February 22, 2021
Recently, Ohio Senate Bill No. 9 passed and is planned to take effect July 1, 2021 pending sign off from Governor DeWine. This legislation requires insurers to provide deidentified claim reporting data for group medical programs with 50 or more enrolled employees.
The information required to be furnished by insurers will be the following:
The Fedeli Group believes the information will be impactful and will enable us to deliver a more robust consulting service, optimizing financial and workforce health solutions to our clients.
As we wait for the legislation to take effect and understand how the insurance carriers are going to adapt, know that your team at The Fedeli Group will have the resources to deliver solutions based on this law.
We look forward to providing more information in the coming months. In the meantime, please contact your Client Executive with questions or reach out through our website if you have general questions.
January 9, 2024
Sponsors of self-funded ERISA plans have fiduciary obligations to plan participants, which includes the obligation to provide a full and fair review of claims and effectively and meaningfully communicate or engage with plan participants regarding claims denials. One district court recently clarified that this obligation may include the need for the plan administrator, which is […]
December 4, 2023
On July 25, 2023, the agencies released an extensive proposed rule related to the Mental Health Parity and Addiction Equity Act (the “Proposed Rule”) as well as a Technical Release requesting comments on certain proposed data requirements for nonquantitative treatment limitations (“NQTLs”) and the potential for an enforcement safe harbor if certain data requirements are […]