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30 Sep 2021, 4:50 pm by Cynthia Marcotte Stamer
LinkedIn SLP Health Care Risk Management & Operations Group, HR & Benefits Update Compliance Group, and/or Coalition for Responsible Health Care Policy. [read post]
21 Aug 2013, 6:52 pm by Cynthia Marcotte Stamer
Employer and union group health plan sponsors and insurers of group and individual health plans (Health Plans) agonizing over 2014 plan design decisions are running out of time. [read post]
20 Apr 2011, 4:54 pm by Cynthia Marcotte Stamer
See HHS, DOL & IRS Rules Define “Grandfathered” Group Health Plans & Health Insurance Coverage under the Patient Protection and Affordable Care Act. [read post]
4 Aug 2023, 5:55 pm by Cynthia Marcotte Stamer
Group health plans and individual and group health insurance subject the federal No Surprises Act may experience delays in their ability to finalize liability determinations and pay providers for health claims submitted for arbitration under federal surprise billing rules as a result of an August 3, 2023 federal court ruling. [read post]
20 Nov 2012, 12:54 pm by Cynthia Marcotte Stamer
Solutions Law Press, Inc. plans will host a webex executive study group briefing to update its members and other interested persons on this new and proposed guidance on Tuesday, November 27, 2012 at Noon Central Time. [read post]
11 Jun 2020, 9:18 am by Cynthia Marcotte Stamer
LinkedIn SLP Health Care Risk Management & Operations Group, HR & Benefits Update Compliance Group, and/or Coalition for Responsible Health Care Policy. [read post]
21 Aug 2015, 11:24 am by Cynthia Marcotte Stamer
As amended by ACA, federal law imposes significant penalties against plans, their fiduciaries and even the sponsoring employer if the group health plan violates the ACA out-of-pocket limit or a long list of other ACA and other federal group health rules. [read post]
4 Nov 2014, 4:54 pm by Cynthia Marcotte Stamer
Solutions Law Press, Inc. invites employer and other employment-based group health plan sponsors, fiduciaries insurers, administrators, brokers, consultants and others to learn more about Notice 2014-69 and its implications on the design and consequences of employers offering “skinny” or other limited coverage health plans to their employees under the pay-or-play “shared responsibility provisions of the Code. [read post]
25 May 2016, 7:56 am by Daily Record Staff
Maryland Care, Inc., a managed care organization that administers health care services to more than 190,000 Marylander’s enrolled in the Maryland HealthChoice program, has selected Envolve Inc. to provide health plan management services for its managed Medicaid operations in Maryland effective July 1, 2017. [read post]
16 Oct 2018, 3:55 pm by Cynthia Marcotte Stamer
  The breach that resulted in the settlement agreement affected ePHI Anthem maintained for its affiliated health plans including many employer or union sponsored self-insured and insured group health plans and other HIPAA-covered entity health plans. [read post]
2 Aug 2011, 4:24 pm by Cynthia Marcotte Stamer
Affordable Care Act To Require Health Plans Cover Contraception & Other Women’s Health Procedures Beginning In 2012 Contraception Mandate Might Not Apply To Certain Religious Employer Plans Starting with plan years beginning after July 31, 2011, most employer and union sponsored group health plans and group and individual health insurers generally must cover contraceptive and certain other preventive… [read post]
6 May 2019, 5:44 pm by Cynthia Marcotte Stamer
Health plans, their sponsoring employers and unions, insurers, fiduciaries, administrators, insurers and other service providers should learn from the $3 million lesson a Franklin, Tennessee-based diagnostic medical imaging services provider is learning about the heavy penalties a health plan, health care provider, health care clearinghouse  or business associate  (“Covered Entity”) risks if a post-data breach… [read post]
19 Apr 2010, 6:59 pm by Matt Mullenix
For a full listing of LANO member benefits offered by Group Brokerage, Inc. and LDP, download the LANO 2010 Group Health flier or email info@lano.org, writing Group Health in the subject line. [read post]
8 Oct 2013, 1:50 pm by Cynthia Marcotte Stamer
The following are some basic guidelines that management or others making health plan vendor and design decisions generally will want to consider and document as part of their analysis when reviewing proposed health plan vendors and the plan designs, documentation, communications and procedures. [read post]
11 Jan 2021, 1:48 pm by Cynthia Marcotte Stamer
LinkedIn SLP Health Care Risk Management & Operations Group, HR & Benefits Update Compliance Group, and/or Coalition for Responsible Health Care Policy. [read post]