Search for: "Share Health Plan, Inc. v. Marcotte" Results 21 - 40 of 57
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16 Oct 2018, 3:55 pm by Cynthia Marcotte Stamer
Health plans, their employer and other sponsors and fiduciaries, health insurers, health care providers, health care clearinghouses and their business associates should study and learn from the just announced, record-setting $16 million resolution agreement between health insurance giant, Anthem, Inc., to resolve Department of Health & Human Services Office of Civil Rights (OCR) charges that Anthem, Inc. [read post]
11 May 2018, 3:22 am by Cynthia Marcotte Stamer
The 2018 maximum deductible Health Savings Account (HSA) contribution for individuals with family coverage under a high deductible health plan (HDHP) is $6,900, rather than the lower $$6850 limitation that the Internal Revenue Service (IRS) and Department of Treasury originally identified as the 2018 maximum deduction amount last March. [read post]
12 Apr 2018, 7:01 pm by Cynthia Marcotte Stamer
   However, the risk of enforcement is particularly acute for businesses in the following industries, designed for heightened enforcement and other attention as “Low Wage High Violation Industries” based on their particularly high record of noncompliance:  Agriculture, Amusement, Apparel Manufacturing, Auto Repair, Child Care Services, Construction, Food Services, Guard Services, Hair, Nail & Skin Care Services, Health Care, Hotels and Motels, Janitorial… [read post]
10 May 2017, 10:20 am by Cynthia Marcotte Stamer
 While small employers plans sometimes qualify for some relief from a few of these requirements, depending on their size,  the majority of these federal rules apply to most if not all group health plans. [read post]
25 Apr 2017, 3:21 pm by Cynthia Marcotte Stamer
 See, Businesses Must Confirm & Clean Up Health Plan ACA & Other Compliance Following Supreme Court’s King v. [read post]
23 Jan 2017, 2:47 pm by Cynthia Marcotte Stamer
Until these and other required actions are completed by the Agencies and the applicable plan sponsors, fiduciaries and other parties, employers and other plan sponsors, their management, their health plans, health plan fiduciaries, administrators and insurers remain legally obligated to continue to comply with the ACA as presently implemented under the existing regulations and judicial and administrative rulings. [read post]
28 Jul 2016, 2:30 pm by Cynthia Marcotte Stamer
  UMMC made the breach notification to comply with HIPAA’s Breach Notification Rule requirement that health care providers, health plans and healthcare clearinghouses (Covered Entities) timely notify affected individuals, OCR and others of breaches of unsecured ePHI. [read post]
31 May 2016, 4:05 pm by Cynthia Marcotte Stamer
Self-insured employer or union sponsored health plans (Plans), their fiduciaries, third party administrative or other service providers, and sponsors should consult legal counsel for advice about whether their Plans might violate the Privacy Rule of the Health Insurance Portability & Accountability Act (HIPAA) by disclosing individually identifiable claims or other Plan records or data to a state “all payer” claims or other data… [read post]
9 Sep 2015, 2:21 pm by Cynthia Marcotte Stamer
Solutions Law Press, Inc. is happy to share information about this upcoming free health industry study group meeting on 9/15/2015 in Irving, Texas. [read post]
3 Aug 2015, 12:07 pm by Cynthia Marcotte Stamer
Group health plans and insurance policies generally must count toward the out-of-pocket maximum limit all deductibles, coinsurance, copayments, or similar charges and any other expenditure the group health plan requires a covered person to pay for a qualified medical expense that is an “essential health benefit” within the meaning of ACA other than premiums, balance billing amounts for non-network providers and other out-of-network… [read post]
11 Jul 2015, 2:14 pm by Cynthia Marcotte Stamer
Obviously, health plans, business associates and other parties at minimum, should evaluate and address the adequacy of their own health plan security safeguards, practices and procedures impacting internet access and sharing of ePHI by and between the health plan, its workforce, business associates, sponsoring or contributing employers and others. [read post]