82_FR_56788 82 FR 56560 - Claims Procedure for Plans Providing Disability Benefits; 90-Day Delay of Applicability Date

82 FR 56560 - Claims Procedure for Plans Providing Disability Benefits; 90-Day Delay of Applicability Date

DEPARTMENT OF LABOR
Employee Benefits Security Administration

Federal Register Volume 82, Issue 228 (November 29, 2017)

Page Range56560-56566
FR Document2017-25729

This document delays for ninety (90) days--through April 1, 2018--the applicability of a final rule amending the claims procedure requirements applicable to ERISA-covered employee benefit plans that provide disability benefits (Final Rule). The Final Rule was published in the Federal Register on December 19, 2016, became effective on January 18, 2017, and was scheduled to become applicable on January 1, 2018. The delay announced in this document is necessary to enable the Department of Labor to carefully consider comments and data as part of its effort, pursuant to Executive Order 13777, to examine regulatory alternatives that meet its objectives of ensuring the full and fair review of disability benefit claims while not imposing unnecessary costs and adverse consequences.

Federal Register, Volume 82 Issue 228 (Wednesday, November 29, 2017)
[Federal Register Volume 82, Number 228 (Wednesday, November 29, 2017)]
[Rules and Regulations]
[Pages 56560-56566]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-25729]


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DEPARTMENT OF LABOR

Employee Benefits Security Administration

29 CFR Part 2560

RIN 1210-AB39


Claims Procedure for Plans Providing Disability Benefits; 90-Day 
Delay of Applicability Date

AGENCY: Employee Benefits Security Administration, Department of Labor.

ACTION: Final rule; delay of applicability date.

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SUMMARY: This document delays for ninety (90) days--through April 1, 
2018--the applicability of a final rule amending the claims procedure 
requirements applicable to ERISA-covered employee benefit plans that 
provide disability benefits (Final Rule). The Final Rule was published 
in the Federal Register on December 19, 2016, became effective on 
January 18, 2017, and was scheduled to become applicable on January 1, 
2018. The delay announced in this document is necessary to enable the 
Department of Labor to carefully consider comments and data as part of 
its effort, pursuant to Executive Order 13777, to examine regulatory 
alternatives that meet its objectives of ensuring the full and fair 
review of disability benefit claims while not imposing unnecessary 
costs and adverse consequences.

DATES: The amendments are effective on January 1, 2018.

FOR FURTHER INFORMATION CONTACT: Frances P. Steen, Office of 
Regulations and Interpretations, Employee Benefits Security 
Administration, (202) 693-8500. This is not a toll free number.

SUPPLEMENTARY INFORMATION: 

A. Background

    Section 503 of the Employee Retirement Income Security Act of 1974, 
as amended (``ERISA''), requires that every employee benefit plan shall 
establish and maintain reasonable procedures governing the filing of 
benefit claims, notification of benefit determinations, and appeal of 
adverse benefit determinations. In accordance with its authority under 
ERISA section 503, and its general regulatory authority under ERISA 
section 505, the Department of Labor (``Department'') previously 
established regulations setting forth minimum requirements for employee 
benefit plan procedures pertaining to claims for benefits by 
participants and beneficiaries. 29 CFR 2560.503-1.
    On December 19, 2016, the Department published a final regulation 
(``Final Rule'') amending the existing claims procedure regulation; the 
Final Rule revised the claims procedure rules for ERISA-covered 
employee benefit plans that provide disability benefits. The Final Rule 
was made effective January 18, 2017, but the Department delayed its 
applicability until January 1, 2018, in order to provide adequate time 
for disability benefit plans and their affected service providers to 
adjust to it, as well as for consumers and others to understand the 
changes made.
    On February 24, 2017, the President issued Executive Order 13777 
(``E.O. 13777''), entitled Enforcing the Regulatory Reform Agenda.\1\ 
E.O. 13777 is intended to reduce the regulatory burdens agencies place 
on the American people, and directs federal agencies to undertake 
specified activities to accomplish that objective. As a first step, 
E.O. 13777 requires the designation of a Regulatory Reform Officer and 
the establishment of a Regulatory Reform Task Force within each federal 
agency covered by the Order. The Task Forces were directed to evaluate 
existing regulations and make recommendations regarding those that can 
be repealed, replaced, or modified to make them less burdensome. E.O. 
13777 also requires that Task Forces seek input from entities 
significantly affected by regulations, including state, local and 
tribal governments, small businesses, consumers, non-governmental 
organizations, and trade associations.
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    \1\ 82 FR 12285 (March 1, 2017).
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    Not long thereafter, certain stakeholders asserted in writing that 
the Final Rule will drive up disability benefit plan costs, cause an 
increase in litigation, and consequently impair workers' access to 
disability insurance protections.\2\ In support of these assertions, 
the stakeholders said, among

[[Page 56561]]

other things, that the right to review and respond to new information 
or rationales unnecessarily ``complicates the processing of disability 
benefits by imposing new steps and evidentiary burdens in the 
adjudication of claims.'' \3\ In addition, the stakeholders said that 
the new deemed exhaustion provision ``explicitly tilts the balance in 
court cases against plans and insurers'' and ``creates perverse 
incentives for plaintiff's attorneys to side-step established 
procedures and clog the courts for resolution of benefit claims.'' \4\ 
The stakeholders argued that these provisions (and others) collectively 
``will delay any final decision for the claimant and will significantly 
increase the administrative burdens on employers and disability 
insurance carriers, hurting the very employee the rule was purporting 
to help.'' \5\ Moreover, according to the stakeholders, these new 
provisions (and others) are unnecessary in any event because ``there 
are already existing robust consumer protections applicable and 
available to disability claimants that have worked for well over a 
decade.'' \6\ Some members of Congress also presented these same or 
similar concerns in writing to the Secretary of Labor.\7\
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    \2\ Some of the stakeholders also asserted a comment that was 
previously provided with respect to the 2015 proposed amendments, 
specifically that the Department exceeded its authority and acted 
contrary to Congressional intent by applying certain ACA protections 
to disability benefit claims, arguing that if Congress had wanted 
these protections to apply to disability benefit claims, it would 
have expressly extended the claims and appeals rules in section 2719 
of the Public Health Service Act to plans that provide disability 
benefits. However, the Department did not take the position that the 
ACA compelled the changes in the Final Rule. Rather, because 
disability claims commonly involve medical considerations, the 
Department was of the view that disability benefit claimants should 
receive procedural protections similar to those that apply to group 
health plans, and thus it made sense to model the Final Rule on 
procedural protections and consumer safeguards that Congress 
established for group health care claimants under the ACA.
    \3\ Letter from Governor Dirk Kempthorne, President & Chief 
Executive Officer, American Council of Life Insurers, to The 
Honorable Alexander Acosta, Secretary, U.S. Department of Labor, 
``Department of Labor Disability Claims Regulation,'' (July 17, 
2017) (on file with the Employee Benefits Security Administration, 
U.S. Department of Labor and posted on EBSA's Web site).
    \4\ Letter from American Benefits Council, American Council of 
Life Insurers, America's Health Insurance Plans, Cigna, The ERISA 
Industry Committee, Financial Services Roundtable, Sun Life 
Financial, Unum Group, Inc., to Gary Cohn, Director, National 
Economic Council, The White House, Andrew P. Bremberg, Director, 
Domestic Policy Council, The White House, Edward C. Hugler, Acting 
Secretary, U.S. Department of Labor, ``Department of Labor 
Disability Claims Regulation,'' (Mar. 14, 2017) (on file with the 
Employee Benefits Security Administration, U.S. Department of Labor 
and posted on EBSA's Web site).
    \5\ Letter from Governor Dirk Kempthorne, supra, note 3.
    \6\ Id.
    \7\ Letter from David P. Roe, M.D., Member of Congress (and 27 
other Members of Congress), to R. Alexander Acosta, Secretary, U.S. 
Department of Labor, ``Immediate Action Needed on Disability Claims 
Regulation,'' (July 28, 2017) (on file with the Employee Benefits 
Security Administration, U.S. Department of Labor and posted on 
EBSA's Web site).
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    According to the stakeholders, a confidential survey of carriers 
covering approximately 18 million participants in group long term 
disability plans (which reflects approximately 45% of the group long-
term disability insurance market), conducted by the stakeholders 
estimated that the Final Rule would cause average premium increases of 
5-8% in 2018 (when the Final Rule is scheduled to take effect) for 
several survey participants.\8\ The stakeholders argued that the demand 
for disability insurance is highly sensitive to price changes, such 
that even minor price increases can result in take-up rate reductions. 
As an example, they reported that when the State of Vermont mandated 
mental health parity several years ago, there was an approximately 20% 
increase in premiums, which they asserted resulted in a 20% decrease of 
covered employees.\9\ From this, they conclude that the cost increases 
caused by the Final Rule will result in employers reducing and/or 
eliminating disability income benefits, and that some individuals may 
elect to drop or forego coverage, with the result that fewer people 
will have adequate income protection in the event of disability. The 
stakeholders further asserted that loss of access not only may be 
adverse to individual workers and their families, but also potentially 
adverse to federal and state public assistance programs more 
generally.\10\
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    \8\ Email from Michael Kreps, Principal, Groom Law Group, to 
John J. Canary and Jeffrey J. Turner, Office of Regulations and 
Interpretations, Employee Benefits Security Administration (July 13, 
2017) (on file with the Employee Benefits Security Administration, 
U.S. Department of Labor and posted on EBSA's Web site).
    \9\ Id.
    \10\ See, e.g., Letter from Matthew Eyles, Executive Vice 
President, Policy and Regulatory Affairs, America's Health Insurance 
Plans, to The Honorable R. Alexander Acosta, Secretary of Labor, 
U.S. Department of Labor (May 10, 2017) (on file with the Employee 
Benefits Security Administration, U.S. Department of Labor and 
posted on EBSA's Web site). See also Letter from David P. Roe, M.D., 
Member of Congress (and 27 other Members of Congress), supra, note 
7.
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    The stakeholders stated that, while the Final Rule's Regulatory 
Impact Analysis (RIA) addressed the limited data sources that were 
publicly available at that time, the Department's ability to fully 
quantify and evaluate costs and benefits was accordingly constrained. 
But the stakeholders said that such data could be developed by the 
industry and provided to the Department, and have promised to work with 
the Department to obtain this data. They asserted that collecting the 
relevant data is a complex process that will take time and involve an 
expenditure of resources. For example, because each carrier's data is 
proprietary and contains sensitive business information, an independent 
third party must collect the data in a manner that protects this 
information. This may include, among other things, negotiating specific 
non-disclosure, security, and data retention agreements. They further 
observed that such a process must also be carefully designed to ensure 
that there are no violations of relevant federal or state laws, such as 
antitrust laws. The stakeholders also asserted that each carrier's 
existing information technology systems may collect and report data in 
different ways, so, to be usable, the data must be aggregated into 
standardized data sets, anonymized to ensure that no data point can be 
attributed to a single carrier, and reviewed and analyzed to ensure 
accuracy and reliability (as required for a regulatory impact 
analysis). The stakeholders made a commitment to provide this data and 
asked the Department to delay the Final Rule's applicability date.
    In light of the foregoing, and pursuant to E.O. 13777, the 
Department published in the Federal Register on October 12, 2017, at 82 
FR 47409, a document seeking comment on a proposed 90-day delay of the 
applicability date of the Final Rule through April 1, 2018 (NPRM). The 
comment period on the proposed delay ended on October 27, 2017. In that 
same document, the Department sought comments and data germane to the 
examination of the merits of rescinding, modifying, or retaining the 
Final Rule. This comment period ends on December 11, 2017.

B. Public Comments and Decision on Delay

    The Department received approximately 110 comment letters in 
response to the proposed delay. As evidenced below, there is no 
consensus among the commenters regarding whether a delay is appropriate 
or the length of any such delay. Many commenters strongly support a 
delay, though much longer than 90 days, but at least as many commenters 
equally strongly oppose any delay of any length. All of the commenters' 
letters, and other related submissions made part of the public record, 
are available for public inspection on EBSA's Web site. After carefully 
considering the record, the proposal is adopted without change.
    A significant number of commenters representing employers, plans, 
insurance carriers, and plan service providers strongly support a delay 
of the applicability date. Many of these commenters repeated prior 
assertions that the Final Rule, if not revised or repealed, will drive 
up disability benefit plan costs, cause an increase in litigation, and 
in doing so impair workers' access to disability benefit

[[Page 56562]]

insurance.\11\ In support of these assertions, these commenters say 
that the right to review and respond to new information or rationales 
unnecessarily ``complicates the processing of disability benefits by 
imposing new steps and evidentiary burdens in the adjudication of 
claims,'' and that some of the new disclosure requirements ``forc[e] 
plans to consider disability standards and definitions different from 
those in the plan.'' \12\ In addition, they say that the new deemed 
exhaustion provision ``explicitly tilts the balance in court cases 
against plans and insurers'' and ``creates perverse incentives for 
plaintiff's attorneys to side-step established procedures and clog the 
courts for resolution of benefit claims.'' \13\ A delay, according to 
these commenters, will enable the Department to conduct a reexamination 
of the Final Rule, make changes, and prevent these adverse consequences 
from ever occurring.
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    \11\ See, e.g., Comment Letter #105 (America's Health Insurance 
Plans) (``Because demand by employees for private disability income 
protection is sensitive to the cost of coverage, the Rule would 
drive down the number of working Americans with private disability 
income protection, exposing more American families to the financial 
risk of disabling illness or injury. As a result, not only would 
more families face financial hardship, the federal government, 
states, and taxpayers would also face higher costs because, lacking 
disability income protection benefits, more disabled workers would 
be forced to rely on public assistance programs.'').
    \12\ Comment Letter #104 (American Benefits Council, American 
Council of Life Insurers, America's Health Plans, Cigna, The ERISA 
Industry Committee, Financial Services Roundtable, The Guardian Life 
Insurance Company of America, The Hartford, MetLife, Mutual of 
Omaha, National Association of Insurance and Financial Advisors, 
National Business Group on Health, NFL Player Disability and 
Neurocognitive Benefit Plan, Sun Life Financial, Unum Group, Inc., 
U.S. Chamber of Commerce).
    \13\ Id. See also Comment Letter #105 (America's Health 
Insurance Plans) (``Of major concern, the Rule's provisions would 
greatly increase disability income claim litigation and litigation 
costs. The Rule provides, at the claimant's option, for a short-cut 
to the federal courts and to de novo court review if a plan does not 
`strictly adhere' to its provisions.'').
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    Nearly all of the supporters of a delay requested a delay of longer 
than 90 days. The majority requested a delay ranging from 6 months to 1 
year, with a few commenters requesting an even longer delay. The 
primary reason offered for a longer delay, according to these 
commenters, is that a 90-day delay will not provide enough time for the 
Department to complete a careful review of the public record (including 
the information and data due on December 11, 2017), to perform a review 
and analysis of the Final Rule in light of the information and data 
provided, to propose revisions to the Final Rule and receive comments, 
to publish a revised final rule, and to provide plans and their service 
providers sufficient time to comply with a revised rule.\14\ One 
commenter, for example, noted that historically the Department has 
taken months, if not years, to review existing regulations, propose 
changes, and issue final rules.\15\
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    \14\ See, e.g., Comment Letter #98 (American Council of Life 
Insurers); Comment Letter #104 (American Benefits Council, American 
Council of Life Insurers, America's Health Plans, Cigna, The ERISA 
Industry Committee, Financial Services Roundtable, The Guardian Life 
Insurance Company of America, The Hartford, MetLife, Mutual of 
Omaha, National Association of Insurance and Financial Advisors, 
National Business Group on Health, NFL Player Disability and 
Neurocognitive Benefit Plan, Sun Life Financial, Unum Group, Inc., 
U.S. Chamber of Commerce); Comment Letter #105 (America's Health 
Insurance Plans); Comment Letter #97 (National Business Group on 
Health); Comment Letter #94 (UNUM Group); Comment Letter #93 (United 
Healthcare); Comment Letter #96 (Cigna Corporation); Comment Letter 
#92 (US Chamber of Commerce); Comment Letter #95 (Sun Life 
Financial).
    \15\ Comment Letter #104 (American Benefits Council, American 
Council of Life Insurers, America's Health Plans, Cigna, The ERISA 
Industry Committee, Financial Services Roundtable, The Guardian Life 
Insurance Company of America, The Hartford, MetLife, Mutual of 
Omaha, National Association of Insurance and Financial Advisors, 
National Business Group on Health, NFL Player Disability and 
Neurocognitive Benefit Plan, Sun Life Financial, Unum Group, Inc., 
U.S. Chamber of Commerce).
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    By contrast, a significant number of commenters representing 
disability claimants strongly oppose any delay of the applicability 
date. These commenters firmly believe that disability claimants are in 
need of the increased procedural protections provided by the Final 
Rule, and that such protections are promised by section 503 of ERISA. 
These commenters argue that the Final Rule is the product of a valid 
and extensive multi-year rulemaking process, completed in December 
2016, and that nothing in the public record has changed since then to 
warrant a delay. These commenters discount industry assertions that the 
Final Rule will lead to unwarranted price increases and reduced 
coverage as mere unsubstantiated and undocumented allegations. These 
commenters maintain that if such assertions were true, industry 
stakeholders would have proven their case during the rulemaking process 
that ended in 2016.
    Importantly, many of these same commenters raised serious issues 
under the Administrative Procedures Act (APA) with respect to process 
surrounding the proposed delay. They argue that the Department has not 
clearly articulated its reasons for proposing a delay. They argue that 
the Department is relying on non-public information, provided 
exclusively by or on behalf of the industry, as the sole basis for the 
delay, and that the public has not been given a reasonable opportunity 
to review and respond to this non-public information. They also argue 
that the public will not have a reasonable opportunity to review and 
respond to the data and information, if any, submitted under the 
December 11, 2017, deadline. Some of these commenters even expressed 
concern that the delay could result in litigation for violations of the 
APA.
    After carefully considering these comments, the proposal is adopted 
without change. Pursuant to E.O. 13777, the Department previously 
determined it was appropriate to seek additional input regarding the 
regulatory impact analysis in the Final Rule, and to that end publicly 
solicited comments on October 12, 2017. See 82 FR 47409, 47411-12 (Oct. 
12, 2017) (explaining reasoning and recognizing that access to 
disability benefits depends in part on affordability, which is affected 
by regulatory burdens). The Department expects that data and 
information will be submitted by December 11, 2017, and that the 
Department will be able to consider whether such data and information 
support the assertions made by the stakeholders and commenters arguing 
for consideration of regulatory alternatives other than those adopted 
in the Final Rule and possible revision or rescission of the Final 
Rule. The Department, however, would not reasonably be able to complete 
this notice and comment process and a reexamination before January 1, 
2018. Rather, extending the applicability date past January 1, 2018, 
allows the Department to complete this public solicitation process and 
examine regulatory alternatives prior to the Final Rule becoming 
applicable. At this point, the Department is not prepared to follow the 
alternative approach of allowing the Final Rule to become applicable 
and thereafter completing a reexamination and potential proposal of 
regulatory alternatives for public comment. While that approach is 
relatively common with respect to reexaminations of existing 
regulations, in light of the fact that the Final Rule is not yet 
applicable, the approach taken by the Department allows stakeholders 
interested in changes to the Final Rule a final opportunity to make 
their case. It also avoids potential unnecessary disruption of the 
disability insurance market and frictional costs that, if the 
stakeholders provide data supporting their allegations regarding 
adverse consequences of the Final Rule on

[[Page 56563]]

access to disability insurance, may not be offset by commensurate 
benefits (as explained further below in the regulatory impact analysis 
section of this document).
    At this juncture, the Department continues to think that a 90-day 
delay will be sufficient for it to complete the comment solicitation 
process, perform a reexamination of the information and data submitted, 
and take appropriate next steps. It is premature, in the Department's 
view, to consider a delay of longer than 90 days pending receipt of 
reliable data and information that reasonably supports the commenters' 
assertions that the Final Rule will lead to unwarranted cost increases 
and related diminution in disability coverage benefits. As discussed in 
the preamble to the NPRM, various stakeholders made a commitment to 
provide such data and information to the Department. There is little in 
the public record to date to support a further delay of the Final Rule 
or subsequent substantive changes. Thus, without data and information 
that provides sufficient empirical support for the assertions of the 
commenters and stakeholders seeking a rescission or revision of the 
Final Rule, it is not possible for the Department to conduct a 
meaningful reexamination or articulate a reasoned basis for further 
delaying the procedural protections for disability benefit claimants 
provided by the Final Rule. If the Department receives such supporting 
data and information, the Department will provide interested 
stakeholders with a reasonable opportunity for notice and comment on 
that data and information. Only at that point would the Department be 
in a position to seriously consider any further delay of some or all of 
the requirements of the Final Rule beyond April 1, 2018. Delaying the 
applicability date of the Final Rule beyond the proposed 90-day delay 
period is, in the Department's view, unwarranted at this point in time.
    Likewise, the Department declines to extend the 60-day comment 
period for submitting data and information. As already noted, the 
proposal established this 60-day deadline (December 11, 2017) for 
submitting data and information germane to the examination of the 
merits of rescinding, modifying, or retaining the Final Rule. Many 
commenters who support a delay asserted that 60 days is an insufficient 
period of time for them to provide the data needed to support their 
claims of increased costs and litigation and reduced access to 
coverage. One reason offered in support of extending this deadline is 
that it is an unprecedented undertaking for disability carriers to work 
together to compile data to analyze the impact of rule on anticipated 
but unknowable consumer behavior.\16\ Another reason offered is that 
data on the disability market, competitive landscape, and employer 
responses to pricing and new administrative requirements are difficult 
if not impossible to collect, especially because some plan rates are 
guaranteed for multiple years.\17\ An additional reason offered is that 
for many plans and service providers fall open enrollment season will 
interfere with many commenters' ability to gather and analyze the 
information requested.\18\ Those seeking an extension of time to submit 
data generally requested an additional 60 days (totaling 120 days).
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    \16\ Comment Letter #96 (Cigna Corporation).
    \17\ Id.
    \18\ Comment Letter #97 (National Business Group on Health).
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    The Department is not persuaded by these comments. The commenters 
and stakeholders who are arguing for a rescission or revision of the 
Final Rule made representations, both before the NPRM and again during 
the NPRM comment period, of unwarranted cost increases and related 
diminution in disability benefit coverage. Presumably, the commenters 
and stakeholders had a factual basis for making these representations 
and assertions to the government at the time they made them. 
Accordingly, the Department believes it is reasonable to expect those 
stakeholders to provide reasonably convincing factual support for their 
representations within a 60-day period. Also, on balance, the 
Department believes more harm than good would be caused by granting an 
extension of the 60-day comment period. Primarily this is because 
extending the 60-day comment period necessarily would require a 
corresponding delay of the 90-day applicability date, an outcome 
already rejected by the Department, above, as unwarranted at least at 
this point. While the Department takes note of the potential complexity 
involved in collecting relevant data and information, and recognizes 
that time and care is needed in such matters, the Department notes that 
not all insurance industry commenters requested an extension of the 60-
day comment period. A major insurance trade association representing 
approximately 290 member insurance companies, for example, commented 
that it will respond with pertinent data and comments by December 11, 
2017.\19\ In light of the impact on claimants of further delaying the 
applicability of the Final Rule, and the fact that the overall 
rulemaking project has been ongoing for many years, and the fact that 
parties have previously indicated the process for collecting this data 
and information is well underway, the Department believes that a 60-day 
period to provide reliable data and information is sufficient.
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    \19\ See Comment Letter #98 (American Council of Life Insurers).
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    Nor does the Department agree with the commenters that assert 
violations of the APA with respect to the rulemaking process for the 
delay. The NPRM was published in the Federal Register and the public 
was given 15 days to comment on the proposed delay and 60 days to 
comment and provide data on matters germane to the examination of the 
merits of rescinding, modifying or retaining the Final Rule. Although 
the Department limited the comment period on the proposed delay to 15 
days, the delay issue is straightforward and the Department, in fact, 
received 110 comment letters on the issue. For complete transparency, 
all comments were, and continue to be, posted on the Department's Web 
site promptly after receipt. In addition, other written information 
(e.g., letters, emails, etc.) relied upon by the Department to issue 
the NPRM were identified (by name of sender and date) and as explained 
in the preamble to the NPRM, placed on file with EBSA, and subsequently 
posted on the Department's Web site for public access. The primary 
rationale for the 90-day delay--to solicit data and information and 
reexamine the decisions and impact of the Final Rule in light of newly 
received data and information, with the objective of ensuring full and 
fair reviews of disability claims while not imposing unnecessary costs 
and adverse consequences--was clearly articulated in the NPRM for 
public consideration and response and is repeated here as the primary 
basis for this final rule. Further, many commenters were concerned that 
they would not have an opportunity to review or respond to information 
submitted under the 60-day deadline in advance of the Department taking 
further action. The Department does not intend to take further 
regulatory action, including rescinding, modifying, or further delaying 
the Final Rule, without first affording the public another opportunity 
to review and comment on the data and information received under the 
60-day comment period ending on December 11, 2017.

C. Regulatory Impact Analysis

    The Department expects that the extension of the applicability date 
of the

[[Page 56564]]

Final Rule will produce benefits that justify associated costs. The 
Department requested data from stakeholders that provides evidence to 
support their assertions that the Final Rule will increase disability 
benefit plan costs and cause a rise in litigation, thereby impairing 
workers' access to disability insurance protections, and that the 
Department's regulatory impact analysis for the Final Rule was 
insufficient. The deadline for the Department to receive such data and 
information is December 11, 2017. Delaying the applicability date will 
provide the Department with time to carefully consider the data and 
information as part of its reexamination of the rule to determine 
whether there are reasonable and feasible alternatives that will allow 
the Department to meet its objective of ensuring the disability plan 
claimants receive a full and fair review of their disability benefit 
plans without imposing unnecessary costs and adverse consequences on 
plans.
    Delaying the applicability date also will avert the possibility of 
a costly and disorderly transition if the Department subsequently 
changes the regulatory requirements as a result of its reexamination of 
the rule. Similarly, it could avert the possibility of unnecessary 
costs to consumers as a result of an unnecessarily confusing or 
disruptive transition if the Final Rule, for example, were to become 
applicable and then subsequently changed. The Department's objective is 
to complete its review of the Final Rule in conformance with E.O. 
13777, analyze data and comments received in response to the proposed 
delay, determine whether future changes to the Final Rule are 
necessary, and propose and finalize any changes to the rule. If the 
Department revises or repeals some aspects of the rule in the future, 
the delay will allow affected firms to avoid incurring significant 
implementation costs now which later might turn out to be unnecessary, 
as well as to avoid unnecessary confusion to claimants from changing 
standards (should they change).

1. Executive Order 12866 Statement

    This extension of the applicability date of the Final Rule is a 
significant regulatory action within the meaning of section 3(f)(4) of 
Executive Order 12866, because it raises novel legal or policy issues 
arising out of legal mandates, the President's priorities, or the 
principles set forth in the Executive Order. Therefore, the Department 
has considered the costs and benefits of the extension, and the Office 
of Management and Budget (``OMB'') has reviewed and approved the 
applicability date extension.
    The Department's regulatory impact analysis of the Final Rule 
estimated that benefits derived by workers seeking disability benefits 
justify compliance costs. The 90-day delay of the applicability date 
would delay these estimated benefits and costs by 90 days.
    Data limitations prevented the Department from quantifying benefits 
the Final Rule would provide to workers and their family members 
participating in ERISA-covered disability insurance plans. The RIA for 
the Final Rule includes a qualitative analysis of the benefits. The 
Department estimated at that time that as a result of the Final Rule:
     Some participants would receive payment for benefits they 
were entitled to that were improperly denied by the plan;
     There would be greater certainty and consistency in the 
handling of disability benefit claims and appeals, and improved access 
to information about the manner in which claims and appeals are 
adjudicated;
     Fairness and accuracy would increase in the claims 
adjudication process.
    The Department estimated that the requirements of the Final Rule 
would have modest costs. The Department quantified the costs associated 
with two provisions of the Final Rule for which it had sufficient data: 
The requirements to provide: (1) Additional information to claimants in 
the appeals process ($14.5 million annually); and (2) information in a 
non-English language ($1.3 million annually).
    Commenters representing employers, plans, insurance carriers, and 
plan service providers raised concerns that the Department 
underestimated the costs of the Final Rule and maintain that if the 
Department had properly estimated costs, it would have found that the 
costs exceed the Final Rule's benefits. Specifically, these commenters 
assert that among other things: (1) Requiring benefit denial notices to 
include a discussion of the basis for disagreeing with a disability 
determination made by the SSA will increase costs because SSA's 
definitions, policies, and procedures may be different from those of 
private disability plans; (2) providing that claimants are deemed to 
have exhausted the administrative remedies available if plans do not 
adhere to all claims processing rules, unless the violation was the 
result of a minor error and other specified conditions are met, will 
result in increased litigation and administrative costs to the 
detriment of plan participants; and (3) prohibiting plans from denying 
benefits on appeal based on new or additional evidence or rationales 
that were not included when the benefit was denied at the claims stage, 
unless the claimant is provided notice and an opportunity to respond to 
the new or additional information or rationales, will lead to 
protracted exchanges between plans and claimants that will cause 
delays, lead to higher costs, and have an adverse impact on plan 
participants. They also argue that participants in disability plans are 
very sensitive to price increases and predict that the cost increases 
associated with the Final Rule will cause some individuals to elect to 
drop or forego coverage, meaning that fewer people will have adequate 
income protection in the event of disability.
    Other commenters on the 90-day proposed delay asserted that claims 
that the Final Rule would increase premiums 5 percent to 9 percent were 
excessive, and another commenter said that disability benefit plans 
with which it is associated had not experienced any cost increase due 
to the Final Rule. Commenters also asserted that an increase in 
litigation would be the result, not of excessive litigation, but of 
valid challenges to wrongly denied claims as the result of fairer 
claims processes that are implemented in response to the requirements 
of the Final Rule.
    During the 90-day delay, the Department will reassess the impacts 
of the Final Rule. To ensure a robust assessment, the Department will 
closely analyze and utilize the information and data received in 
response to the Department's NPRM to help appropriately quantify the 
payments for plan benefits that plan participants would receive and any 
cost increases, or reductions in access to coverage that could result 
if the existing provisions of the Final Rule take effect. As the 
Department stated in the proposed rule, if any data submitted by 
stakeholders is not publicly available, the Department will work with 
stakeholders to ensure that any trade secrets and proprietary business 
information are protected from public disclosure and that the data 
collection process is designed to ensure that no violations of 
antitrust or other federal or state laws occur. This will help ensure 
that the Department reaches an optimal outcome and that full 
transparency is provided to the public.

2. Alternatives Considered

    While the Department considered several alternatives, the 
Department's chosen alternative in this final rule is likely to yield 
the most desirable

[[Page 56565]]

outcome including avoidance of market disruptions. In weighing 
different alternatives, the Department's objective was to avoid 
unnecessary confusion and uncertainty in the disability claims market 
and avoid unnecessary costs and adverse consequences, such as reduced 
access to disability insurance for America's workers and retirees.
    The Department considered having certain provisions of the Final 
Rule go into effect on January 1, 2018, while delaying others. The 
Department, however, ultimately decided not to adopt this approach 
because it has not yet received sufficient provision-specific data from 
commenters with respect to any aspect of the Final Rule, which would 
enable the Department to single out particular provisions for special 
treatment. The Department considered extending the delay by more than 
90 days, but as discussed in the response to public comments above, it 
is premature, in the Department's view, even to consider a delay of 
longer than 90 days pending receipt of reliable data and information 
supporting the commenters' assertions that the Final Rule will lead to 
unwarranted cost increases and related diminution in disability 
coverage benefits. The Department also considered not extending the 
applicability date, which would have meant that the rule would become 
applicable on January 1, 2018. The Department rejected this 
alternative, because it would not provide sufficient time for the 
Department to receive and review data submitted in response to the 
request in the proposal, complete its ongoing review of the rule, and 
propose and finalize any changes to the rule. Moreover, absent the 
extended applicability date, disability plans would feel compelled to 
come into full compliance with the rule despite the possibility that 
the Department might identify and adopt more efficient alternatives. 
This could lead to unnecessary compliance costs to industry that are 
also passed on to consumers and market disruptions that could reduce 
consumer access to these products.

3. Paperwork Reduction Act

    The Paperwork Reduction Act (``PRA'') prohibits federal agencies 
from conducting or sponsoring a collection of information from the 
public without first obtaining approval from OMB. See 44 U.S.C. 3507. 
Additionally, members of the public are not required to respond to a 
collection of information, nor be subject to a penalty for failing to 
respond, unless such collection displays a valid OMB control number. 
See 44 U.S.C. 3512.
    OMB approved information collections contained in the Final Rule 
under OMB Control Number 1210-0053. The Department is not modifying the 
substance of the Information Collection Requests at this time; 
therefore, no action under the PRA is required. The information 
collections will become applicable at the same time the rule becomes 
applicable. The information collection requirements contained in the 
Final Rule are discussed below.
    This rule delays the applicability date of the Department's 
amendments to the disability claims procedure rule for 90 days, through 
April 1, 2018. The Final Rule revised the rules applicable to ERISA-
covered plans providing disability benefits. Some of these amendments 
revise disclosure requirements under the claims procedure rule that are 
information collections covered by the PRA. For example, benefit denial 
notices must contain a full discussion of why the plan denied the 
claim, and to the extent the plan did not follow or agree with the 
views presented by the claimant to the plan or health care professional 
treating the claimant or vocational professionals who evaluated the 
claimant, or a disability determination regarding the claimant 
presented by the claimant to the plan made by the SSA, the discussion 
must include an explanation of the basis for disagreeing with the views 
or disability determination. The notices also must include either: (1) 
The specific internal rules, guidelines, protocols, standards or other 
similar criteria of the plan relied upon in making the adverse 
determination or, alternatively, (2) a statement that such rules, 
guidelines, protocols, standards or other similar criteria of the plan 
do not exist. Plan administrators also must provide (1) claimants with 
any new or additional evidence considered free of charge, and (2) 
notices of adverse benefit determination potentially in a non-English 
language.
    The burdens associated with the disability claims procedure 
revisions are summarized below and discussed in detail in the 
regulatory impact analysis contained in the preamble to the Final Rule 
(81 FR 92317, 92340 (Dec. 19, 2016)). It should be noted that this rule 
only affects the requirements applicable to disability benefit claims, 
which are a small subset of the total burden associated with the ERISA 
claims procedure information collection.
    Type of Review: Revised collection.
    Agencies: Employee Benefits Security Administration, Department of 
Labor.
    Title: ERISA Claims Procedures.
    OMB Number: 1210-0053.
    Affected Public: Business or other for-profit; not-for-profit 
institutions.
    Total Respondents: 5,808,000.
    Total Responses: 311,790,000.
    Frequency of Response: Occasionally.
    Estimated Total Annual Burden Hours: 516,000.
    Estimated Total Annual Burden Cost: $814,450,000.

4. Regulatory Flexibility Act

    The Regulatory Flexibility Act (5 U.S.C. 601 et seq.) (RFA) imposes 
certain requirements with respect to federal rules that are subject to 
the notice and comment requirements of section 553(b) of the 
Administrative Procedure Act (5 U.S.C. 551 et seq.) and which are 
likely to have a significant economic impact on a substantial number of 
small entities. Unless an agency determines that a rule is not likely 
to have a significant economic impact on a substantial number of small 
entities, section 604 of the RFA requires the agency to present an 
final regulatory flexibility analysis (FRFA) of the rule describing the 
rule's impact on small entities and explaining how the agency made its 
decisions with respect to the application of the rule to small 
entities. Pursuant to section 605(b) of the RFA, the Department 
certified that the Final Rule did not have a significant economic 
impact on a substantial number of small entities and provided an 
analysis of the rationale for that certification. Similarly, the 
Department hereby certifies that this final rule will not have a 
significant economic impact on a substantial number of small entities 
because it merely delays the applicability date of the Final Rule.

5. Congressional Review Act

    The final rule is subject to the Congressional Review Act (CRA) 
provisions of the Small Business Regulatory Enforcement Fairness Act of 
1996 (5 U.S.C. 801 et seq.) and, upon publication, will be transmitted 
to Congress and the Comptroller General for review.

6. Unfunded Mandates Reform Act

    Title II of the Unfunded Mandates Reform Act of 1995 (Pub. L. 104-
4) requires each federal agency to prepare a written statement 
assessing the effects of any federal mandate in a final agency rule 
that may result in an expenditure of $100 million or more (adjusted 
annually for inflation with the base year 1995) in any one year by 
State, local, and tribal governments, in the aggregate, or by the 
private sector. For purposes of the Unfunded Mandates Reform Act, as 
well as Executive Order 12875, this final

[[Page 56566]]

rule does not include any federal mandate that we expect would result 
in such expenditures by state, local, or tribal governments, or the 
private sector. The Department also does not expect that the final rule 
will have any material economic impacts on State, local or tribal 
governments, or on health, safety, or the natural environment.

7. Federalism Statement

    Executive Order 13132 outlines fundamental principles of 
federalism, and requires the adherence to specific criteria by federal 
agencies in the process of their formulation and implementation of 
policies that have ``substantial direct effects'' on the States, the 
relationship between the national government and States, or on the 
distribution of power and responsibilities among the various levels of 
government. Federal agencies promulgating regulations that have 
federalism implications must consult with State and local officials and 
describe the extent of their consultation and the nature of the 
concerns of State and local officials in the preamble to the Final 
Rule.
    This final rule does not have federalism implications because it 
merely delays the applicability date of the rule. Therefore, the final 
rule has no substantial direct effect on the States, the relationship 
between the national government and the States, or the distribution of 
power and responsibilities among the various levels of government. In 
compliance with the requirement of Executive Order 13132 that agencies 
examine closely any policies that may have federalism implications or 
limit the policy making discretion of the States, the Department 
welcomes input from States regarding this assessment.

8. Executive Order 13771: Reducing Regulation and Controlling 
Regulatory Costs

    Executive Order 13771, titled Reducing Regulation and Controlling 
Regulatory Costs, was issued on January 30, 2017. Section 2(a) of E.O. 
13771 requires an agency, unless prohibited by law, to identify at 
least two existing regulations to be repealed when the agency publicly 
proposes for notice and comment, or otherwise promulgates, a new 
regulation. In furtherance of this requirement, section 2(c) of E.O. 
13771 requires that the new incremental costs associated with new 
regulations shall, to the extent permitted by law, be offset by the 
elimination of existing costs associated with at least two prior 
regulations. This final rule is considered an E.O. 13771 deregulatory 
action. Details on the estimated cost savings can be found in the 
rule's economic analysis. The action is deregulatory as it merely 
delays the effective date, hence stakeholders do not have to comply 
with the regulation until April 1, 2018.

List of Subjects in 29 CFR Part 2560

    Claims, Employee benefit plans.

    For the reasons stated above, the Department amends 29 CFR part 
2560 as follows:

PART 2560--RULES AND REGULATIONS FOR ADMINISTRATION AND ENFORCEMENT

0
1. The authority citation for part 2560 continues to read as follows:

    Authority:  29 U.S.C. 1132, 1135, and Secretary of Labor's Order 
1-2011, 77 FR 1088 (Jan. 9, 2012). Section 2560.503-1 also issued 
under 29 U.S.C. 1133. Section 2560.502c-7 also issued under 29 
U.S.C. 1132(c)(7). Section 2560.502c-4 also issued under 29 U.S.C. 
1132(c)(4). Section 2560.502c-8 also issued under 29 U.S.C. 
1132(c)(8).


Sec.  2560.503-1   [Amended]

0
2. Section 2560.503-1 is amended by removing ``on or after January 1, 
2018'' and adding in its place ``after April 1, 2018'' in paragraph 
(p)(3) and by removing the date ``December 31, 2017'' and adding in its 
place ``April 1, 2018'' in paragraph (p)(4).

    Signed at Washington, DC, this 22nd day of November 2017.
Jeanne Klinefelter Wilson,
Acting Assistant Secretary, Employee Benefits Security Administration, 
Department of Labor.
[FR Doc. 2017-25729 Filed 11-24-17; 11:15 am]
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                                             56560        Federal Register / Vol. 82, No. 228 / Wednesday, November 29, 2017 / Rules and Regulations

                                             negative consent. The date ‘‘January 1,                 DEPARTMENT OF LABOR                                      On December 19, 2016, the
                                             2018’’ is deleted where it appears in this                                                                    Department published a final regulation
                                             section, including in the definition of                 Employee Benefits Security                            (‘‘Final Rule’’) amending the existing
                                             ‘‘Existing Contract,’’ and ‘‘July 1, 2019’’             Administration                                        claims procedure regulation; the Final
                                             inserted in its place.                                                                                        Rule revised the claims procedure rules
                                                                                                     29 CFR Part 2560                                      for ERISA-covered employee benefit
                                                D. Section IX—Transition Period for
                                                                                                     RIN 1210–AB39
                                                                                                                                                           plans that provide disability benefits.
                                             Exemption. The date ‘‘January 1, 2018’’                                                                       The Final Rule was made effective
                                             is deleted and ‘‘July 1, 2019’’ inserted in                                                                   January 18, 2017, but the Department
                                             its place. Thus, the Transition Period                  Claims Procedure for Plans Providing
                                                                                                     Disability Benefits; 90-Day Delay of                  delayed its applicability until January 1,
                                             identified in Section IX(a) is extended                                                                       2018, in order to provide adequate time
                                                                                                     Applicability Date
                                             from June 9, 2017, to July 1, 2019, rather                                                                    for disability benefit plans and their
                                             than June 9, 2017, to January 1, 2018.                  AGENCY:  Employee Benefits Security                   affected service providers to adjust to it,
                                                2. The Class Exemption for Principal                 Administration, Department of Labor.                  as well as for consumers and others to
                                             Transactions in Certain Assets Between                  ACTION: Final rule; delay of applicability            understand the changes made.
                                             Investment Advice Fiduciaries and                       date.                                                    On February 24, 2017, the President
                                             Employee Benefit Plans and IRAs (PTE                                                                          issued Executive Order 13777 (‘‘E.O.
                                                                                                     SUMMARY:   This document delays for                   13777’’), entitled Enforcing the
                                             2016–02), is amended as follows:
                                                                                                     ninety (90) days—through April 1,                     Regulatory Reform Agenda.1 E.O. 13777
                                                A. The date ‘‘January 1, 2018’’ is                   2018—the applicability of a final rule                is intended to reduce the regulatory
                                             deleted and ‘‘July 1, 2019’’ inserted in                amending the claims procedure                         burdens agencies place on the American
                                             its place in the introductory DATES                     requirements applicable to ERISA-                     people, and directs federal agencies to
                                             section.                                                covered employee benefit plans that                   undertake specified activities to
                                                B. Section II(a)(1)(ii) provides for the             provide disability benefits (Final Rule).             accomplish that objective. As a first
                                             amendment of existing contracts by                      The Final Rule was published in the                   step, E.O. 13777 requires the
                                             negative consent. The date ‘‘January 1,                 Federal Register on December 19, 2016,                designation of a Regulatory Reform
                                             2018’’ is deleted where it appears in this              became effective on January 18, 2017,                 Officer and the establishment of a
                                                                                                     and was scheduled to become                           Regulatory Reform Task Force within
                                             section, including in the definition of
                                                                                                     applicable on January 1, 2018. The                    each federal agency covered by the
                                             ‘‘Existing Contract,’’ and ‘‘July 1, 2019’’
                                                                                                     delay announced in this document is                   Order. The Task Forces were directed to
                                             inserted in its place.                                                                                        evaluate existing regulations and make
                                                                                                     necessary to enable the Department of
                                                C. Section VII—Transition Period for                 Labor to carefully consider comments                  recommendations regarding those that
                                             Exemption. The date ‘‘January 1, 2018’’                 and data as part of its effort, pursuant              can be repealed, replaced, or modified
                                             is deleted and ‘‘July 1, 2019’’ inserted in             to Executive Order 13777, to examine                  to make them less burdensome. E.O.
                                             its place. Thus, the Transition Period                  regulatory alternatives that meet its                 13777 also requires that Task Forces
                                             identified in Section VII(a) is extended                objectives of ensuring the full and fair              seek input from entities significantly
                                             from June 9, 2017, to July 1, 2019, rather              review of disability benefit claims while             affected by regulations, including state,
                                             than June 9, 2017, to January 1, 2018.                  not imposing unnecessary costs and                    local and tribal governments, small
                                                                                                     adverse consequences.                                 businesses, consumers, non-
                                                3. Prohibited Transaction Exemption
                                                                                                     DATES: The amendments are effective on                governmental organizations, and trade
                                             84–24 for Certain Transactions
                                                                                                     January 1, 2018.                                      associations.
                                             Involving Insurance Agents and Brokers,                                                                          Not long thereafter, certain
                                             Pension Consultants, Insurance                          FOR FURTHER INFORMATION CONTACT:
                                                                                                                                                           stakeholders asserted in writing that the
                                             Companies, and Investment Company                       Frances P. Steen, Office of Regulations               Final Rule will drive up disability
                                             Principal Underwriters, is amended as                   and Interpretations, Employee Benefits                benefit plan costs, cause an increase in
                                             follows:                                                Security Administration, (202) 693–                   litigation, and consequently impair
                                                                                                     8500. This is not a toll free number.                 workers’ access to disability insurance
                                                A. The date ‘‘January 1, 2018’’ is
                                                                                                     SUPPLEMENTARY INFORMATION:                            protections.2 In support of these
                                             deleted where it appears in the
                                             introductory DATES section and ‘‘July 1,                A. Background                                         assertions, the stakeholders said, among
                                             2019’’ inserted in its place.                             Section 503 of the Employee                           1 82 FR 12285 (March 1, 2017).
                                               Signed at Washington, DC, this 24th day of            Retirement Income Security Act of 1974,                 2 Some  of the stakeholders also asserted a
                                             November 2017.                                          as amended (‘‘ERISA’’), requires that                 comment that was previously provided with respect
                                             Jeanne Klinefelter Wilson,                              every employee benefit plan shall                     to the 2015 proposed amendments, specifically that
                                                                                                                                                           the Department exceeded its authority and acted
                                             Acting Assistant Secretary, Employee Benefits           establish and maintain reasonable                     contrary to Congressional intent by applying certain
                                             Security Administration, Department of                  procedures governing the filing of                    ACA protections to disability benefit claims,
                                             Labor.                                                  benefit claims, notification of benefit               arguing that if Congress had wanted these
                                                                                                     determinations, and appeal of adverse                 protections to apply to disability benefit claims, it
                                             [FR Doc. 2017–25760 Filed 11–27–17; 11:15 am]                                                                 would have expressly extended the claims and
                                             BILLING CODE 4510–29–P
                                                                                                     benefit determinations. In accordance                 appeals rules in section 2719 of the Public Health
                                                                                                     with its authority under ERISA section                Service Act to plans that provide disability benefits.
                                                                                                     503, and its general regulatory authority             However, the Department did not take the position
                                                                                                     under ERISA section 505, the                          that the ACA compelled the changes in the Final
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                                                                                                                                                           Rule. Rather, because disability claims commonly
                                                                                                     Department of Labor (‘‘Department’’)                  involve medical considerations, the Department
                                                                                                     previously established regulations                    was of the view that disability benefit claimants
                                                                                                     setting forth minimum requirements for                should receive procedural protections similar to
                                                                                                     employee benefit plan procedures                      those that apply to group health plans, and thus it
                                                                                                                                                           made sense to model the Final Rule on procedural
                                                                                                     pertaining to claims for benefits by                  protections and consumer safeguards that Congress
                                                                                                     participants and beneficiaries. 29 CFR                established for group health care claimants under
                                                                                                     2560.503–1.                                           the ACA.



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                                                           Federal Register / Vol. 82, No. 228 / Wednesday, November 29, 2017 / Rules and Regulations                                           56561

                                             other things, that the right to review and               cause average premium increases of 5–                   They further observed that such a
                                             respond to new information or                            8% in 2018 (when the Final Rule is                      process must also be carefully designed
                                             rationales unnecessarily ‘‘complicates                   scheduled to take effect) for several                   to ensure that there are no violations of
                                             the processing of disability benefits by                 survey participants.8 The stakeholders                  relevant federal or state laws, such as
                                             imposing new steps and evidentiary                       argued that the demand for disability                   antitrust laws. The stakeholders also
                                             burdens in the adjudication of claims.’’ 3               insurance is highly sensitive to price                  asserted that each carrier’s existing
                                             In addition, the stakeholders said that                  changes, such that even minor price                     information technology systems may
                                             the new deemed exhaustion provision                      increases can result in take-up rate                    collect and report data in different ways,
                                             ‘‘explicitly tilts the balance in court                  reductions. As an example, they                         so, to be usable, the data must be
                                             cases against plans and insurers’’ and                   reported that when the State of Vermont                 aggregated into standardized data sets,
                                             ‘‘creates perverse incentives for                        mandated mental health parity several                   anonymized to ensure that no data point
                                             plaintiff’s attorneys to side-step                       years ago, there was an approximately                   can be attributed to a single carrier, and
                                             established procedures and clog the                      20% increase in premiums, which they                    reviewed and analyzed to ensure
                                             courts for resolution of benefit claims.’’ 4             asserted resulted in a 20% decrease of                  accuracy and reliability (as required for
                                             The stakeholders argued that these                       covered employees.9 From this, they                     a regulatory impact analysis). The
                                             provisions (and others) collectively                     conclude that the cost increases caused                 stakeholders made a commitment to
                                             ‘‘will delay any final decision for the                  by the Final Rule will result in
                                                                                                                                                              provide this data and asked the
                                             claimant and will significantly increase                 employers reducing and/or eliminating
                                                                                                                                                              Department to delay the Final Rule’s
                                             the administrative burdens on                            disability income benefits, and that
                                                                                                                                                              applicability date.
                                             employers and disability insurance                       some individuals may elect to drop or
                                             carriers, hurting the very employee the                  forego coverage, with the result that                      In light of the foregoing, and pursuant
                                             rule was purporting to help.’’ 5                         fewer people will have adequate income                  to E.O. 13777, the Department
                                             Moreover, according to the stakeholders,                 protection in the event of disability. The              published in the Federal Register on
                                             these new provisions (and others) are                    stakeholders further asserted that loss of              October 12, 2017, at 82 FR 47409, a
                                             unnecessary in any event because ‘‘there                 access not only may be adverse to                       document seeking comment on a
                                             are already existing robust consumer                     individual workers and their families,                  proposed 90-day delay of the
                                             protections applicable and available to                  but also potentially adverse to federal                 applicability date of the Final Rule
                                             disability claimants that have worked                    and state public assistance programs                    through April 1, 2018 (NPRM). The
                                             for well over a decade.’’ 6 Some                         more generally.10                                       comment period on the proposed delay
                                             members of Congress also presented                         The stakeholders stated that, while                   ended on October 27, 2017. In that same
                                             these same or similar concerns in                        the Final Rule’s Regulatory Impact                      document, the Department sought
                                             writing to the Secretary of Labor.7                      Analysis (RIA) addressed the limited                    comments and data germane to the
                                                According to the stakeholders, a                      data sources that were publicly                         examination of the merits of rescinding,
                                             confidential survey of carriers covering                 available at that time, the Department’s                modifying, or retaining the Final Rule.
                                             approximately 18 million participants                    ability to fully quantify and evaluate                  This comment period ends on December
                                             in group long term disability plans                      costs and benefits was accordingly                      11, 2017.
                                             (which reflects approximately 45% of                     constrained. But the stakeholders said
                                             the group long-term disability insurance                 that such data could be developed by                    B. Public Comments and Decision on
                                             market), conducted by the stakeholders                   the industry and provided to the                        Delay
                                             estimated that the Final Rule would                      Department, and have promised to work
                                                                                                      with the Department to obtain this data.                   The Department received
                                               3 Letter  from Governor Dirk Kempthorne,               They asserted that collecting the                       approximately 110 comment letters in
                                             President & Chief Executive Officer, American            relevant data is a complex process that                 response to the proposed delay. As
                                             Council of Life Insurers, to The Honorable                                                                       evidenced below, there is no consensus
                                             Alexander Acosta, Secretary, U.S. Department of
                                                                                                      will take time and involve an
                                             Labor, ‘‘Department of Labor Disability Claims           expenditure of resources. For example,                  among the commenters regarding
                                             Regulation,’’ (July 17, 2017) (on file with the          because each carrier’s data is                          whether a delay is appropriate or the
                                             Employee Benefits Security Administration, U.S.          proprietary and contains sensitive                      length of any such delay. Many
                                             Department of Labor and posted on EBSA’s Web
                                             site).                                                   business information, an independent                    commenters strongly support a delay,
                                                4 Letter from American Benefits Council,              third party must collect the data in a                  though much longer than 90 days, but
                                             American Council of Life Insurers, America’s             manner that protects this information.                  at least as many commenters equally
                                             Health Insurance Plans, Cigna, The ERISA Industry        This may include, among other things,                   strongly oppose any delay of any length.
                                             Committee, Financial Services Roundtable, Sun Life
                                             Financial, Unum Group, Inc., to Gary Cohn,
                                                                                                      negotiating specific non-disclosure,                    All of the commenters’ letters, and other
                                             Director, National Economic Council, The White           security, and data retention agreements.                related submissions made part of the
                                             House, Andrew P. Bremberg, Director, Domestic                                                                    public record, are available for public
                                             Policy Council, The White House, Edward C.                  8 Email from Michael Kreps, Principal, Groom
                                                                                                                                                              inspection on EBSA’s Web site. After
                                             Hugler, Acting Secretary, U.S. Department of Labor,      Law Group, to John J. Canary and Jeffrey J. Turner,
                                             ‘‘Department of Labor Disability Claims                  Office of Regulations and Interpretations, Employee
                                                                                                                                                              carefully considering the record, the
                                             Regulation,’’ (Mar. 14, 2017) (on file with the          Benefits Security Administration (July 13, 2017) (on    proposal is adopted without change.
                                             Employee Benefits Security Administration, U.S.          file with the Employee Benefits Security
                                             Department of Labor and posted on EBSA’s Web
                                                                                                                                                                 A significant number of commenters
                                                                                                      Administration, U.S. Department of Labor and
                                             site).                                                   posted on EBSA’s Web site).                             representing employers, plans,
                                                5 Letter from Governor Dirk Kempthorne, supra,           9 Id.                                                insurance carriers, and plan service
                                             note 3.                                                     10 See, e.g., Letter from Matthew Eyles, Executive   providers strongly support a delay of the
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                                                6 Id.
                                                                                                      Vice President, Policy and Regulatory Affairs,          applicability date. Many of these
                                                7 Letter from David P. Roe, M.D., Member of           America’s Health Insurance Plans, to The                commenters repeated prior assertions
                                             Congress (and 27 other Members of Congress), to R.       Honorable R. Alexander Acosta, Secretary of Labor,
                                             Alexander Acosta, Secretary, U.S. Department of          U.S. Department of Labor (May 10, 2017) (on file        that the Final Rule, if not revised or
                                             Labor, ‘‘Immediate Action Needed on Disability           with the Employee Benefits Security                     repealed, will drive up disability benefit
                                             Claims Regulation,’’ (July 28, 2017) (on file with the   Administration, U.S. Department of Labor and            plan costs, cause an increase in
                                             Employee Benefits Security Administration, U.S.          posted on EBSA’s Web site). See also Letter from
                                             Department of Labor and posted on EBSA’s Web             David P. Roe, M.D., Member of Congress (and 27
                                                                                                                                                              litigation, and in doing so impair
                                             site).                                                   other Members of Congress), supra, note 7.              workers’ access to disability benefit


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                                             56562         Federal Register / Vol. 82, No. 228 / Wednesday, November 29, 2017 / Rules and Regulations

                                             insurance.11 In support of these                        final rule, and to provide plans and                  information, provided exclusively by or
                                             assertions, these commenters say that                   their service providers sufficient time to            on behalf of the industry, as the sole
                                             the right to review and respond to new                  comply with a revised rule.14 One                     basis for the delay, and that the public
                                             information or rationales unnecessarily                 commenter, for example, noted that                    has not been given a reasonable
                                             ‘‘complicates the processing of                         historically the Department has taken                 opportunity to review and respond to
                                             disability benefits by imposing new                     months, if not years, to review existing              this non-public information. They also
                                             steps and evidentiary burdens in the                    regulations, propose changes, and issue               argue that the public will not have a
                                             adjudication of claims,’’ and that some                 final rules.15                                        reasonable opportunity to review and
                                             of the new disclosure requirements                         By contrast, a significant number of               respond to the data and information, if
                                             ‘‘forc[e] plans to consider disability                  commenters representing disability                    any, submitted under the December 11,
                                             standards and definitions different from                claimants strongly oppose any delay of                2017, deadline. Some of these
                                             those in the plan.’’ 12 In addition, they               the applicability date. These                         commenters even expressed concern
                                             say that the new deemed exhaustion                      commenters firmly believe that                        that the delay could result in litigation
                                             provision ‘‘explicitly tilts the balance in             disability claimants are in need of the               for violations of the APA.
                                             court cases against plans and insurers’’                increased procedural protections                         After carefully considering these
                                             and ‘‘creates perverse incentives for                   provided by the Final Rule, and that                  comments, the proposal is adopted
                                             plaintiff’s attorneys to side-step                      such protections are promised by                      without change. Pursuant to E.O. 13777,
                                             established procedures and clog the                     section 503 of ERISA. These                           the Department previously determined
                                             courts for resolution of benefit                        commenters argue that the Final Rule is               it was appropriate to seek additional
                                             claims.’’ 13 A delay, according to these                the product of a valid and extensive                  input regarding the regulatory impact
                                             commenters, will enable the Department                  multi-year rulemaking process,                        analysis in the Final Rule, and to that
                                             to conduct a reexamination of the Final                 completed in December 2016, and that                  end publicly solicited comments on
                                             Rule, make changes, and prevent these                   nothing in the public record has                      October 12, 2017. See 82 FR 47409,
                                             adverse consequences from ever                          changed since then to warrant a delay.                47411–12 (Oct. 12, 2017) (explaining
                                             occurring.                                              These commenters discount industry                    reasoning and recognizing that access to
                                                Nearly all of the supporters of a delay              assertions that the Final Rule will lead              disability benefits depends in part on
                                             requested a delay of longer than 90                     to unwarranted price increases and                    affordability, which is affected by
                                             days. The majority requested a delay                    reduced coverage as mere                              regulatory burdens). The Department
                                             ranging from 6 months to 1 year, with                   unsubstantiated and undocumented
                                             a few commenters requesting an even                                                                           expects that data and information will
                                                                                                     allegations. These commenters maintain                be submitted by December 11, 2017, and
                                             longer delay. The primary reason                        that if such assertions were true,
                                             offered for a longer delay, according to                                                                      that the Department will be able to
                                                                                                     industry stakeholders would have                      consider whether such data and
                                             these commenters, is that a 90-day delay                proven their case during the rulemaking
                                             will not provide enough time for the                                                                          information support the assertions made
                                                                                                     process that ended in 2016.                           by the stakeholders and commenters
                                             Department to complete a careful review                    Importantly, many of these same
                                             of the public record (including the                                                                           arguing for consideration of regulatory
                                                                                                     commenters raised serious issues under                alternatives other than those adopted in
                                             information and data due on December                    the Administrative Procedures Act
                                             11, 2017), to perform a review and                                                                            the Final Rule and possible revision or
                                                                                                     (APA) with respect to process                         rescission of the Final Rule. The
                                             analysis of the Final Rule in light of the              surrounding the proposed delay. They
                                             information and data provided, to                                                                             Department, however, would not
                                                                                                     argue that the Department has not                     reasonably be able to complete this
                                             propose revisions to the Final Rule and
                                                                                                     clearly articulated its reasons for                   notice and comment process and a
                                             receive comments, to publish a revised
                                                                                                     proposing a delay. They argue that the                reexamination before January 1, 2018.
                                                11 See, e.g., Comment Letter #105 (America’s
                                                                                                     Department is relying on non-public                   Rather, extending the applicability date
                                             Health Insurance Plans) (‘‘Because demand by                                                                  past January 1, 2018, allows the
                                                                                                       14 See, e.g., Comment Letter #98 (American
                                             employees for private disability income protection                                                            Department to complete this public
                                             is sensitive to the cost of coverage, the Rule would    Council of Life Insurers); Comment Letter #104
                                             drive down the number of working Americans with         (American Benefits Council, American Council of       solicitation process and examine
                                             private disability income protection, exposing more     Life Insurers, America’s Health Plans, Cigna, The     regulatory alternatives prior to the Final
                                             American families to the financial risk of disabling    ERISA Industry Committee, Financial Services          Rule becoming applicable. At this point,
                                             illness or injury. As a result, not only would more     Roundtable, The Guardian Life Insurance Company       the Department is not prepared to
                                             families face financial hardship, the federal           of America, The Hartford, MetLife, Mutual of
                                             government, states, and taxpayers would also face       Omaha, National Association of Insurance and          follow the alternative approach of
                                             higher costs because, lacking disability income         Financial Advisors, National Business Group on        allowing the Final Rule to become
                                             protection benefits, more disabled workers would        Health, NFL Player Disability and Neurocognitive      applicable and thereafter completing a
                                             be forced to rely on public assistance programs.’’).    Benefit Plan, Sun Life Financial, Unum Group, Inc.,   reexamination and potential proposal of
                                                12 Comment Letter #104 (American Benefits            U.S. Chamber of Commerce); Comment Letter #105
                                             Council, American Council of Life Insurers,             (America’s Health Insurance Plans); Comment           regulatory alternatives for public
                                             America’s Health Plans, Cigna, The ERISA Industry       Letter #97 (National Business Group on Health);       comment. While that approach is
                                             Committee, Financial Services Roundtable, The           Comment Letter #94 (UNUM Group); Comment              relatively common with respect to
                                             Guardian Life Insurance Company of America, The         Letter #93 (United Healthcare); Comment Letter #96    reexaminations of existing regulations,
                                             Hartford, MetLife, Mutual of Omaha, National            (Cigna Corporation); Comment Letter #92 (US
                                             Association of Insurance and Financial Advisors,        Chamber of Commerce); Comment Letter #95 (Sun         in light of the fact that the Final Rule
                                             National Business Group on Health, NFL Player           Life Financial).                                      is not yet applicable, the approach taken
                                             Disability and Neurocognitive Benefit Plan, Sun           15 Comment Letter #104 (American Benefits           by the Department allows stakeholders
                                             Life Financial, Unum Group, Inc., U.S. Chamber of       Council, American Council of Life Insurers,           interested in changes to the Final Rule
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                                             Commerce).                                              America’s Health Plans, Cigna, The ERISA Industry
                                                13 Id. See also Comment Letter #105 (America’s       Committee, Financial Services Roundtable, The
                                                                                                                                                           a final opportunity to make their case.
                                             Health Insurance Plans) (‘‘Of major concern, the        Guardian Life Insurance Company of America, The       It also avoids potential unnecessary
                                             Rule’s provisions would greatly increase disability     Hartford, MetLife, Mutual of Omaha, National          disruption of the disability insurance
                                             income claim litigation and litigation costs. The       Association of Insurance and Financial Advisors,      market and frictional costs that, if the
                                             Rule provides, at the claimant’s option, for a short-   National Business Group on Health, NFL Player
                                             cut to the federal courts and to de novo court          Disability and Neurocognitive Benefit Plan, Sun
                                                                                                                                                           stakeholders provide data supporting
                                             review if a plan does not ‘strictly adhere’ to its      Life Financial, Unum Group, Inc., U.S. Chamber of     their allegations regarding adverse
                                             provisions.’’).                                         Commerce).                                            consequences of the Final Rule on


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                                                          Federal Register / Vol. 82, No. 228 / Wednesday, November 29, 2017 / Rules and Regulations                                          56563

                                             access to disability insurance, may not                 undertaking for disability carriers to                light of the impact on claimants of
                                             be offset by commensurate benefits (as                  work together to compile data to analyze              further delaying the applicability of the
                                             explained further below in the                          the impact of rule on anticipated but                 Final Rule, and the fact that the overall
                                             regulatory impact analysis section of                   unknowable consumer behavior.16                       rulemaking project has been ongoing for
                                             this document).                                         Another reason offered is that data on                many years, and the fact that parties
                                               At this juncture, the Department                      the disability market, competitive                    have previously indicated the process
                                             continues to think that a 90-day delay                  landscape, and employer responses to                  for collecting this data and information
                                             will be sufficient for it to complete the               pricing and new administrative                        is well underway, the Department
                                             comment solicitation process, perform a                 requirements are difficult if not                     believes that a 60-day period to provide
                                             reexamination of the information and                    impossible to collect, especially because             reliable data and information is
                                             data submitted, and take appropriate                    some plan rates are guaranteed for                    sufficient.
                                             next steps. It is premature, in the                     multiple years.17 An additional reason                   Nor does the Department agree with
                                             Department’s view, to consider a delay                  offered is that for many plans and                    the commenters that assert violations of
                                             of longer than 90 days pending receipt                  service providers fall open enrollment                the APA with respect to the rulemaking
                                             of reliable data and information that                   season will interfere with many                       process for the delay. The NPRM was
                                             reasonably supports the commenters’                     commenters’ ability to gather and                     published in the Federal Register and
                                             assertions that the Final Rule will lead                analyze the information requested.18                  the public was given 15 days to
                                             to unwarranted cost increases and                       Those seeking an extension of time to                 comment on the proposed delay and 60
                                             related diminution in disability                        submit data generally requested an                    days to comment and provide data on
                                             coverage benefits. As discussed in the                  additional 60 days (totaling 120 days).               matters germane to the examination of
                                             preamble to the NPRM, various                              The Department is not persuaded by                 the merits of rescinding, modifying or
                                             stakeholders made a commitment to                       these comments. The commenters and                    retaining the Final Rule. Although the
                                             provide such data and information to                    stakeholders who are arguing for a                    Department limited the comment period
                                             the Department. There is little in the                  rescission or revision of the Final Rule              on the proposed delay to 15 days, the
                                             public record to date to support a                      made representations, both before the                 delay issue is straightforward and the
                                             further delay of the Final Rule or                      NPRM and again during the NPRM                        Department, in fact, received 110
                                             subsequent substantive changes. Thus,                   comment period, of unwarranted cost                   comment letters on the issue. For
                                             without data and information that                       increases and related diminution in                   complete transparency, all comments
                                             provides sufficient empirical support for               disability benefit coverage. Presumably,              were, and continue to be, posted on the
                                             the assertions of the commenters and                    the commenters and stakeholders had a                 Department’s Web site promptly after
                                             stakeholders seeking a rescission or                    factual basis for making these                        receipt. In addition, other written
                                             revision of the Final Rule, it is not                   representations and assertions to the                 information (e.g., letters, emails, etc.)
                                             possible for the Department to conduct                  government at the time they made them.                relied upon by the Department to issue
                                             a meaningful reexamination or                           Accordingly, the Department believes it               the NPRM were identified (by name of
                                             articulate a reasoned basis for further                 is reasonable to expect those                         sender and date) and as explained in the
                                             delaying the procedural protections for                 stakeholders to provide reasonably                    preamble to the NPRM, placed on file
                                             disability benefit claimants provided by                convincing factual support for their                  with EBSA, and subsequently posted on
                                             the Final Rule. If the Department                       representations within a 60-day period.               the Department’s Web site for public
                                             receives such supporting data and                       Also, on balance, the Department                      access. The primary rationale for the 90-
                                             information, the Department will                                                                              day delay—to solicit data and
                                                                                                     believes more harm than good would be
                                             provide interested stakeholders with a                                                                        information and reexamine the
                                                                                                     caused by granting an extension of the
                                             reasonable opportunity for notice and                                                                         decisions and impact of the Final Rule
                                                                                                     60-day comment period. Primarily this
                                             comment on that data and information.                                                                         in light of newly received data and
                                                                                                     is because extending the 60-day
                                             Only at that point would the                                                                                  information, with the objective of
                                                                                                     comment period necessarily would
                                             Department be in a position to seriously                                                                      ensuring full and fair reviews of
                                                                                                     require a corresponding delay of the 90-
                                             consider any further delay of some or all                                                                     disability claims while not imposing
                                                                                                     day applicability date, an outcome
                                             of the requirements of the Final Rule                                                                         unnecessary costs and adverse
                                                                                                     already rejected by the Department,
                                             beyond April 1, 2018. Delaying the                                                                            consequences—was clearly articulated
                                                                                                     above, as unwarranted at least at this
                                             applicability date of the Final Rule                                                                          in the NPRM for public consideration
                                             beyond the proposed 90-day delay                        point. While the Department takes note                and response and is repeated here as the
                                             period is, in the Department’s view,                    of the potential complexity involved in               primary basis for this final rule. Further,
                                             unwarranted at this point in time.                      collecting relevant data and                          many commenters were concerned that
                                               Likewise, the Department declines to                  information, and recognizes that time                 they would not have an opportunity to
                                             extend the 60-day comment period for                    and care is needed in such matters, the               review or respond to information
                                             submitting data and information. As                     Department notes that not all insurance               submitted under the 60-day deadline in
                                             already noted, the proposal established                 industry commenters requested an                      advance of the Department taking
                                             this 60-day deadline (December 11,                      extension of the 60-day comment                       further action. The Department does not
                                             2017) for submitting data and                           period. A major insurance trade                       intend to take further regulatory action,
                                             information germane to the examination                  association representing approximately                including rescinding, modifying, or
                                             of the merits of rescinding, modifying,                 290 member insurance companies, for                   further delaying the Final Rule, without
                                             or retaining the Final Rule. Many                       example, commented that it will                       first affording the public another
                                             commenters who support a delay                          respond with pertinent data and                       opportunity to review and comment on
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                                             asserted that 60 days is an insufficient                comments by December 11, 2017.19 In                   the data and information received under
                                             period of time for them to provide the                                                                        the 60-day comment period ending on
                                                                                                       16 Comment   Letter #96 (Cigna Corporation).
                                             data needed to support their claims of                    17 Id.                                              December 11, 2017.
                                             increased costs and litigation and                        18 Comment Letter #97 (National Business Group
                                             reduced access to coverage. One reason                                                                        C. Regulatory Impact Analysis
                                                                                                     on Health).
                                             offered in support of extending this                      19 See Comment Letter #98 (American Council of        The Department expects that the
                                             deadline is that it is an unprecedented                 Life Insurers).                                       extension of the applicability date of the


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                                             56564        Federal Register / Vol. 82, No. 228 / Wednesday, November 29, 2017 / Rules and Regulations

                                             Final Rule will produce benefits that                   reviewed and approved the applicability               plan participants; and (3) prohibiting
                                             justify associated costs. The Department                date extension.                                       plans from denying benefits on appeal
                                             requested data from stakeholders that                      The Department’s regulatory impact                 based on new or additional evidence or
                                             provides evidence to support their                      analysis of the Final Rule estimated that             rationales that were not included when
                                             assertions that the Final Rule will                     benefits derived by workers seeking                   the benefit was denied at the claims
                                             increase disability benefit plan costs                  disability benefits justify compliance                stage, unless the claimant is provided
                                             and cause a rise in litigation, thereby                 costs. The 90-day delay of the                        notice and an opportunity to respond to
                                             impairing workers’ access to disability                 applicability date would delay these                  the new or additional information or
                                             insurance protections, and that the                     estimated benefits and costs by 90 days.              rationales, will lead to protracted
                                             Department’s regulatory impact analysis                    Data limitations prevented the                     exchanges between plans and claimants
                                             for the Final Rule was insufficient. The                Department from quantifying benefits                  that will cause delays, lead to higher
                                             deadline for the Department to receive                  the Final Rule would provide to workers               costs, and have an adverse impact on
                                             such data and information is December                   and their family members participating                plan participants. They also argue that
                                             11, 2017. Delaying the applicability date               in ERISA-covered disability insurance                 participants in disability plans are very
                                             will provide the Department with time                   plans. The RIA for the Final Rule                     sensitive to price increases and predict
                                             to carefully consider the data and                      includes a qualitative analysis of the                that the cost increases associated with
                                             information as part of its reexamination                benefits. The Department estimated at                 the Final Rule will cause some
                                             of the rule to determine whether there                  that time that as a result of the Final               individuals to elect to drop or forego
                                             are reasonable and feasible alternatives                Rule:                                                 coverage, meaning that fewer people
                                             that will allow the Department to meet                     • Some participants would receive                  will have adequate income protection in
                                             its objective of ensuring the disability                payment for benefits they were entitled               the event of disability.
                                             plan claimants receive a full and fair                  to that were improperly denied by the                    Other commenters on the 90-day
                                             review of their disability benefit plans                plan;                                                 proposed delay asserted that claims that
                                                                                                        • There would be greater certainty                 the Final Rule would increase
                                             without imposing unnecessary costs and
                                                                                                     and consistency in the handling of                    premiums 5 percent to 9 percent were
                                             adverse consequences on plans.
                                                                                                     disability benefit claims and appeals,                excessive, and another commenter said
                                                Delaying the applicability date also                 and improved access to information                    that disability benefit plans with which
                                             will avert the possibility of a costly and              about the manner in which claims and                  it is associated had not experienced any
                                             disorderly transition if the Department                 appeals are adjudicated;                              cost increase due to the Final Rule.
                                             subsequently changes the regulatory                        • Fairness and accuracy would                      Commenters also asserted that an
                                             requirements as a result of its                         increase in the claims adjudication                   increase in litigation would be the
                                             reexamination of the rule. Similarly, it                process.                                              result, not of excessive litigation, but of
                                             could avert the possibility of                             The Department estimated that the                  valid challenges to wrongly denied
                                             unnecessary costs to consumers as a                     requirements of the Final Rule would                  claims as the result of fairer claims
                                             result of an unnecessarily confusing or                 have modest costs. The Department                     processes that are implemented in
                                             disruptive transition if the Final Rule,                quantified the costs associated with two              response to the requirements of the
                                             for example, were to become applicable                  provisions of the Final Rule for which                Final Rule.
                                             and then subsequently changed. The                      it had sufficient data: The requirements                 During the 90-day delay, the
                                             Department’s objective is to complete its               to provide: (1) Additional information to             Department will reassess the impacts of
                                             review of the Final Rule in conformance                 claimants in the appeals process ($14.5               the Final Rule. To ensure a robust
                                             with E.O. 13777, analyze data and                       million annually); and (2) information                assessment, the Department will closely
                                             comments received in response to the                    in a non-English language ($1.3 million               analyze and utilize the information and
                                             proposed delay, determine whether                       annually).                                            data received in response to the
                                             future changes to the Final Rule are                       Commenters representing employers,                 Department’s NPRM to help
                                             necessary, and propose and finalize any                 plans, insurance carriers, and plan                   appropriately quantify the payments for
                                             changes to the rule. If the Department                  service providers raised concerns that                plan benefits that plan participants
                                             revises or repeals some aspects of the                  the Department underestimated the                     would receive and any cost increases, or
                                             rule in the future, the delay will allow                costs of the Final Rule and maintain that             reductions in access to coverage that
                                             affected firms to avoid incurring                       if the Department had properly                        could result if the existing provisions of
                                             significant implementation costs now                    estimated costs, it would have found                  the Final Rule take effect. As the
                                             which later might turn out to be                        that the costs exceed the Final Rule’s                Department stated in the proposed rule,
                                             unnecessary, as well as to avoid                        benefits. Specifically, these commenters              if any data submitted by stakeholders is
                                             unnecessary confusion to claimants                      assert that among other things: (1)                   not publicly available, the Department
                                             from changing standards (should they                    Requiring benefit denial notices to                   will work with stakeholders to ensure
                                             change).                                                include a discussion of the basis for                 that any trade secrets and proprietary
                                                                                                     disagreeing with a disability                         business information are protected from
                                             1. Executive Order 12866 Statement
                                                                                                     determination made by the SSA will                    public disclosure and that the data
                                                This extension of the applicability                  increase costs because SSA’s                          collection process is designed to ensure
                                             date of the Final Rule is a significant                 definitions, policies, and procedures                 that no violations of antitrust or other
                                             regulatory action within the meaning of                 may be different from those of private                federal or state laws occur. This will
                                             section 3(f)(4) of Executive Order 12866,               disability plans; (2) providing that                  help ensure that the Department reaches
                                             because it raises novel legal or policy                 claimants are deemed to have exhausted                an optimal outcome and that full
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                                             issues arising out of legal mandates, the               the administrative remedies available if              transparency is provided to the public.
                                             President’s priorities, or the principles               plans do not adhere to all claims
                                             set forth in the Executive Order.                       processing rules, unless the violation                2. Alternatives Considered
                                             Therefore, the Department has                           was the result of a minor error and other                While the Department considered
                                             considered the costs and benefits of the                specified conditions are met, will result             several alternatives, the Department’s
                                             extension, and the Office of                            in increased litigation and                           chosen alternative in this final rule is
                                             Management and Budget (‘‘OMB’’) has                     administrative costs to the detriment of              likely to yield the most desirable


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                                                          Federal Register / Vol. 82, No. 228 / Wednesday, November 29, 2017 / Rules and Regulations                                         56565

                                             outcome including avoidance of market                   a valid OMB control number. See 44                      OMB Number: 1210–0053.
                                             disruptions. In weighing different                      U.S.C. 3512.                                            Affected Public: Business or other for-
                                             alternatives, the Department’s objective                   OMB approved information                           profit; not-for-profit institutions.
                                             was to avoid unnecessary confusion and                  collections contained in the Final Rule                 Total Respondents: 5,808,000.
                                             uncertainty in the disability claims                    under OMB Control Number 1210–0053.                     Total Responses: 311,790,000.
                                             market and avoid unnecessary costs and                  The Department is not modifying the                     Frequency of Response: Occasionally.
                                             adverse consequences, such as reduced                   substance of the Information Collection                 Estimated Total Annual Burden
                                             access to disability insurance for                      Requests at this time; therefore, no                  Hours: 516,000.
                                             America’s workers and retirees.                         action under the PRA is required. The                   Estimated Total Annual Burden Cost:
                                                                                                     information collections will become                   $814,450,000.
                                                The Department considered having
                                             certain provisions of the Final Rule go                 applicable at the same time the rule                  4. Regulatory Flexibility Act
                                             into effect on January 1, 2018, while                   becomes applicable. The information
                                                                                                     collection requirements contained in the                 The Regulatory Flexibility Act (5
                                             delaying others. The Department,                                                                              U.S.C. 601 et seq.) (RFA) imposes
                                             however, ultimately decided not to                      Final Rule are discussed below.
                                                                                                        This rule delays the applicability date            certain requirements with respect to
                                             adopt this approach because it has not                                                                        federal rules that are subject to the
                                             yet received sufficient provision-                      of the Department’s amendments to the
                                                                                                     disability claims procedure rule for 90               notice and comment requirements of
                                             specific data from commenters with                                                                            section 553(b) of the Administrative
                                                                                                     days, through April 1, 2018. The Final
                                             respect to any aspect of the Final Rule,                                                                      Procedure Act (5 U.S.C. 551 et seq.) and
                                                                                                     Rule revised the rules applicable to
                                             which would enable the Department to                                                                          which are likely to have a significant
                                                                                                     ERISA-covered plans providing
                                             single out particular provisions for                                                                          economic impact on a substantial
                                                                                                     disability benefits. Some of these
                                             special treatment. The Department                                                                             number of small entities. Unless an
                                                                                                     amendments revise disclosure
                                             considered extending the delay by more                                                                        agency determines that a rule is not
                                                                                                     requirements under the claims
                                             than 90 days, but as discussed in the                                                                         likely to have a significant economic
                                                                                                     procedure rule that are information
                                             response to public comments above, it                                                                         impact on a substantial number of small
                                                                                                     collections covered by the PRA. For
                                             is premature, in the Department’s view,                                                                       entities, section 604 of the RFA requires
                                                                                                     example, benefit denial notices must
                                             even to consider a delay of longer than                 contain a full discussion of why the                  the agency to present an final regulatory
                                             90 days pending receipt of reliable data                plan denied the claim, and to the extent              flexibility analysis (FRFA) of the rule
                                             and information supporting the                          the plan did not follow or agree with the             describing the rule’s impact on small
                                             commenters’ assertions that the Final                   views presented by the claimant to the                entities and explaining how the agency
                                             Rule will lead to unwarranted cost                      plan or health care professional treating             made its decisions with respect to the
                                             increases and related diminution in                     the claimant or vocational professionals              application of the rule to small entities.
                                             disability coverage benefits. The                       who evaluated the claimant, or a                      Pursuant to section 605(b) of the RFA,
                                             Department also considered not                          disability determination regarding the                the Department certified that the Final
                                             extending the applicability date, which                 claimant presented by the claimant to                 Rule did not have a significant
                                             would have meant that the rule would                    the plan made by the SSA, the                         economic impact on a substantial
                                             become applicable on January 1, 2018.                   discussion must include an explanation                number of small entities and provided
                                             The Department rejected this                            of the basis for disagreeing with the                 an analysis of the rationale for that
                                             alternative, because it would not                       views or disability determination. The                certification. Similarly, the Department
                                             provide sufficient time for the                         notices also must include either: (1) The             hereby certifies that this final rule will
                                             Department to receive and review data                   specific internal rules, guidelines,                  not have a significant economic impact
                                             submitted in response to the request in                 protocols, standards or other similar                 on a substantial number of small entities
                                             the proposal, complete its ongoing                      criteria of the plan relied upon in                   because it merely delays the
                                             review of the rule, and propose and                     making the adverse determination or,                  applicability date of the Final Rule.
                                             finalize any changes to the rule.                       alternatively, (2) a statement that such
                                             Moreover, absent the extended                                                                                 5. Congressional Review Act
                                                                                                     rules, guidelines, protocols, standards or
                                             applicability date, disability plans                    other similar criteria of the plan do not                The final rule is subject to the
                                             would feel compelled to come into full                  exist. Plan administrators also must                  Congressional Review Act (CRA)
                                             compliance with the rule despite the                    provide (1) claimants with any new or                 provisions of the Small Business
                                             possibility that the Department might                   additional evidence considered free of                Regulatory Enforcement Fairness Act of
                                             identify and adopt more efficient                       charge, and (2) notices of adverse                    1996 (5 U.S.C. 801 et seq.) and, upon
                                             alternatives. This could lead to                        benefit determination potentially in a                publication, will be transmitted to
                                             unnecessary compliance costs to                         non-English language.                                 Congress and the Comptroller General
                                             industry that are also passed on to                        The burdens associated with the                    for review.
                                             consumers and market disruptions that                   disability claims procedure revisions are
                                             could reduce consumer access to these                                                                         6. Unfunded Mandates Reform Act
                                                                                                     summarized below and discussed in
                                             products.                                               detail in the regulatory impact analysis                 Title II of the Unfunded Mandates
                                                                                                     contained in the preamble to the Final                Reform Act of 1995 (Pub. L. 104–4)
                                             3. Paperwork Reduction Act
                                                                                                     Rule (81 FR 92317, 92340 (Dec. 19,                    requires each federal agency to prepare
                                                The Paperwork Reduction Act                          2016)). It should be noted that this rule             a written statement assessing the effects
                                             (‘‘PRA’’) prohibits federal agencies from               only affects the requirements applicable              of any federal mandate in a final agency
                                             conducting or sponsoring a collection of                to disability benefit claims, which are a             rule that may result in an expenditure
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                                             information from the public without                     small subset of the total burden                      of $100 million or more (adjusted
                                             first obtaining approval from OMB. See                  associated with the ERISA claims                      annually for inflation with the base year
                                             44 U.S.C. 3507. Additionally, members                   procedure information collection.                     1995) in any one year by State, local,
                                             of the public are not required to respond                  Type of Review: Revised collection.                and tribal governments, in the aggregate,
                                             to a collection of information, nor be                     Agencies: Employee Benefits Security               or by the private sector. For purposes of
                                             subject to a penalty for failing to                     Administration, Department of Labor.                  the Unfunded Mandates Reform Act, as
                                             respond, unless such collection displays                   Title: ERISA Claims Procedures.                    well as Executive Order 12875, this final


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                                             56566        Federal Register / Vol. 82, No. 228 / Wednesday, November 29, 2017 / Rules and Regulations

                                             rule does not include any federal                       Details on the estimated cost savings                 the Delaware River while rock blasting,
                                             mandate that we expect would result in                  can be found in the rule’s economic                   dredging, and rock removal operations
                                             such expenditures by state, local, or                   analysis. The action is deregulatory as it            are being conducted to facilitate the
                                             tribal governments, or the private sector.              merely delays the effective date, hence               Main Channel Deepening project for the
                                             The Department also does not expect                     stakeholders do not have to comply                    Delaware River. The safety zone is
                                             that the final rule will have any material              with the regulation until April 1, 2018.              needed to protect personnel, vessels,
                                             economic impacts on State, local or                                                                           and the marine environment from
                                             tribal governments, or on health, safety,               List of Subjects in 29 CFR Part 2560
                                                                                                                                                           hazards created by rock blasting,
                                             or the natural environment.                               Claims, Employee benefit plans.                     dredging, and rock removal operations.
                                                                                                       For the reasons stated above, the                   Entry of vessels or persons into this
                                             7. Federalism Statement
                                                                                                     Department amends 29 CFR part 2560 as                 zone is prohibited unless specifically
                                                Executive Order 13132 outlines                       follows:                                              authorized by the COTP or his
                                             fundamental principles of federalism,                                                                         designated representatives.
                                             and requires the adherence to specific                  PART 2560—RULES AND
                                                                                                                                                           DATES: This rule is effective from
                                             criteria by federal agencies in the                     REGULATIONS FOR ADMINISTRATION
                                                                                                                                                           November 30, 2017 through March 15,
                                             process of their formulation and                        AND ENFORCEMENT
                                                                                                                                                           2018.
                                             implementation of policies that have
                                             ‘‘substantial direct effects’’ on the                   ■ 1. The authority citation for part 2560             ADDRESSES: To view documents
                                             States, the relationship between the                    continues to read as follows:                         mentioned in this preamble as being
                                             national government and States, or on                      Authority: 29 U.S.C. 1132, 1135, and               available in the docket, go to http://
                                             the distribution of power and                           Secretary of Labor’s Order 1–2011, 77 FR              www.regulations.gov, type USCG–2017–
                                             responsibilities among the various                      1088 (Jan. 9, 2012). Section 2560.503–1 also          0935 in the ‘‘SEARCH’’ box and click
                                             levels of government. Federal agencies                  issued under 29 U.S.C. 1133. Section                  ‘‘SEARCH.’’ Click on Open Docket
                                             promulgating regulations that have                      2560.502c–7 also issued under 29 U.S.C.               Folder on the line associated with this
                                             federalism implications must consult                    1132(c)(7). Section 2560.502c–4 also issued           rule.
                                             with State and local officials and                      under 29 U.S.C. 1132(c)(4). Section
                                                                                                                                                           FOR FURTHER INFORMATION CONTACT: If
                                                                                                     2560.502c–8 also issued under 29 U.S.C.
                                             describe the extent of their consultation               1132(c)(8).                                           you have questions about this
                                             and the nature of the concerns of State                                                                       rulemaking, call or email Petty Officer
                                             and local officials in the preamble to the              § 2560.503–1      [Amended]                           Amanda Boone, Waterways
                                             Final Rule.                                             ■ 2. Section 2560.503–1 is amended by                 Management Branch, U.S. Coast Guard
                                                This final rule does not have                                                                              Sector Delaware Bay; telephone (215)
                                                                                                     removing ‘‘on or after January 1, 2018’’
                                             federalism implications because it                                                                            271–4889, email Amanda.N.Boone@
                                                                                                     and adding in its place ‘‘after April 1,
                                             merely delays the applicability date of                                                                       uscg.mil.
                                                                                                     2018’’ in paragraph (p)(3) and by
                                             the rule. Therefore, the final rule has no
                                                                                                     removing the date ‘‘December 31, 2017’’               SUPPLEMENTARY INFORMATION:
                                             substantial direct effect on the States,
                                                                                                     and adding in its place ‘‘April 1, 2018’’
                                             the relationship between the national                                                                         I. Table of Abbreviations
                                                                                                     in paragraph (p)(4).
                                             government and the States, or the
                                                                                                       Signed at Washington, DC, this 22nd day             CFR Code of Federal Regulations
                                             distribution of power and                                                                                     COTP Captain of the Port
                                             responsibilities among the various                      of November 2017.
                                                                                                                                                           DHS Department of Homeland Security
                                             levels of government. In compliance                     Jeanne Klinefelter Wilson,                            FR Federal Register
                                             with the requirement of Executive Order                 Acting Assistant Secretary, Employee Benefits         NPRM Notice of proposed rulemaking
                                             13132 that agencies examine closely any                 Security Administration, Department of                § Section
                                             policies that may have federalism                       Labor.                                                U.S.C. United States Code
                                             implications or limit the policy making                 [FR Doc. 2017–25729 Filed 11–24–17; 11:15 am]
                                                                                                                                                           II. Background Information and
                                             discretion of the States, the Department                BILLING CODE 4510–29–P
                                                                                                                                                           Regulatory History
                                             welcomes input from States regarding
                                             this assessment.                                                                                                 The Army Corps of Engineers notified
                                                                                                     DEPARTMENT OF HOMELAND                                the Coast Guard that Great Lakes
                                             8. Executive Order 13771: Reducing                                                                            Dredging and Dock Company will be
                                                                                                     SECURITY
                                             Regulation and Controlling Regulatory                                                                         conducting rock blasting, dredging, and
                                             Costs                                                   Coast Guard                                           rock removal operations, beginning
                                                Executive Order 13771, titled                                                                              November 30, 2017 through March 15,
                                             Reducing Regulation and Controlling                     33 CFR Part 165                                       2018, to facilitate the deepening of the
                                             Regulatory Costs, was issued on January                 [Docket Number USCG–2017–0935]
                                                                                                                                                           main navigational channel to the new
                                             30, 2017. Section 2(a) of E.O. 13771                                                                          project depth of 45 feet. The Captain of
                                             requires an agency, unless prohibited by                RIN 1625–AA00                                         the Port (COTP) has determined that
                                             law, to identify at least two existing                                                                        potential hazards associated with rock
                                             regulations to be repealed when the                     Safety Zone; Delaware River, Marcus                   blasting, dredging, and rock removal
                                             agency publicly proposes for notice and                 Hook, PA                                              operations will be a safety concern for
                                             comment, or otherwise promulgates, a                    AGENCY:    Coast Guard, DHS.                          anyone within 500 yards of the drill
                                             new regulation. In furtherance of this                  ACTION:   Temporary final rule.                       boat APACHE or dredges TEXAS and
                                             requirement, section 2(c) of E.O. 13771                                                                       NEW YORK. In response, on November
pmangrum on DSK3GDR082PROD with RULES




                                             requires that the new incremental costs                 SUMMARY:   The Coast Guard is                         14, 2017, the Coast Guard published a
                                             associated with new regulations shall, to               establishing a temporary safety zone on               notice of proposed rulemaking (NPRM)
                                             the extent permitted by law, be offset by               the waters of the Delaware River                      titled Safety Zone; Delaware River,
                                             the elimination of existing costs                       between Marcus Hook Range and                         Marcus Hook, PA (82 FR 52680.) There
                                             associated with at least two prior                      Tinicum Range. The safety zone will                   we stated why we issued the NPRM,
                                             regulations. This final rule is considered              temporarily restrict vessel traffic from              and invited comments on our proposed
                                             an E.O. 13771 deregulatory action.                      transiting or anchoring in portions of                regulatory action related to this safety


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Document Created: 2017-11-29 01:26:40
Document Modified: 2017-11-29 01:26:40
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionRules and Regulations
ActionFinal rule; delay of applicability date.
DatesThe amendments are effective on January 1, 2018.
ContactFrances P. Steen, Office of Regulations and Interpretations, Employee Benefits Security Administration, (202) 693-8500. This is not a toll free number.
FR Citation82 FR 56560 
RIN Number1210-AB39
CFR AssociatedClaims and Employee Benefit Plans

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