ERISA

By April Handlir, EHD Compliance Specialist All ERISA-based group health plans, regardless of size and funding, must provide a Summary Plan Description (SPD) to participants. An SPD is a written document that outlines essential plan information, including administration, participant eligibility, processing of Qualified Medical Child Support Orders (QMCSO), cost-sharing, benefit limitations, applicable regulatory acts, provider networks, COBRA, terminations, claims, and pre-authorization parameters. The purpose of the SPD is to offer a clear and concise reference…