Daily Document Update: HR Compliance Library, ?46,494, DOL, HHS, and Treasury propose new cost-sharing disclosures for group health plans, health insurance issuers — FEDERAL NEWS, (Nov. 20, 2019)

摘要

Through a combined effort, the Departments of Labor, Health and Human Services, and Treasury have announced a notice of proposed rulemaking setting out requirements for group health plans and health insurance issuers in the individual and group markets to disclose cost-sharing information upon request, to a participant, beneficiary, or enrollee (or his or her authorized representative), including an estimate of such individual’s cost-sharing liability for covered items or services furnished by a particular provider. The 221-page NPRM was released November 15 and is scheduled to be published in the Federal Register November 27. Access to out-of-pocket cost info. According to the agencies, under these proposed rules, plans and issuers would be required to make this information available on an Internet website and, if requested, through non- Internet means, thereby allowing a participant, beneficiary, or enrollee (or his or her authorized representative) to obtain an estimate and understanding of the individual’s out-of-pocket expenses and effectively shop for items and services.