Book excerpt: Group Health Plans and Health Insurance Issuers - Internal Claims and Appeals and External Review Processes under the Patient Protection (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) The Law Library presents the complete text of the Group Health Plans and Health Insurance Issuers - Internal Claims and Appeals and External Review Processes under the Patient Protection (US Department of Health and Human Services Regulation) (HHS) (2018 Edition). Updated as of May 29, 2018 This document contains interim final regulations implementing the requirements regarding internal claims and appeals and external review processes for group health plans and health insurance coverage in the group and individual markets under the Patient Protection and Affordable Care Act. The regulations will generally affect health insurance issuers; group health plans; and participants, beneficiaries, and enrollees in health insurance coverage and in group health plans. The regulations provide plans and issuers with guidance necessary to comply with the law. This book contains: - The complete text of the Group Health Plans and Health Insurance Issuers - Internal Claims and Appeals and External Review Processes under the Patient Protection (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) - A table of contents with the page number of each section