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Self-Funded ERISA Health Plans May Opt Into New Law Regarding Out-of-Network Service Providers

New Jersey recently enacted a law that is intended to address the issue of ?Ç£surprise out-of-network charges?Ç¥ to patients who obtain healthcare from healthcare providers in New Jersey. The law, entitled the ?Ç£Out-Of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act?Ç¥ (the ?Ç£NJ Act?Ç¥), applies with respect to patients who have insured health coverage, but may also apply to patients who participate in employer-sponsored, self-funded health plans subject to ERISA (each, a ?Ç£Self-Funded Health Plan?Ç¥) if such plans voluntarily ?Ç£opt in?Ç¥ to the NJ Act. The NJ Act imposes numerous new disclosure obligations on healthcare providers in New Jersey regarding information to be posted on their websites or delivered directly to patients who will receive their services. Such information includes (i) the provider?ÇÖs network status with respect to the patient?ÇÖs health benefit plan, (ii) a listing of the standard charges for items and services provided by a healthcare facility and… Continue Reading

July 2018
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