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Which Plans are Subject to the DOL’s Final Rules for Disability Claims Procedures?

Overview On December 19, 2016, the U.S. Department of Labor (DOL) issued final rules revising the claims procedures for ERISA plans that make disability determinations affecting plan benefits.  The DOL noted that nearly two-thirds of all ERISA litigation involves claims under long-term disability plans, and the final rules are intended to improve the “full and fair review” of disability claims under ERISA § 503 and ERISA Reg. § 2560.503-1 by expanding the procedural requirements.  It’s debatable whether the new procedures will actually cut down on the volume of future litigation once individuals have exhausted the appeals process, but the final rules should lead to a better administrative record for review during litigation. The final rules generally make the disability claims procedures more consistent with the procedures for group health plans as modified by the Affordable Care Act (ACA), although the unique timelines for disability procedures remain intact, there is no… Continue Reading

Texas Insurance Academy

The Texas Insurance Academy (TIA) is dedicated to raising awareness of and addressing insurance issues affecting businesses in a broad range of industries and across the spectrum from risk management strategy and insurance policy procurement to pursuing claims for coverage. We provide a forum for networking and sharing of ideas in the areas of risk management and insurance coverage. We hosted our inaugural full-day educational conference in May 2016 and are looking forward to another successful conference in 2017. This web page is intended to share information about the TIA. If you have any questions about involvement with TIA you can email us. Topics Covered at 2016 Conference Disaster Response Tips and Traps of Pursuing Your Claim as an Additional Insured D&O Coverage: New Provisions, New Issues Responding to Reservation of Rights Letters Cyberliability Top Trends in Risk Management 2017 Academy Event Info and Agenda Coming Soon 2016 Conference Details… Continue Reading

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