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2 Mar 2020, 11:04 am by Cynthia Marcotte Stamer
  Consequently, the MLR reporting or calculation of insurers typically does not reflect any rebates PBMs retain that are not passed through to the insurer even though the PBM is supposed to be working on behalf of the health plan. [read post]
3 Oct 2022, 10:47 am by The White Law Group
An L bond is an unrated life insurance bond that is used to finance the purchase and premium payments of life insurance settlement contracts purchased in the secondary market, according to Investopedia. [read post]
19 Jan 2010, 5:00 am by Victoria VanBuren
(read more here) In Woodmen of the World Life Insurance Society/ Omaha Woodmen Life Insurance Society v. [read post]
25 May 2010, 4:43 pm by Director
CMS does not want insurers or submitters hiding rated ages to misrepresent the life expectancy. [read post]
6 May 2007, 7:21 pm
"The QDRO guarantees that the former spouse will receive that portion of the pension assigned in the property settlement agreement or judgment of divorce. [read post]
17 Mar 2024, 5:42 pm by Cynthia Marcotte Stamer
What Health Plans, Their Fiduciaries, Vendors & Sponsors Should Be Doing Now Health plans, their fiduciaries, health plan sponsors and insurers, and their administrative and other service providers should move quickly to understand and act to mitigate the exposures likely to arise under the Health Insurance Portability and Accountability Act Privacy, Security and Data Breach Rules (HIPAA) Privacy, Security, and Breach Notification Rules, the claims, notice and fiduciary… [read post]
11 Apr 2024, 1:01 pm by Benson Varghese
Negotiating with Insurance Companies Insurance companies are notorious for offering lowball settlements and employing tactics to minimize payouts. [read post]
11 Apr 2024, 1:01 pm by Benson Varghese
Negotiating with Insurance Companies Insurance companies are notorious for offering lowball settlements and employing tactics to minimize payouts. [read post]
11 Apr 2024, 1:01 pm by Benson Varghese
Negotiating with Insurance Companies Insurance companies are notorious for offering lowball settlements and employing tactics to minimize payouts. [read post]
8 Mar 2012, 7:39 pm by Cynthia Marcotte Stamer
The Sullivan University System, Inc. settlement provides another example of the growing risks that U.S. employers face from misclassifying workers as exempt employees for purposes of wage and hour and overtime laws. [read post]
31 Jan 2010, 3:00 pm by Robert Elliott, J.D.
 CMS will not look at what is paid today for the structured settlement ($200K), but at the total amount to be paid to the claimant over the life of the structured settlement ($350K). 5. [read post]
7 Jan 2014, 7:46 am by Lawrence B. Ebert
Genentech, Inc., 549 U.S. 118, 126-27 (2007); Aetna Life Ins. [read post]
3 Jun 2012, 6:16 pm by Ken Shigley
While results vary, we usually hear from clients that the surgery greatly improves their quality of life and ability to engage in normal activities without significant pain. [read post]