How are post-service claims affected by DOL regulations?
If there is a post-service claim, members are entitled to a notice of an adverse benefit determination within 30 calendar days of receipt. In addition, the time period may be extended for 15 calendar days for reasons beyond the plan’s control, so long as the member is notified of this extension. If the extension is needed due to lack of information, the member has a minimum of 45 days to provide the information.
