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[Health Insurance] 57, ERISA Federal Regulation of Employee Benefits
Published 3 weeks, 1 day ago
Description
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams.
In this episode you will learn:
- That a fiduciary's primary duty under ERISA is to act solely in the interest of plan participants and beneficiaries.
- Key details about the Summary Plan Description (SPD), including that it must be provided automatically to new participants within 90 days of coverage.
- The distinction between fully insured and self-insured plans regarding ERISA's preemption of state insurance laws.
- The required timelines for deciding claim appeals, such as within 72 hours for urgent care claims.
- That ERISA establishes a formal grievance and appeals process that must be exhausted before legal action can be taken in federal court.