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8 Mar 2024, 5:20 am by McKennon Law Group
De novo. 28, 2012) (“[A]s Federal Express delegated its final decision-making authority to Aetna, and the LTD Plan did not contemplate or authorize such a delegation, this Court will review the decision to deny Plaintiff’s long-term disability benefits claim de novo. [read post]
28 Feb 2024, 4:00 pm by Kimberly S. Couch
Aetna, Inc., a New Jersey federal district court held, in an unpublished opinion, that Aetna’s cross-plan offsetting practice constituted a breach of the exclusive benefit rule and prohibited self-dealing under Sections 404 and 406 of ERISA, respectively. [read post]
2 Dec 2023, 2:28 pm by Eugene Volokh
Cancer & Blood Specialists, Inc.: Petitioners Caremark, L.L.C., … SilverScript Insurance Company, and Aetna, Inc. seek to file their petition to vacate an arbitration award under seal; or, in the alternative, partially under seal; or, in the second alternative, with some redactions…. [read post]
11 Sep 2023, 1:58 pm by Cynthia Marcotte Stamer
See Record $16M Anthem HIPAA Settlement Signals Need To Tighten HIPAA Compliance & Risk Management  In January, 2021, OCR announced New York health insurer, Excellus Health Plan, Inc., would pay $5.1 million to settle potential HIPAA violations related to a breach affecting over 9.3 million people. [read post]
26 Jun 2023, 9:01 pm by renholding
Sixty years ago, the Supreme Court handed down its decision in United States v. [read post]
26 May 2023, 12:08 pm by Liberty Ritchie
Financial Life Insurance Co.13‐0231‐EXM In Re: Target Market Conduct Examination of United of Omaha Life Insurance Co.13‐0960‐EXM In Re: Market Conduct Examination of Agar Insurance Agency, Inc.13‐1020‐EXM In Re: Market Conduct Examination of Health Care Service Corporation14‐0412‐EXM In Re: Target Market Conduct Examination of Farmers Insurance Co., Inc.15‐0432‐EXM In Re: Market Conduct… [read post]
4 Feb 2023, 3:20 am by Cynthia Marcotte Stamer
,  Clinical Laboratory Pays $25,000 To Settle Potential HIPAA Security Rule Violations (May 25, 2021); Health Insurer Pays $5.1 Million to Settle Data Breach Affecting Over 9.3 Million People (January 15, 2021); Aetna Pays $1,000,000 to Settle Three HIPAA Breaches(October 28, 2020); Health Insurer Pays $6.85 Million to Settle Data Breach Affecting Over 10.4 Million People (September 25, 2020); HIPAA Business Associate Pays $2.3 Million to Settle… [read post]
An example of an unmitigable OCI was presented in Aetna Government Health Plans, Inc., B-254397 et al., Jul. 27, 1995, 95-2 CPD ¶ 129. [read post]