As an employer sponsoring ERISA-covered health and welfare plans, you are legally obligated to communicate the terms of the plan to participants in a summary plan description (SPD). But many plans operate under poorly worded SPDs and leave their sponsors open to liability. You should know how to create a clear and comprehensive SPD, so that you can avoid expensive litigation in the future.
In this web session, expert speaker Thomas Force will help you understand what a summary plan description is, what information ERISA requires to be included in the document, and the importance of the information to providers – particularly out of network (OON) providers. You will also learn how to understand the language and terminology of the summary plan description, how to ascertain the important information to determine the amounts allowable, what your appeal rights are, and what procedures are medically necessary.
After attending this session, you’ll be able to read, analyze, interpret, and summarize a summary plan description. You’ll also be able to correctly determine the allowable amounts and medically necessary procedures. Plus, you’ll know your appeal rights – and how to maximize your payment of claims.
After attending this webinar, you will learn:
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