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Insurers behind on benefits documentation

Under the Patient Protection and Affordable Care Act, all health insurance providers must provide a summary of benefits and coverage document within seven days of an application, renewal or first day of coverage. If the insurance provider fails to do so, they will receive a financial penalty from the U.S. Department of Labor and U.S. Department of Health and Human Services.

Despite the provision of the healthcare reform law going into effect at the end of September, many health insurance providers are reporting difficulty in providing the documentation to insurance applicants and employers in a timely manner. Many providers arguing their application process is online, so drafting a paper document of the information is more time-consuming. Some would prefer to have an online submission portal to share the documentation with applicants directly.

While insurance providers are adapting to certain provisions under the healthcare reform law, the federal government has started to issue grants to the states to help each one establish its own health insurance exchange for residents and employers. So far, the federal government has spent $2.2 billion on funding the exchanges, which create a web-based shopping channel where employees and employers can get more information on coverage and purchase policies.

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Erin Woulfe
Erin Woulfe
Erin Woulfe likes to write about things that matter. Keeping her finger on the pulse of what’s happening in the public sector world, she blogs about the latest legislative news and employee benefit trends that affect our school, city and county clients. She’s been with NIS since 2002. “I love connecting to our clients and providing them with the tools they need in order to administrate their plan,” says Erin. “Whether that be materials to educate their employees on certain benefits, how to effectively communicate change within an organization or just providing tips and how-to’s to help them make their job easier.”

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