The No Surprises Act create a dispute resolution the employers are free became e昀昀ective on system between plans and clear of compliance January 1, 2022 and and providers (as well as responsibilities. The was designed to protect patients and providers). regulations will require patients from surprise In most instances, the several plans to amend bills for emergency insurance carriers/ their claims and appeals services at out-of-network TPAs will bear the procedures, certain facilities or for out-of- administration burden group health plans will network providers at in- for employer-provided require additional plan network facilities. group health plans, design changes, and The Act intends these although we expect employers will need to protections to limit the they will pass the costs address certain disclosure 2 ability of out-of-network through to employers in obligations. providers to balance bill the form of additional plan participants; and to fees. This does not mean 2023 Benefits Trends: The evolving workplace 79