May 25, 2023
Now that the federal Public Health Emergency for COVID-19 has ended, the Department of Labor Timeframe Extensions will come to an end on July 10, 2023 (60 days after the end of the national emergency). This includes timeframe extensions for Special Enrollment, COBRA, Claim Procedures, and External Reviews.
Retroactive Membership Changes
As a reminder, your clients can submit retroactive membership changes within 90 days of the member’s effective date. Sutter Health Plus does not process requests received after 90 days; exceptions for special enrollments or COBRA enrollments may apply. If a termination is requested greater than 90 days retroactively, it will be effective as of the first of the following month within the 90-day timeframe. To ensure accuracy in managing health plan benefits, please encourage your clients to regularly audit member enrollment data.
Contact your Amwins Connect Regional Sales Manager for more information.
