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No Surprises Act Regulations Providing Guidance for Employer Plans


Wednesday, July 21, 2021
Plan participants can be hit with surprise medical bills when they receive care from out-of-network providers. Sometimes, this happens when participants do not know that the care they are receiving is from an out-of-network provider, like when they have surgery at an in-network facility only to find that the facility-appointed anesthesiologist, for example, is out-of-network.  Now, employers have a bit more clarity about how those surprise medical bills are supposed to be paid, beginning January 1, 2022, under new “No Surprises Act” regulations.
The U.S. Department of Labor (DOL), U.S. Department of Health and Human Services, and U.S. Department of the Treasury have issued guidance focused on Section 102 of the No Surprises Act, which was enacted as part of the Consolidated Appropriations Act (CAA), 2021 in December 2020. The guidance, in the form of an interim final rule (IFR) and a request for public comments, applies to the fi ....

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