DOL FAQs: Reporting Safe Harbor for Transparency in Coverage Machine-Readable Files (IRC §9815)

Safe harbor for group health plans regarding transparency in coverage disclosure in machine-readable files, the Departments of Labor, Treasury, and Health and Human Services released Apr. 19. The Transparency in Coverage Final Rules require non-grandfathered group health plans and health insurance issuers offering non-grandfathered coverage in the group and individual markets to disclose, on a public website, information regarding in-network rates for covered items and services, out-of-network allowed amounts and billed charges for covered items and services, and negotiated rates and historical net prices for covered prescription drugs in three separate machine-readable files, the Departments note. The Departments are providing ...