The Employee Retirement Income Security Act of 1974 (ERISA) requires certain language to be included in plan documents to describe welfare benefits such as medical, dental, vision, Health FSA, HRA, life, disability, etc. The language includes:
required timelines for claims processing
claims appeal language
Federal rights under HIPAA and COBRA and FMLA
Each welfare benefit plan must include a Summary Plan Description (SPD) that includes the ERISA language.
Since some carriers and plans do not automatically include the ERISA required language, Employers can create a Wrap plan that consolidates the ERISA requirements under one document.