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Know the importance of a group’s ERISA status

Large Group, Small Group, National | CO, CT, IN, KY, ME, MO, NH, NV, OH, VA, WI, CA, GA, NY-DOWNSTATE, NY-UPSTATE

Do you know your clients’ ERISA statuses? The Employee Retirement Income Security Act (ERISA) is a comprehensive law that governs many aspects of employee benefit plans, including:

  • Claim timeliness.
  • How appeal rights and notices are applied.
  • Language support.
  • Which regulatory mandates apply.
  • Accurate data communication to regulators.
  • Legal compliance.

When enrolling or renewing a new group, verify that their selected ERISA status is accurate. This will create a smoother group implementation process. Please review this document to learn more about ERISA statuses and how to determine what’s right for your clients.

To aid in this process, we’ve updated all group applications to include additional questions regarding ERISA status. Our internal systems have also been enhanced to incorporate inquiries about ERISA.

If you have any questions, please reach out to your Anthem representative.