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11 Jul 2015, 2:14 pm by Cynthia Marcotte Stamer
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 using or accessing health plan data to verify and ensure the internet data sharing and other applications and portals… [read post]
29 Mar 2017, 5:09 am by SHG
At the same time, the SEC wanted an outside contractor to process the data in order to facilitate the Commission’s oversight. [read post]
3 Aug 2015, 12:07 pm by Cynthia Marcotte Stamer
Employer and other sponsors of non-grandfathered group health plans, their insurers, administrators and fiduciaries should adjust the co-payment, deductible and out of pocket limits applicable for the 2015 plan year to reflect the recent adjustment in the out-of-pocket limits on essential benefits allowed by that the Patient Protection and Affordable Care Act (ACA) § 1302(c)(1). [read post]
31 May 2016, 4:05 pm by Cynthia Marcotte Stamer
  Well-known for her extensive work with health care, insurance and other highly regulated entities on corporate compliance, internal controls and risk management, her clients range from highly regulated entities like employers, contractors and their employee benefit plans, their sponsors, management, administrators, insurers, fiduciaries and advisors, technology and data service providers, health care, managed care and insurance, financial services, government contractors and… [read post]
19 Feb 2020, 9:01 pm by Neil H. Buchanan
He has made it clear again and again that he views the presidency—when he holds it, that is—as nothing less than an autocracy, where he has the “absolute right” to do anything that strikes his fancy.As far back as June 2016, I wrote a column here on Verdict warning that Trump’s candidacy foretold “the Beginning of the End of Constitutional Democracy in the U.S. [read post]
31 May 2019, 3:54 am by Tinker Ready
He began hiring physicians — both as employees and independent contractors — “to capture for the hospital those physicians’ referrals and the resulting revenues, thereby increasing Wheeling Hospital’s market share,” the government alleged. [read post]
12 Jul 2010, 2:02 am by Mandelman
The facts in this case reveal the harsh reality that underlies the loan servicer’s press statements about loan modifications and forbearance agreements following collapse of the U.S. housing market. [read post]
10 Dec 2010, 1:09 pm by Schachtman
  Representatives in the U.S. are the North American Asbestos Corporation. [read post]
4 Feb 2013, 5:00 am by Jon Robinson
  The Bulletin states: Subject: Reimbursement of Unallocated Claims Expenses for Defense Base Act (DBA) settlements under the War Hazards Compensation Act (WHCA), and Allocating Payments in a DBA Settlement of Multiple Injuries for Purposes of Reimbursing only WHCA-Covered Injuries Background: The DBA provides a workers’ compensation system for workers injured or killed while performing work for government contractors outside the United States. 42 U.S.C. 1651(a). [read post]
14 May 2023, 9:00 pm by Neil H. Buchanan and Michael C. Dorf
Under such circumstances, we contend, the President must choose the “least unconstitutional” option: minimize the executive usurpation of legislative authority by issuing just enough new debt to cover the gap between revenues and congressional appropriations, rather than exercise completely unguided discretion to deny payments to veterans, Social Security recipients, hospitals, contractors, and others to whom those payments are legally owed.To be clear, we share the ultimate… [read post]
8 Jan 2015, 6:16 am by Lloyd J. Jassin
Independent Contractor or Work for hire       7. [read post]
22 Jan 2019, 2:30 am by Tinker Ready
” Research and exonerations by DNA analysis have repeatedly disproved these claims, and the U.S. [read post]
30 Aug 2024, 5:06 pm by Ben Vernia
On February 22, the Department of Justice announced that it obtained over $2.68 billion in settlements and judgments under the False Claims Act during the fiscal year that ended on September 31, 2023. [read post]