HR 1881 · 103th Congress · Labor and Employment

Health Insurance Claims Fairness Act of 1993

Introduced 1993-04-28· Sponsored by Rep. Berman, Howard L. [D-CA-26]· House

Bill Progress

Introduced
2
Committee
3
House Vote
4
Senate
5
Enacted
Latest: Referred to the Subcommittee on Labor-Management Relations.(1993-05-27)

Plain Language Summary

[AI summary unavailable — showing source text] Health Insurance Claims Fairness Act of 1993 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to revise claims procedures for employee welfare benefit plans. Establishes: (1) review requirements for qualified welfare plan claims; and (2) standards for treatment of requests to group health plans for preauthorization. Sets additional notice and disclosure requirements, as well as records maintenance requirements, for group health plans and employee welfare plans. Prohibits requiring any party to waive any right under the plan or ERISA as a condition for approval of any qualified welfare plan claim, except as specified in a formal settlement agreement. Directs the Secretary of Labor to establish a qualified welfare plan claims assistance program to provide participants and beneficiaries ongoing assistance in resolving such claims. Treats terms of settlement agreements as terms of the plan. Directs the Secretary to establish an Early Resolution Program (ERP), to be administered in the Department of Labor by a Claims Resolution Board. Sets conditions for eligibility of cases for submission to ERP, including nature of the claim and exhaustion of plan remedies. Allows …

Summarized by Claude AI · Non-partisan · For informational purposes only

Cosponsors (10)

10 Democrats