The majority touted the importance of allowing parties to bargain contractually for exchanges of rights and responsibilities, and it noted that courts should generally not interfere in this process. [read post]

The definition of “essential health benefits” as implemented by the Tri-Agency regulations is complicated and generally varies by state, even when the group health plan is self-insured. [read post]

Palm Beach Firefighters’ Pension Fund v. [read post]

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]