US · guidance
CMS Pub. 100-16, ch. 11, § 110.4.7
Reporting and Disclosure Requirements under Employment
Retirement Income Security Act of 1974 (ERISA)
(Rev. 79, Issued 02-17-06, Effective Date 02-17-06)
For any employees' health benefits plan that includes an MA plan in its offerings, the MA
organization must furnish, upon request, the information the organization needs to fulfill
its reporting and disclosure obligations (with respect to the particular MA organization)
under the ERISA. The organization must furnish the information to the employer or the
employer's designee, or the plan administrator as defined under ERISA.
Each organization must notify CMS of any loans or other special financial arrangements
it makes with contractors, subcontractors, and related entities, and must make information
reported to CMS regarding benefits, beneficiary cost sharing, service area and
continuation area if any, plan quality and performance indicators, beneficiary appeals and
grievances, MSA demonstration project information, and all formal actions taken by
regulatory/ licensing/ accrediting bodies available to its enrollees upon request.
History
(Rev. 79, Issued 02-17-06, Effective Date 02-17-06)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
b39e01080ae283949cad8d2d9ae85c9ff8131f915f0a531d6a2ea1e0ba117fed
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