In developing the GOT regulation, the Departments accounted for wide variation in how group health plans and
health insurance issuers determine both in - network and out - of - network rates, and made a determination to base the GOT criteria on existing provisions of federal law.
Not exact matches
Thus, the Departments concluded in the November 2015 final rule, and still maintain, that the existing GOT regulation provides a statutorily supportable, and also a more practical, and cost - effective approach for group
health plans and
health insurance issuers to
determine the required minimum payment amounts.
«These interim final regulations are necessary in order to provide rules that plan sponsors and
issuers can use to
determine which changes they can make to the terms of the plan or
health insurance coverage while retaining their grandfather status»