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22 Dec 2010, 12:34 pm
Supreme Court's decisions in Bell Atlantic Corp. v. [read post]
25 May 2012, 5:00 am
Medical malpractice attorneys who work on enough of these cases understand the role that insurance companies play in guiding the care and cost of treatments. [read post]
9 Mar 2014, 1:12 pm by Cynthia Marcotte Stamer
First, when deciding the skinny plan or other group health plan design, employers and their insurers, brokers, administrators and consultants need to ensure that the benefit plan coverage, benefits and other terms meet all applicable mandates of applicable federal, and in the case of insured, multiple employer welfare arrangements (MEWAs) and certain staffing and leasing company arrangements, ACA’s insured plan mandates and other applicable state… [read post]
28 May 2010, 7:33 am
Dentists, Dental Association Failed to Allege Fraud in RICO Claim Against InsurersThis posting was written by Mark Engstrom, Editor of CCH RICO Business Disputes Guide.Three dentists and the American Dental Association (ADA) failed to assert a plausible class-action RICO claim against five insurance companies that allegedly engaged in a scheme to defraud dentists by reducing payments for dental services through improper bundling, automatic downcoding, and the manipulation of dental… [read post]
2 Feb 2017, 6:04 pm by Cynthia Marcotte Stamer
A just-announced $3.2 million Health Insurance Portability & Accountability Act (HIPAA) Civil Monetary Penalty (CMP) paid by Children’s Medical Center of Dallas (Children’s)  for failing to adequately secure electronic protected health information (ePHI) and correct other HIPAA compliance deficiencies teaches many key lessons for employer and other health plans and insurers, healthcare clearinghouses, healthcare providers and their business associates… [read post]
23 Jan 2017, 2:47 pm by Cynthia Marcotte Stamer
In the case of insured health plans, sponsors, insurers and administrators also will need to consider whether their ability to take advantage of the federal relieve available is blocked or restricted by state insurance statutes, regulations or other administrative requirements. [read post]
2 Sep 2022, 9:13 am by Cynthia Marcotte Stamer
Stamer works closely with employer and other plan sponsors, insurance and financial services companies, plan fiduciaries, administrators, and vendors and others to design, administer and defend effective legally defensible employee benefits and compensation practices, programs, products and technology. [read post]
20 May 2022, 6:29 pm by Cynthia Marcotte Stamer
Stamer works closely with employer and other plan sponsors, insurance and financial services companies, plan fiduciaries, administrators, and vendors and others to design, administer and defend effective legally defensible employee benefits and compensation practices, programs, products and technology. [read post]
15 Apr 2018, 8:12 pm by Anthony Gaughan
If it is paid, many of the insurance companies will break. [read post]
17 Apr 2012, 6:36 pm by Cynthia Marcotte Stamer
Her publications and insights appear in the Health Care Compliance Association, Atlantic Information Service, Bureau of National Affairs, World At Work, The Wall Street Journal, Business Insurance, the Dallas Morning News, Modern Health Care, Managed Healthcare, Health Leaders, and a many other national and local publications. [read post]
23 May 2016, 12:10 pm by Christopher Simon
The tractor trailer was owned by Atlantic Transport, Inc. and insured by National Casualty Company. [read post]
23 May 2016, 12:10 pm by Christopher Simon
The tractor trailer was owned by Atlantic Transport, Inc. and insured by National Casualty Company. [read post]
27 May 2022, 12:37 pm
With a myriad of ways in which boating accident injuries occur, multiple parties and insurance companies could be partially or fully liable. [read post]
21 Aug 2015, 6:07 pm by Cynthia Marcotte Stamer
  Since ACA generally extends the duty to comply with its out-of-pocket and many other reforms directly to insurers, insurers that issue non-compliant group or individual health plans generally risk direct liability for violations. [read post]
15 Jun 2009, 2:44 pm
Le Monde, the French newspaper of record, reported that a group of French insurance companies have already begun projecting how much they might have to pay in claims — in the ballpark of $330 million. [read post]
6 Sep 2010, 9:43 am
Aside from more physical damage, truck accident cases are often further complicated by federal and state laws that regulate the trucking industry and can involved multi-state claims with insurance and trucking company ownership. [read post]
1 Aug 2012, 6:00 am
IOWA DEPARTMENT OF ECONOMIC DEVELOPMENT and DES MOINES REGISTER & TRIBUNE COMPANY Appeal from the Iowa District Court for Polk County, Artis I. [read post]
20 Dec 2021, 4:44 pm by Cynthia Marcotte Stamer
In October, 2020, OCR announced a resolution agreement with Aetna Life Insurance Company and affiliated covered entity (Aetna) where Aetna paid a $1 million resolution payment to settle potential HIPAA violations that arose from Aetna’s filing of hacking related breach reports in 2017 and OCR’s September 2021 announcement of a resolution agreement where Premera Blue Cross (PBC) agreed to pay $6.85 million to OCR (the second largest in OCR history) to settle potential… [read post]
4 Oct 2022, 2:57 pm by Cynthia Marcotte Stamer
Insolvent single employer pension plan funding is covered under a separate PBGC insurance program. [read post]