Group Health Plan Claim Denial Reporting

Current understanding

To be populated as evidence accumulates.

2026-07-23 — Electronic Disclosure by Group Health Plans Under ERISA: cross-connection with erisa-electronic-disclosure-group-health-plans: Both address participant-facing information flows from group health plans under ERISA; the safe harbor could affect how denial-related disclosures reach participants. (novelty: 3)
2026-07-16 — To amend the Employment Retirement Income Security Act of 1974 to establish additional requirements relating to claims and appeals.: cross-connection with erisa-claims-appeals-requirements: Both address ERISA-plan claim adjudication transparency and could interact if enacted—one on procedural claim/appeal requirements, the other on denial reporting. (novelty: 2)
2026-07-16 — To direct the Secretary of Labor to require group health plans include certain information on claim denials in annual reports, and for other purposes.: HR9754 introduced (House Education and Workforce): would direct the Secretary of Labor to require group health plans to include specified claim-denial information in their ERISA annual reports (Form 5500 series), adding a transparency mandate for plan administrators without altering coverage requirements. (novelty: 2)