The No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at in- • network facilities and services from out-of-network air ambulance service providers. It also establishes an independent dispute resolution process for payment disputes between plans and providers and provides new dispute resolution opportunities for uninsured and self-pay individuals when they receive a medical bill that is substantially greater than the good faith estimate they get from the provider.

Starting in 2022, there are new protections that prevent surprise medical bills. If you have private health insurance, these new protections ban the most common types of surprise bills. If you’re uninsured or you decide not to use your health insurance for a service, under these protections, you can often get a good faith estimate of the cost of your care up front before your visit. If you disagree with your bill, you may be able to dispute the charges.

Here’s what you need to know about your new rights.

• Services were provided at an in-network facility by an out-of-network provider
• Emergency services were performed out-of-network

• Review invoices for any billing errors
• Contact the billing department to correct and issue a new bill
• Contact your Client Manager

In 2020, Colorado voters approved the statewide ballot measure Proposition 118, creating the Paid Family and Medical Leave initiative (PFML). Since then, the Colorado Department of Labor and Employment (CDLE) has been writing regulations to finalize the statewide insurance program which will begin requiring premium payments in 2023 and offering benefits in 2024. Read on to see what your organization needs to do now to prepare for the upcoming PFML requirements.