Search for: "Administrative Committee, Providence Health System Group Insurance Plan"
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3 Aug 2015, 12:07 pm
Since employers risk excise tax exposure if their group health plan does not comply with the out-of-pocket limitation, this means that employers may wish to with legal counsel about steps that the employer should consider taking to build a record to help mitigate excise tax exposures from potential violations of these requirements including ensuring their group health plan properly defines and distinguishes essential from non-essential benefits,… [read post]
2 Mar 2020, 11:04 am
Today (March 2, 2020) is the deadline for employers and other health benefit program sponsors, insurers, plan administrators and fiduciaries, health care providers, PBMs and other interested persons to comment on proposed federal rule change that would require insured health plans to count drug rebates and price concessions retained by pharmacy benefit managers (PBMs) as administrative expenses for purposes of… [read post]
3 May 2012, 2:52 pm
The Labor Department provided the the first report, Annual Report on Self-Insured Group Health Plans, March 2011 (March 2011 Report)to Congress in March 2011. [read post]
21 Oct 2014, 5:16 am
A health plan is an individual or group plan that provides or pays the cost of medical care (as defined in 45 CFR 160.103). [read post]
29 May 2013, 10:42 pm
Invites Employer & Other Group Health Plan Sponsors, Insurers, Administrators, Brokers, Advisors & Consultants to A Virtual Briefing On Making Wellness Programs Work Under New Tri-Agency Final Wellness Regulations Tuesday, June 4, 2013 1:00 P.M.-2:00 P.M. [read post]
29 Mar 2022, 5:04 pm
Employer and other group health plan sponsors, fiduciaries, administrators and insurers should prepare their plans and their administrators to respond appropriately to today’s (3/29/2022) U.S. [read post]
16 Jan 2024, 12:18 pm
The Group includes six substantive committees: Fiduciary Responsibility, Administration, and Litigation; Welfare Benefit Plans; Plan Transactions and Terminations; Qualified Plans; Non-Qualified Deferred Compensation; and IRAs and Plan Distributions. [read post]
4 May 2012, 8:11 am
A Fellow in the American College of Employee Benefit Council, immediate past Chair of the American Bar Association (ABA) RPTE Employee Benefits & Other Compensation Group and current Co-Chair of its Welfare Benefit Committee, Vice-Chair of the ABA TIPS Employee Benefits Committee, a council member of the ABA Joint Committee on Employee Benefits, and past Chair of the ABA Health Law Section Managed Care & Insurance Interest… [read post]
9 May 2013, 3:31 am
Accordingly, group health plans and the fiduciaries and administrators involved in their administration will want to take proper steps to identify claims that may involve individuals covered by MA Plans in a manner that allows the group health plan to track and distinguish the coverage provided by the MA Plan from other insurance coverage as needed to comply with the MSP Act. [read post]
25 Apr 2017, 3:21 pm
While Congress and the Trump Administration continue to ponder and debate what if anything to do with the health care reforms of the Patient Protection and Affordable Care Act (ACA), employer and other health plan sponsors, health plan insurers, plan fiduciaries and others responsible for health plan design, administration or funding must take steps to verify their past and continuing compliance with… [read post]
6 Jul 2012, 11:34 am
The Coping With Healthcare Reform: 2012 Health Plan Update Workshop will cover the latest guidance on Affordable Care Act and other federal health plan regulatory changes impacting employment-based group health plans and other key information employer and other group health plan sponsors, group health plans, insurers, plan administrators, fiduciaries,… [read post]
3 Mar 2022, 9:32 pm
As a part of this work, she has continuously and extensively worked with domestic and international health plans, their sponsors, fiduciaries, administrators, and insurers; managed care and insurance organizations; hospitals, health care systems, clinics, skilled nursing, long term care, rehabilitation and other health care providers and facilities; medical staff, accreditation, peer review and quality… [read post]
17 Mar 2024, 5:42 pm
What Health Plans, Their Fiduciaries, Vendors & Sponsors Should Be Doing Now Health plans, their fiduciaries, health plan sponsors and insurers, and their administrative and other service providers should move quickly to understand and act to mitigate the exposures likely to arise under the Health Insurance Portability and Accountability Act Privacy, Security and Data Breach Rules (HIPAA)… [read post]
Group Health Plan Section 111 Medicare Secondary Payer (MSP) Records To Accept Future Effective Date
27 Sep 2021, 1:01 pm
An impending change in the Medicare Secondary Payer (”MSP”) recordkeeping system could slightly lighten group health plan reporting burdens. [read post]
2 Jun 2014, 2:32 pm
Cynthia, among other things, is: Past Chair of the ABA Health Law Section Managed Care & Insurance Interest Group Immediate Past Chair of the ABA’s RPTE Employee Benefit & Compensation Committee Marketing Committee Chair of the ABA Joint Committee on Employee Benefits Vice Chair of the ABA Tort & Insurance Practice Section Employee Benefits Committee Current Vice-Chair of the Gulf States TEGE Council… [read post]
11 Jul 2015, 2:14 pm
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… [read post]
18 Nov 2018, 8:30 pm
Self-insured employer and union sponsored health plans, health insurers and other health care payers, health care providers, managed care and practice management service providers and others structuring or working with preferred provider or other managed health care contracts should weigh the potential implications on their health plan provider agreements and managed care… [read post]
13 Jul 2018, 10:37 pm
Coupled with the Trump Administration’s recent rollout of its long promised association health plan, short-term coverage and other regulatory reforms and promises of more changes to come, the ongoing attention paid by the Administration and Congress to health insurance and health care reform raises a strong possibility that employer, association, and other health plan sponsors, fiduciaries and their vendors… [read post]
17 Nov 2021, 2:44 pm
This involvement encompasses helping health care systems and organizations, group and individual health care providers, health plans and insurers, health IT, life sciences and other health industry clients prevent, investigate, manage and resolve sexual assault, abuse, harassment and other organizational, provider and employee misconduct and other performance and behavior;… [read post]
1 Aug 2012, 10:02 am
Sebelius ruling, most employers and insurers of employment based group health plans now are bracing to cope with radical changes in their health plan related responsibilities scheduled to take effect in 2014. [read post]
