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Compliance

Compliance for Self-Funded Plans

You have a company to manage, and in an evolving industry with multiple regulatory frameworks, health plan compliance is a real-world challenge. MedCost recognizes the need for support and a trusted advisor to help navigate decision-making regarding your benefits plan. We have resources available to ensure your benefits plan is in compliance with the many regulations governing employer benefit programs, such as ERISA, HIPAA and the Patient Protection and Affordable Care Act (PPACA).

Health Plan Compliance for Companies

Our expert staff assists with your health plan compliance, from long-standing benefit plan requirements and monitoring for new and changing legislation. Our compliance services include but are not limited to:

  • Assistance with construction of Plan Documents, Summary Plan Descriptions (SPD) and Amendments

  • Assistance with construction of Summary of Benefits and Coverage (SBC) and Glossary of Health Coverage Terms

  • HIPAA Documentation (Notice of Privacy Practice, Business Associate Agreements, Sub-Contractor Business Associate Agreements and Confidentiality Agreements)

  • Annual and Enrollment Notices

  • Research and Guidance on Legislative Activity and Required Action

  • State-Specific Requirements for Health Plans