The Patient Protection and Affordable Care Act (PPACA) imposes new requirements on employers and provides new protections to plan participants regarding federal claims and appeals requirements. In this webinar, we will focus on the new developments that will change the administration and enforcement of ERISA-covered health plan claims and appeals. You will receive up-to-the-minute information from our experienced expert on how to deal with risk management and contracting issues on these evolving and increasingly complex rules governing ERISA-covered health claims and appeals.

Topics covered include:

• Up-to-date roadmap of current federal mandates impacting health claims and appeals administration under ERISA as amended by the Patient Protection Affordable Care Act.
• Updated information on the latest Department of Labor guidance governing ERISA health claims and appeals administration, including enforcement extensions.
• Update on the latest practical operational guidance on the PPACA mandated internal and external review and other claims and appeals requirements for non-grandfathered health plans.
• Update on emerging judicial precedent on ERISA preemption, standards of review and other key legal issues impacting health claims related litigation in the federal courts.

Who should attend: Employees of TPA firms and Stop-Loss Service Partners as well TPA clients.