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12 Aug 2013, 7:48 am
Local health care insurers have contracts with the city of Detroit and provide thousands of city of Detroit employees, retirees, and family members with health insurance. [read post]
29 Jun 2015, 6:00 am
We accordingly agree with the Department’s construction and hold that stop-loss insurance sold to a self-funded employee health-benefit plan is not reinsurance, but rather direct insurance subject to regulation under the Insurance Code. [read post]
2 Oct 2023, 11:57 am by Cynthia Marcotte Stamer
While the Health Insurance Portability & Accountability Act (“HIPAA”) and Patient Protection & Affordable Care Act (“ACA”) generally prohibit insurability or other evidence of good health requirements in health plans, many ERISA-covered life, disability and other insurance programs continue to condition coverage on evidence of good health or other insurability requirements. [read post]
13 May 2010, 10:43 am by Jason Martin, Esq.
  Contract Provisions Participating providers have contractual obligations with the health insurance payer. [read post]
20 Dec 2017, 1:32 pm by Debra A. McCurdy
Senate Majority Leader Mitch McConnell has committed to considering legislation to mitigate potential health insurance premium increases caused by the repeal of the individual insurance penalty, including bills to fund cost-sharing-reduction payments and to create high risk pools for individuals with pre-existing conditions. [read post]
6 Apr 2011, 5:15 am
Individuals seeking relief from high health insurance premiums will often look for alternatives that are nothing more than a sham.If someone offered you filet mignon for $0.99 per pound you would be suspect. [read post]
14 Apr 2010, 4:00 pm by Karen Olson
Medical insurance expert witnesses may opine on health insurance, medical insurance, managed care, and more. [read post]
14 Dec 2016, 7:04 am by Gretchen Harders and Cassandra Labbees
Non-Covered Employers with Fully Insured Group Health Plans Nearly all health insurance issuers are Covered Entities under Section 1557 because they offer individual policies on a federal or state Health Insurance Marketplace or otherwise receive federal funds. [read post]
5 May 2020, 3:01 am by Kellie McTammany
Social Security trustees Labor Secretary Acosta, Health and Human Services Secretary Azar, and Treasury Secretary Mnuchin have yet to release their updated projections on just how quickly the trust fund will run out of cash. [read post]
19 Jun 2012, 9:34 am by Brendan Kevenides
Southern Illinois Hospital Services, 242 Ill.2d 261 (2011), the common fund doctrine does not apply to health care provider liens. [read post]
19 Jun 2012, 9:34 am by Brendan Kevenides
Southern Illinois Hospital Services, 242 Ill.2d 261 (2011), the common fund doctrine does not apply to health care provider liens. [read post]
17 Oct 2013, 8:32 am by Stephen D. Rosenberg
The first is that, other than credit card companies, probably no one holds more protected personal information than the entities involved with ERISA plans, from health insurers to mutual fund companies to plan sponsors to record keepers. [read post]
24 Aug 2009, 3:57 pm by Martha Sherwood, Legal Researcher
The majority of those currently uninsured cannot afford to pay anything close to the full cost of health insurance. [read post]
20 Feb 2014, 3:39 pm by Sabrina I. Pacifici
It is the largest employer-sponsored health insurance program in the country, covering about 8 million enrollees each year. [read post]
31 Jan 2010, 2:03 pm by Curran Tomko Tarski LLP
Filed under: Disease Management, Employee Benefits, Employers, ERISA, Fiduciary Responsibility, Health Plans, Human Resources, Mental Health Tagged: Disability Discrimination, Disease Management, Employee Benefits, Employment, Employment Agreements, ERISA, Health Insurance, Health Plans, Human Resources, Insurance, Insurer, Managed Care, Medical Coverage, Mental Health Benefits, Mental Health Parity, Risk Management,… [read post]
25 Oct 2017, 4:11 pm by Sabrina I. Pacifici
“The Bipartisan Health Care Stabilization Act of 2017 would make several changes to the state innovation waiver process established by the Affordable Care Act (ACA), appropriate money for cost-sharing reductions (CSRs) through 2019, require many insurers to pay rebates to individuals and the federal government related to premiums in the nongroup health insurance market for 2018, allow anyone in the nongroup market to purchase a catastrophic plan, and require… [read post]
19 Jul 2011, 3:01 am by Robert Kraft
However, the prompt-payment law does not apply to self-funded health insurance plans, even though they may use an insurance company or HMO to administer the health plan. [read post]
15 May 2020, 1:00 pm by Daniel Fundakowski and Sonia Nguyen
” The updated FAQs also address the issue of determining the appropriate in-network rates, and HHS has noted that most health insurers have publicly stated their commitment to reimbursing out-of-network providers treating health plan members for COVID-19-related care at the insurer’s prevailing in-network rate. [read post]