Description
Are you in compliance with the new ERISA regulations?Disability insurers and administrators of disability plans operate in a highly regulated environment, and the Department of Labor has issued regulations controlling adjudication of disability claims by administrators that significantly deviate from past practices in the industry. The regulations impose specific requirements for communicating with claimants, as well as additional substantive rules affecting the adjudication of such claims by administrators. This live webinar will help those charged with administering disability claims learn to comply with the regulations. It will explain what practices to follow, how to change past practices to become compliant with the regulations, and the risks of noncompliance. This workshop is critical for administrators, disability insurers and employers who want to ensure they are compliant with the applicable regulations.
Date: 2024-06-06 Start Time: End Time:
Learning Objectives
Introduction
• Department of Labor Regulations Governing the Handling of Disability Claims Effective April 1, 2018
• What Types of Claims Do They Apply to?
• Overview of Additional Responsibilities Imposed on Administrators in Comparison to Other Types of Claims
• Why the Change?
The Disability Claim Regulations
• What Are They and What Do They Require?
• Impact on the Claim Adjudication Process
• Effect on Claim Communications
Key Issues
• Conflict of Interest
• Effect on a Claim of Failing to Fully Comply With the Regulations
• Shifting of Grounds of Denial
• Disclosure of Internal Rules, Guidelines and Protocols
• Effect on Contractual Limitation Periods • Requirement of Notice in Appeal Decisions
• Relation to Exhaustion of Administrative Remedies
• Substantial Compliance
• Prejudice From Violation of Regulations and Impact on Litigation
• Lessons From Judicial Rulings Relating to Disability Claim Communications and Adjudications
CLE (Please check the Detailed Credit Information page for states that have already been approved) ,SHRM ,Additional credit may be available upon request. Contact Lorman at 866-352-9540 for further information.
Stephen Rosenberg, Esq.-The Wagner Law Group
