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21 Aug 2015, 11:24 am by Cynthia Marcotte Stamer
Consequently, sponsoring employers and their management generally will want to ensure that their plan documents are properly updated to comply with the out-of-pocket maximum and other federal requirements, to require contractual commitments to administer the health plan in compliance with and to report, correct, and indemnify for violations of these requirements in vendor contracts with their health plan insurers, administrators and other vendors, and conduct documented audits to verify the… [read post]
18 Aug 2015, 7:52 pm by Cynthia Marcotte Stamer
Recognized as a “Top” attorney in employee benefits, labor and employment and health care law extensively involved in health and other employee benefit and human resources policy and program design and administration representation and advocacy throughout her career, Cynthia Marcotte Stamer is a practicing attorney and Managing Shareholder of Cynthia Marcotte Stamer, P.C., a member of Stamer│Chadwick │Soefje PLLC, author, pubic speaker, management policy… [read post]
11 Aug 2015, 2:29 pm by Cynthia Marcotte Stamer
FAQS About Affordable Care Act Implementation (Part XXVIII) also states that the Departments also intend to streamline reporting under multiple reporting provisions and reduce unnecessary duplication when they issue the non-QHP issuers and non-grandfathered group health plans. [read post]
3 Aug 2015, 12:07 pm by Cynthia Marcotte Stamer
The definition of “essential health benefits” as implemented by the Tri-Agency regulations is complicated and generally varies by state, even when the group health plan is self-insured. [read post]
28 Jul 2015, 8:05 am by Cynthia Marcotte Stamer
Stamer’s more than 27 years’ of leading edge work as an practicing attorney, author, lecturer and industry and policy thought leader have resulted in her recognition as a “Top” attorney in employee benefits, labor and employment and health care law. [read post]
27 Jul 2015, 11:56 am by Cynthia Marcotte Stamer
  As implemented by current Department of Labor Regulations, these ACA claims and appeals procedures require that group health plans (other than grandfathered plans) both comply with: All of the pre-existing ERISA claims and appeals rules; and Notify members or their beneficiaries of their rights to and provide for independent review of coverage rescission decisions and medical judgment-based claims denials in accordance with detailed rules set forth in the Labor… [read post]
11 Jul 2015, 2:14 pm by Cynthia Marcotte Stamer
The heavy reliance by group health plans and health insurers upon internet based applications and portals to carry out online enrollment, claims administration and payment, reporting and a host of other key health plan functions makes it particularly important for health plans, their employer or other sponsors, fiduciaries, vendors, and other involved in health plan administration or using or accessing health plan data to verify and ensure the internet data sharing and other applications and portals… [read post]
30 Jun 2015, 2:43 pm by Cynthia Marcotte Stamer
Department of Labor Wage and Hour Division (WHD) implements a Proposed Fair Labor Standards Act Rule Change (Proposed Rule) that would extend overtime pay rights to nearly 5 million additional workers by guaranteeing overtime pay to most salaried workers earning less than an estimated $50,440 next year. [read post]
26 Jun 2015, 12:25 pm by Cynthia Marcotte Stamer
  As the Windsor decision did not address whether the United States Constitution also guaranteed same sex couples a right to marry under state law, disparities in the treatment of same sex marriages between the states and rapid changes in the state statutory and judicial rules governing these determinations created significant challenges to employer efforts to determine if and when a same sex couple could marry in a particular state and the right and… [read post]
27 Mar 2015, 3:42 pm by Cynthia Marcotte Stamer
Founder and Executive Director of the Coalition for Responsible Healthcare Policy and its PROJECT COPE: the Coalition on Patient Empowerment and a Fellow in the American College of Employee Benefit Counsel, the American Bar Association (ABA) and the State Bar of Texas, Ms. [read post]
27 Mar 2015, 1:08 pm by Cynthia Marcotte Stamer
Limited, non-exclusive right to republished granted to Solutions Law Press, Inc. [read post]
7 Jan 2015, 5:48 pm by Cynthia Marcotte Stamer
Limited, non-exclusive right to republished granted to Solutions Law Press, Inc. [read post]
16 Sep 2014, 2:03 pm by Cynthia Marcotte Stamer
Motiva, which is partially owned by Shell, is a leading refiner, distributor and marketer of fuels in the Eastern and Gulf Coast regions of the United States. [read post]
19 Feb 2013, 10:50 am by Cynthia Marcotte Stamer
  Recognized in International Who’s Who, the founder and Executive Director of Project COPE:  The Coalition on Patient Empowerment and its affiliate, the Coalition on Responsible Health Policy; a Fellow in the American College of Employee Benefits Counsel, American Bar Association, and State Bar of Texas; Past Chair of the ABA Health Law Section Managed Care & Insurance Interest Group, Immediate Past Chair of the ABA RPTE Employee Benefit & Other Compensation… [read post]
23 Jan 2012, 1:23 pm by WIMS
    TransCanada has committed to a project labor agreement with the Laborers International Union of North America, the International Brotherhood of Teamsters, the United Association of Journeymen and Apprentices of the Plumbing and Pipefitting Industry of the United States and Canada, AFL-CIO, the International Union of Operating Engineers and the Pipeline Contractors Association. [read post]
17 Jan 2012, 11:57 pm by WOLFGANG DEMINO
  When determining the validity of arbitration agreements that are subject to the FAA, we apply state-law principles that govern the formation of contracts. [read post]