Reporting and Disclosure Requirements under Employment

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.