US Labor Department issues enforcement alert and guidance on health plan provider directory accuracy amid ghost network suits
Key points
- DOL released an enforcement alert and guidance on health plan physician directory accuracy
- Patient class actions have alleged "ghost networks" in health plan designs
- Data show directories are often out of date; employers must maintain accurate directories under ERISA, the ACA and the No Surprises Act
The US Department of Labor on Friday released an enforcement alert and guidance on the accuracy of health plans' physician directories, following a series of patient class actions alleging "ghost networks." Employers must maintain accurate provider directories under ERISA, the Affordable Care Act and the No Surprises Act, though data show directories are often out of date. For reference only, not legal advice.
What employers should do
- Verify that provider directories for employer-sponsored health plans are accurate and kept up to date
- Confirm with insurers or plan administrators who is responsible for directory maintenance
Policy details
- Jurisdiction
- Federal
- Status
- Enforcement action
- Effective date
- —
- Employers covered
- Employer-sponsored group health plans
- Official source
- View official source ↗
Original report: Bloomberg Law News ↗AI-assisted brief; may contain inaccuracies. Rely on the original reports and official documents. For information only; not legal, immigration or insurance advice.