Notice & DisclosureRecurring
Notification of Benefit Determination (EOB / Claims Notices)
ERISA § 503; 29 CFR § 2560.503-1
Information regarding benefit claim determinations. Adverse determinations must include reason, plan provisions, and appeal procedures.
ResponsibleMedical Carrier/TPA
Deliver ToClaimants (Participants, Beneficiaries, Authorized reps)
DeadlineVaries by plan and claim type; see 29 CFR § 2560.503-1
Get Your Compliance Calendar →
Track this and 71 other federal requirements. Personalized to your plan.