On Aug. 19, 2022, the Departments of Labor (DOL), Health and Human
Services (HHS) and the Treasury (Departments) jointly released FAQs
implementing provisions of the No Surprises Act (NSA), including the
requirement that plans and issuers disclose certain balance billing
protections to participants. Previously, the Departments released a model
notice that could be used to satisfy these disclosure requirements (“Version
1”). Based on public comments, the Departments revised this model notice
(“Version 2”) and included it in the appendix of the latest FAQs.
Disclosure Requirements
For plan years beginning on or after Jan. 1, 2022, the NSA requires group
health plans and issuers to make publicly available, post on a public website
and include on each applicable explanation of benefits information on the
restrictions against balance billing, including any applicable state law
protections, and information on contacting appropriate state and federal
agencies. The revised notice includes more specific federal agency contact
information, along with other minor clarifications.
Click below for more information
Surprise Billing Model Notice Now Available(1)
Or call our team at 800-362-2809. If you are a current client you should have the necessary information in your required document package.