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Transparency 101: The Transparency Roundup for 2024

The Baldwin Group
Updated: April 24, 2024
1 minute read


The Consolidated Appropriations Act, 2021 (CAA), which was signed into law on Dec. 27, 2020, includes many benefits and tax provisions affecting employers, group health plan sponsors, health benefits brokers and health insurance issuers. Some provisions are currently effective, while others launch on future dates. The provisions related to health plan coverage apply to both insured and self-insured group health plans.

Additionally, on October 29, 2020, the Departments of Labor, Health and Human Services and the Treasury issued a Final Rule on Health Care Transparency that imposes transparency requirements on group health plans and health insurers in the individual and group markets. These provisions apply to non-grandfathered coverage, including both insured and self-insured group health plans.

In this webinar, we will discuss the employee benefits provisions related to surprise medical billing, health plan transparency and mental health under the Consolidated Appropriations Act and the Final Rule on Health Care Transparency, including, but not limited to:

  • Ban on Surprise Medical Bills under the CAA
    • Air Ambulance
    • Emergency Services
    • IDR
  • Healthcare Transparency under the CAA
    • Removal of Gag Clauses
    • Disclosure of Broker Compensation
    • Consumer Price Comparison Tool (CPTT)
    • Advanced Explanation of Benefits
    • Continuity of Care
    • Provider Directory
    • Machine Readable Files
    • Reporting on Pharmacy Benefits and Drug Cost
    • Mental Health Parity – NQTL
  • Health Care Transparency under the Final Rule on Health Care Transparency (TiC)
    • Price and cost-sharing information to participants
    • In-network provider negotiated rates & out-of-network allowed amounts on website


Natashia (S)

Nicole (S)

Marie Smith (M)


April 24, 2024 01:00 PM in Eastern Time (US and Canada)

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