Required Disclosure for Employer Funded Health Plans

The Departments of Health and Human Services, Labor, and the Treasury finalized the Transparency in Coverage Rule (TiC) requiring health insurers and employer self-insured health plans to post publicly-available machine-readable files by July 1, 2022. This link leads to the machine-readable files and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.

 

AlliedBenefit.SapphireMRFHub.com  (accessible July 1st, 2022)

 

A copy of the full TiC Final Rule is available here: FederalRegister.gov/documents/2020/11/12/2020-24591/transparency-in-coverage

 

A copy of the Department of Labor FAQs can be accessed here: DOL.gov/sites/dolgov/files/EBSA/about-ebsa/our-activities/resource-center/faqs/aca-part-49.pdf