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Employer contributions for health insurance are not eligible for additional forgiveness for S-corporation employees with at least a 2% stake in the business, including for employees who are family members of an at least 2% owner under the family attribution rules of 26 U.S.C. 318, because those contributions are included in cash compensation. [read post]
10 Nov 2008, 7:13 pm
  The court found that the fire did not occur naturally, that the station manager had the only opportunity to set the fire, and that the insured’s precarious financial position provided the appropriate motive to start the fire and make a fraudulent insurance claim. [read post]
6 Oct 2007, 8:36 pm
Because the governing statutes do not provide for a charitable donation exception, those opinions of the Department's Office of General Counsel that are contrary to the analysis set forth herein are hereby overruled and should not be followed. [read post]
24 Jul 2013, 10:13 am
By going through a victim's own insurance policy, there may be an uninsured or underinsured claim available to provide a victim or a victim's family with additional funds. [read post]
15 Sep 2008, 12:16 pm
In the meantime, for a summary of the responses to the proposals for consumer insurance, please see the Blog entry of 2 June 2008. [read post]
13 Mar 2017, 4:55 pm by comitz
A lump sum payment also provides a measure of security that lifetime benefits do not: with lifetime benefits the insurance company still controls your monthly payments, and there is no guarantee that your benefits will never be terminated. [read post]
29 May 2010, 11:18 pm
In fact, section 38 of the Insurance Act specifically provides for the assignment and transfer of insurance policies. [read post]
3 May 2014, 6:47 am by Nyanza Moore
When the insurance company provided a much lower damage estimate than her claim requested, the she invoked the policy's appraisal provision.2 The insurer, however, refused to participate in appraisal, believing appraisal should not be required because the panel would have to decide issues of causation, not “amount of loss. [read post]
21 Dec 2016, 3:30 am by Robert Trautmann
Pennsylvania code provides that a carrier must acknowledge the claim, provide all claims forms, instruction and reasonable assistance to the claimaint within 10 working days of reciept of the claim.1 They must reply to all “pertinent” communications within 10 working days.2 The insurance carrier must complete its investigation within 30 days of their receipt of the notification of the claim.3 If they cannot meet that deadline, they must send written… [read post]
3 Jul 2020, 4:00 am by Howard Friedman
., July 2, 2020), a New York state appellate court rejected a challenge by several religious organizations and other plaintiffs to a New York administrative regulation  requiring health insurance policies in New York to provide coverage for medically necessary abortion services. [read post]
17 Dec 2016, 3:31 am by Robert Trautmann
New Jersey’s administrative code provides a rigid framework within which the insurance companies must operate. [read post]
19 Oct 2011, 7:00 am
In a self-funded healthcare plan an employer provides health and other welfare benefits to employees with its own funds. [read post]
14 Aug 2009, 1:17 pm
Under the, now revoked, CFA Regulations 2000 there was a duty to advise a client whether the legal representative considered that the client was insured under an existing contract of insurance (BTE) before the CFA was entered into (Regulation 4(2)(c)). [read post]
7 Mar 2007, 10:55 am
The Act does two controversial things: 1. it delegates the regulation of insurance entirely to the states without providing any guidelines or standards for the states to meet and without mandating any continuing oversight by GAO or other federal entities, and 2. it largely exempts insurance companies from antitrust law enforcement, except for acts involving intimidation, coercion and boycott. [read post]
11 Oct 2022, 7:16 am by Kevin LaCroix
They allow a company to provide exculpation, but do not require companies to do so. [read post]
17 Nov 2015, 1:56 pm by Gregory Dell
Anthem Life Insurance Company provides an example of how claimants of long term disability benefits may sabotage their own case. [read post]
8 Dec 2008, 12:22 pm
  Significantly, the Circular Letter summary provides in significant part that in adding new Insurance Law § 3420(a)(5), the Legislation established that a “claim may not be denied if: 1) it had not been reasonably possible to give notice within the prescribed time, and notice is given as soon as reasonably possible, even if the insurer has been prejudiced; or 2) the insurer has not been prejudiced, even if the claim was not… [read post]
26 Oct 2015, 7:37 pm
CGL – BLANKET ADDITIONAL INSURED – EMPLOYEE INJURY EXCLUSION – UNTIMELY DISCLAIMER – INSURANCE LAW § 3420(D)(2)    Endurance Am. [read post]