Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:Introduction to Health Care and Public Health in the U.S.
Unit:Financing Health Care - Part 1
Lecture:The history of the health insurance industry in the U.S.
Slide content:Employee Retirement Income Security Act of 1974 (ERISA) Regulates employer self-insured health plans Employer not required to establish plan Requires plans to meet certain standards Establishes standards of conduct for plan administrators Requires a grievance and appeals process Allows employees the right to sue for benefits 15
Slide notes:Another important federal law affecting private insurance is ERISA, the Employee Retirement Income Security Act of 1974, which regulates employer self-funded health plans . It does not require a plan be established . However , it sets standards for plan administrators, establishes a grievance and appeals process for employees, and establishes the right to sue for benefits. 15