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To prevent employers from potentially steering sick employees off their group health plan onto the individual market, the rule would prohibit offering the same class of employees both a traditional group plan and an HRA that funds individual coverage. [read post]
To prevent employers from potentially steering sick employees off their group health plan onto the individual market, the rule would prohibit offering the same class of employees both a traditional group plan and an HRA that funds individual coverage. [read post]
31 Jul 2008, 12:30 pm
According to New York Penal Law Article 177, there are five degrees of Health Care Fraud as follows: Health Care Fraud in the Fifth Degree - NY Penal Law 177.05 - establishes that a person is guilty of this crime when, with the intent to defraud a health plan (generally a publicly or privately funded heath insurance or managed care plan or contract), he knowingly and willfully provides materially false information or omits material information for the… [read post]
Consider using all available resources to support employee vaccinations, including employee education and clinics. [read post]
The state is self-insured, with employeeshealth insurance administered by Anthem and United Healthcare/Oxford. [read post]
21 Jan 2014, 7:35 am by Marty Lederman
HHS has exempted churches and their auxiliaries from the requirement to include contraception if they offer an employee health insurance plan. [read post]
7 Feb 2007, 9:50 pm
In today's announcement, Right Choice Managed Care is paying the United States Government $975,000 to resolve allegations that it overcharged the Federal Employees Health Benefits (FEHB) Program, according to the Web site Qui Tam 101. [read post]
3 Jul 2019, 3:02 pm by Green and Associates
The scheme allegedly defrauded Health Net, which is a private health benefit plan, and the Government Employees Hospital Association, which is a health benefit plan that provides health insurance coverage to certain former United States government employees.Medicare allegedly paid at least $1.4 million based on Serostim prescriptions that were issued by Lee and filled by patients who sold at least some of the drugs to Lee. [read post]
14 Apr 2016, 8:41 am by Marty Lederman
"  (I discuss the distinctions between these different sorts of health insurance plans in this post, among others.)Insured plansThe Court's order referred specifically to petitioners that offer their employees access to "insured" health care plans. [read post]
4 Jun 2020, 9:00 am by The Boyd Law Group, PLLC
Recently, the United States Equal Employment Opportunity Commission (EEOC) provided employers guidance as to how best manage vulnerable employees and how these employees should be accommodated in the wake of COVID-19. [read post]
13 Nov 2023, 5:40 pm by Michael Lowe
United States, 529 U.S. 667 (2000), as: a misappropriation of funds that enriches a person of power or influence who uses the power or influence to make a different individual, organization, or company richer. [read post]
19 Jul 2010, 8:42 pm by Cynthia Marcotte Stamer
Stamer has more than 23 years experience working with employers, professional employment organizations, employee benefit plan sponsors and administrators and others on a wide range of labor and employment, employee benefits, and other management matters. [read post]
20 May 2024, 10:00 pm by Sherica Celine
Most plans unitize the shares so that they are more easily tradeable, but often those plans permit the fund units to be converted to shares and distributed. [read post]
1 Dec 2020, 4:28 pm by Sabrina I. Pacifici
If the recommendations are approved, they will become official CDC recommendations on immunization in the United States and provide guidance to state officials, who are scrambling to meet a Friday deadline for vaccine distribution planning... [read post]
29 Nov 2022, 6:35 pm by Cynthia Marcotte Stamer
The plan can be a separate workplace violence prevention program or can be incorporated into a safety and health program, employee handbook, or manual of standard operating procedures. [read post]
20 Oct 2014, 5:00 am by The Public Employment Law Press
” With respect amendment to Civil Service Law § 167(8), the Sponsor’s memo stated that the purpose of the amendment is “to provide authority to modify the employer and employee shares of health premium and subscription costs under the New York State Health Insurance Plan [emphasis supplied]. [read post]
2 Mar 2010, 5:58 pm by Cynthia Marcotte Stamer
The Monday, March 2, 2010 order by Regional Director Reichard sets the stage for elections between the Service Employees International /United Healthcare Workers-West (SEIU-UHW) and the National Union of Healthcare Workers (NUHW), which are competing to represent thousands of health care workers throughout California. [read post]
11 Jul 2011, 7:02 am
Sokol specifically targeted employees at companies that offered Blue Cross Blue Shield policies because their plans provided generous physical therapy benefits. [read post]
An employer cannot offer an ICHRA to any employee to whom it offers a traditional group health plan. [read post]
2 Jul 2013, 12:46 pm by Mitchell Boyarsky
Under the Employee Retirement and Income Security Act (“ERISA”), which governs 401(k) plans and other retirement and health plans, a surviving spouse is the default beneficiary of a deceased’s employee’s vested plan benefits. [read post]