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Consolidated Appropriations Act of 2021: The No Surprises Act & ERISA’s Broker Compensation Disclosure Rules
This 2-hour credit course provides instruction on several issues arising under the Consolidated Appropriations Act of 2021, which was primarily enacted to provide COVID-19 pandemic relief but also contains the No Surprises Act (the “Act”) and provisions to heighten the compensation disclosure requirements for employee benefits service providers. Under the Act, providers are prohibited from balance billing members for emergency services, services provided by in-network facilities at out of network facilities and out of network air ambulance bills. Instead, providers are only entitled to the Qualifying Payment Amount (QPA) for those services. In the event the QPA is disputed by the plan and the provider, Independent Dispute Resolution (IDR) is required. Additionally, the legislation extended the service provider ERISA compensation disclosure requirements that apply to retirement plans to health and welfare plans.
Topics:
• Determination of the QPA
• Median Contracted Rate Determination
• Geographical QPA Considerations
• Information Dispute Negotiation
• IDR Process
• QPA Presumption
• ERISA Prohibited Transaction Rues
• Service Provider Exemption
• Reasonable Compensation
• Information Subject to Disclosure
• Consequences of Noncompliance

Check back regularly to see if your state has been approved. If you have questions about accredited classes or states approval status, contact us at education@6degreeshealth.com.

This course has been submitted for L & H Agent credit for the following states: AK, AL, AR, AZ, CA*, CO, CT, DC, DE, FL, GA, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, NE, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, WA, WI, WV, WY. The CE provider for this event, CEU Institute (national CLE provider - www.ceuinstitute.net will seek 2.0 hours of credit for this program. *pending state approval.

HI, ND, NH, NJ, NM, VT does not provide credits for this course.

May 31, 2022 10:00 AM in Pacific Time (US and Canada)

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