TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2210 STATE EMPLOYEES GROUP HEALTH INSURANCE PROGRAM
SECTION 2210.550 APPEALS


 

Section 2210.550  Appeals

 

a)         Members may request an appeal of a decision by a Plan Administrator relating to a claim for benefits under the Program.

 

b)         The Agency shall provide a description of the applicable appeals process in the Benefits Handbook made available to Members.

 

c)         The Program’s appeals process shall comply with applicable federal laws and regulations, including, but not limited to, the Affordable Care Act and its implementing regulations (45 CFR 147.136).