FAQs Clarify IRO Contracting Requirement

The FAQ at Q & 9 clarifies that the plan itself is not necessarily required to contract directly with three IROs to satisfy the external claims review requirement, but may, instead, access such IROs through contracting with its third party administrator. There is also a hint of a possible relaxation of the rules prohibiting grandfather status in the event of a change in the insured provider.

Document Excerpt

Link http://www.dol.gov/ebsa/faqs/faq-aca.html

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