What administrative responsibility is mandated by ERISA for health plans?

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The responsibility mandated by ERISA (the Employee Retirement Income Security Act) for health plans is to exercise fiduciary responsibility. This means that those who manage health plans must act in the best interests of the plan participants and beneficiaries, adhering to a standard of care that is expected of a prudent person in similar circumstances.

Fiduciary responsibility encompasses various duties, including ensuring that the plan is administered according to the plan documents and that the funds are managed prudently. This oversight is critical for protecting participants' rights, ensuring proper administration of benefits, and maintaining the integrity of the plan.

While promoting wellness programs, managing marketing strategies, and limiting claims processing are important aspects of running a health plan, they are not specifically mandated by ERISA. Instead, ERISA primarily focuses on protecting participants in employee benefit plans and holds fiduciaries accountable for their management practices, thus ensuring transparency and fairness within the health plan administration.

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