U.S. Year-End No Surprises Act Addresses Surprise Billing

U.S. Year-End No Surprise BillingThe year-end Appropriations Act included several provisions that directly impact employer-sponsored group health plans. One of the most significant is the No Surprises Act (the Act), which applies to all group health plans. It will require significant changes to plan design and administration. The Act will generally take effect for plan years beginning in 2022 (some provisions are effective January 1, 2022). The key elements of the Act are addressed below. Although compliance with the Act for group health plans should generally rest with insurers and third-party administrators (TPAs) (by contract) this will likely impact claims administration costs. Significant regulatory guidance will be required for implementation.

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This information is provided by the compliance team at Alliant Employee Benefits, Asinta’s U.S. consulting Partner in the U.S.