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What kind of information are we required to give participants in our health insurance plan?

by on
in Employee Benefits Program,Human Resources

Q. We just received a letter from an employee who has requested a copy of our medical plan. Are we required to provide this information to her?

A. Yes. Upon written request, administrators of welfare benefit plans governed by the Employee Retirement Income Security Act must provide any participant or beneficiary with this information.

Federal regulations also require certain automatic disclosures about benefits plans. For example, participants are entitled to receive Summary Plan Descriptions, which should be written in a way that an average plan participant can understand. Federal law also requires certain other disclosures upon the occurrence of specific events (such as termination of a worker’s employment).

Your health plan provider or administrator should be able to give you details on those requirements.

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