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5 Jan 2021, 6:33 pm
In Beverly Oaks, the U.S. 9th Circuit Appeals Court allowed an out-of-network healthcare provider to assert equitable claims under ERISA seeking a direct recovery of unpaid claims from Blue Cross and Blue Shield of Illinois (BCBS). [read post]
22 Dec 2020, 8:00 am
Preston as a Rule 201(b)(3) consultant and thus shield Dr. [read post]
14 Dec 2020, 4:42 pm
The four Republican members of the Senate Budget & Appropriations Committee will move an amendment tomorrow to legislation restructuring Horizon Blue Cross Blue Shield of New Jersey to require a proposed $600 million payment from the insurer to be deposited into a new nonprofit entity that is dedicated to rate stabilization and improving the quality and efficiency of health care in New Jersey. [read post]
14 Dec 2020, 12:25 pm
Bucco and Senator Gerry Cardinale expressed serious concerns during today’s meeting of the Senate Commerce Committee that legislation (S-3218) to restructure Horizon Blue Cross Blue Shield of New Jersey could pose a risk for ratepayers and be inequitable for policyholders and property taxpayers. [read post]
13 Dec 2020, 7:09 pm
Travelers Insurance) that permitted New York to impose a 13% surcharge on hospitals that used insurers other than Blue Cross/Blue Shield. [read post]
12 Dec 2020, 7:37 am
It has been suggested that the $600 million is not needed by Horizon Blue Cross Blue Shield to ensure quality health care and the payment can be sustained. [read post]
2 Dec 2020, 2:45 am
In a “blue collar” prosecution, there may be defenses such as misidentification, alibi, or shoddy forensics, but there is usually no not a dispute that a crime has occurred: the bank was robbed, child pornography was created, the meth lab was operated. [read post]
25 Nov 2020, 10:13 am
Blue Cross Blue Shield Health Care Plan of Georgia, Inc., Case No. 1:20-CV-03157-ELR, 2020 WL 6867155 (N.D. [read post]
25 Nov 2020, 9:10 am
Aerocare charged $242,500 for the first flight and $284,250 for the second flight and submitted two claims for payment to Lubinski’s employee benefit plan, CVS Health Welfare Benefit Plan (CVS Plan), which was administered by Blue Cross and Blue Shield of Illinois (BCBSIL). [read post]
15 Oct 2020, 11:07 am
Community Insurance Company dba Anthem Blue Cross Blue Shield, et al., No. 19-55053, __F.App’x__, 2020 WL 5870513 (9th Cir. [read post]
5 Oct 2020, 10:54 am
A house next door flew a "thin blue line" American flag, the presence of which felt a little too on-the-nose. [read post]
28 Sep 2020, 6:26 am
The settlement, which was first reported by The Wall Street Journal, would need to be agreed to by each of the three dozen Blue Cross insurers that make up the trade group, the Blue Cross Blue Shield Association. [read post]
24 Sep 2020, 12:59 pm
After seven years, David Boies eyes the finish line for his clients in the Blue Cross Blue Shield class action. [read post]
1 Sep 2020, 10:26 am
Anthem allegedly failed to try to change rules stemming from its relationship with the Blue Cross Blue Shield Association, primarily the Association’s requirement that it use best efforts to generate at least two-thirds of its total revenue using the Blues brands.The chancery court reasoned that the parties entered the merger agreement knowing that the so-called Blues Rules were unlikely to change and that the best avenue for change was… [read post]
13 Aug 2020, 1:59 pm
Blue Cross & Blue Shield United of Wisconsin, 112 F.3d 869 (7th Cir. 1997); Doe v. [read post]
12 Aug 2020, 2:12 pm
Blue Cross Blue Shield of Michigan (Fiduciary Duty)Singer v. [read post]
10 Aug 2020, 6:53 am
Blue Cross Blue Shield (E.D. [read post]
COVID-19 Daily Insurance Regulatory Updates To Keep You Informed During The Lockdown (July 20, 2020)
20 Jul 2020, 5:51 am
Massachusetts: On July 20, the Division of Insurance issued Bulletin 2020-24, applicable to insurance companies, health maintenance organizations, Blue Cross and Blue Shield of Massachusetts, Inc., Fraternal Benefit societies and Workers’ Compensation Self-Insurance Groups. [read post]
18 Jul 2020, 9:40 am
Thus Phillips was asked to make a custom cake for Satan’s birthday, with “red and black icing” and “an upside down cross, under the head of Lucifer. [read post]
22 Jun 2020, 8:51 am
If you are divorce or about to be divorce you understand how important but also how difficult it is to control your ex-spouse from disparaging you to third parties. [read post]
