What happens to the unpaid claims?
• I’m getting ready to retire . What happens to my health care plan? • What does HIPAA cover ? Q: What is a group health plan? A: A group health plan is an employee welfare benefit plan established or maintained by an employer or by an employee organization (such as a union), or both, that provides medical care for participants or their dependents directly or through insurance, reimbursement or otherwise. Return to index . . . Q: What laws cover private sector health plans? A: Most private sector health plans are covered by the Employee Retirement Income Security Act (ERISA). Among other things, ERISA provides protections for participants and beneficiaries in employee benefit plans (participant rights), including providing access to plan information. Also, those individuals who manage plans (and other fiduciaries) must meet certain standards of conduct specified in the law. Return to index . . . Q: Who is responsible for enforcement of these laws? A: The Pension and Welfare Benefits Ad
