • FAQs • Table • Model Notice
  • Extension of Coverage For Adult Children: Fact Sheet • Regulation • FAQs • IRS Guidance
  • FAQs on Health Care Reform and COBRA

• House Committees Health Insurance Reform at a Glance: Summary • Implementation Timeline • Consumer Protections • For Employers

• White House Web Page on Health Reform
• HHS Health Reform Web Site

Employee Retirement Income Security Act — ERISA

• ERISA Claims Procedure, 29 CFR 2560.503-1: Regulation • FAQ • Fact Sheet • Claims Guide • Claims Card
• Amendments to Summary Plan Description Regulations, 29 CFR 2520.102-3: Regulation • Fact Sheet • News Release • SPD Rights Fact Sheet • SPD from DOL
• Health Claims Related Information
  • Consumer Information on Health Plans
  • Compliance Assistance for Health Plans •  Fiduciary Guide
  • Health Benefits Education Campaign

Webinars, Seminars & Certification Classes for New Federal Health Claim Appeals Regulations

ERISAclaim.com - Free Webinars - New Federal Claims & Appeals Regulations, Effective Sept. 23, 2010, for 193 Million Americans

ERISAclaim.com: Seminars - 2010 Two-day Basic ERISA Appeal Seminars - Denials and Overpayment Appeals

ERISAclaim.com - 2010 PPACA & ERISA Claim Specialist Certification Programs in Chicago, Illinois

ERISAclaim.com:  Create An Appeal Department for Your Hospital or Practice (In-house, onsite ERISA Claim Specialist Certification Programs)

ERISA, Who?

["Erisa is on maternity leave, she won't be back until next year"]???

ERISA stands for Employee Retirement Income Security Act,

A Federal Law, Governs Your Health Insurance

If Obtained from Your Job in Private Sectors

According to an Unanimous US Supreme Court,

ERISA Protect You If Your Health Insurance Claims

 Were Turned Down or Delayed by Your HMO or Health Plans, and ERISA Supersedes and Invalidates States Laws

If You Wanted Payments of Your Insurance Claims

Or See Your Doctors 

ERISA sets standards for administering your health plans, HMO, PPO and EPO's.......

ERISA Calls your Insurance Policy, Your Coverage and Rights,

as SPD, Summary Plan Description

(Not STD, that you don't want to have)

ERISA also sets rules to protect you, ERISA Claim Regulation,

 You have right to know everything

why you were not getting paid or can't see your doctors...

But you must know ERISA and follow ERISA rules to get paid or covered for your medical care

Get and READ your SPD and Appeal Claim Delays and Denials

ERISA, Who?

Your worst enemy if you know nothing about Erisa

or

Your Best Friend if you know ERISA and love it

How Old is ERISA? Can I....

ERISA CD Book: $450	Medicare CD Book: $250
Holidays' Special -  ERISA CD & Medicare CD: $560