ERISA
ERISA protects the interests of employee benefit plan participants and their beneficiaries. It requires plan sponsors to provide plan information to participants. It establishes standards of conduct for plan managers and other fiduciaries. It establishes enforcement provisions to ensure that plan funds are protected and that qualifying participants receive their benefits, even if a company goes bankrupt.
Why is this important?
More than half of America’s workers earn health benefits on the job, and ERISA protects those too, as well as other employee benefits.
A plan administrator (Insurance payer) may not wrongfully deny a claim for benefits under a plan governed by ERISA. There are many things an Insurance payers are doing currently that are against ERISA Laws.
Quantum Solutions reviews and works with Insurance payers so that they follow the law and do not deny claims that are otherwise payable.