X hits on this document

411 views

0 shares

0 downloads

0 comments

6 / 113

A Self-Insured Plan

71

Notice of Election of Exemption

72

What Are COBRA Benefits? Who is a Qualified Beneficiary? What is a Qualifying Event? Disability Extension Cost for COBRA Continuation Coverage Claims Administration Verifying Coverage of a Service How to File a Medical Claim How to File a Prescription Drug Claim Time Limit for Filing Claims Direction of Pay Patient Audit Program Medical Appeals Prescription Drug Appeals Utilization Review Appeals Other Complaints Coordination of Benefits Medicare Coordination – End-Stage Renal Disease Refund of Overpayments and Subrogation Refund to The Plan of Overpayment of Benefits Subrogation – Third Party Liability Subrogation – Work Related Health Plan Administration

57 57 57 59 59 61 61 61 61 62 63 63 64 64 65 65 66 68 69 69 69 70 71

General Conditions Covered Expense Liability Notices Proof of Loss Breach or Default Network Agreements Terms Disclosure Privacy of Protected Health Information Security of Electronic Protected Health Information Glossary Group Term Life Insurance At a Glance Who Is Eligible? Enrolling in Life Insurance Late Enrollees How Much is an Employee Insured For? Cost of Coverage for Employees Accidental Death and Dismemberment Benefits Retiring Employees Cost of Coverage for Retired Employees

73 73 73 73 73 73 74 74 74 74 76 77 88 88 89 90 90 90 90 91 91 91

v

Document info
Document views411
Page views411
Page last viewedMon Jan 23 03:20:23 UTC 2017
Pages113
Paragraphs2271
Words37586

Comments