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15 Sep 2015, 5:53 am by Jack Goldsmith
”   February 2015, Anthem (health insurance). [read post]
15 Sep 2015, 5:37 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]
15 Sep 2015, 4:42 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]
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]
21 Aug 2015, 11:24 am by Cynthia Marcotte Stamer
Employers sponsoring health plans and members of their management named as plan fiduciaries or otherwise having input or oversight over the health plan should verify their company’s group health plan meets the out-of-pocket maximum rules of the Patient Protection and Affordable Care Act (ACA) § 1302(c)(1) as well as a long list of other federal health benefit rules to minimize the risk that violations will compel the sponsoring employer to self-assess, self-report on IRS Form… [read post]
18 Aug 2015, 7:52 pm by Cynthia Marcotte Stamer
A Fellow in the American College of Employee Benefit Counsel, past Chair and current Welfare Benefit Committee Co-Chair of the American Bar Association (ABA) RPTE Section Employee Benefits Group, Vice Chair of the ABA Tort & Insurance Practice Section Employee Benefits Committee, former Chair of the ABA Health Law Section Managed Care & Insurance Interest Group,  an ABA Joint Committee on Employee Benefits Council… [read post]
11 Aug 2015, 2:29 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]
6 Aug 2015, 6:21 pm by Kevin LaCroix
  Below we compile a list of ten cybersecurity considerations that provide a solid bedrock  of inquiry for corporate directors who want to take their cybersecurity oversight and supervision responsibilities seriously.[3]  This “cybersecurity top ten list” provides the requisite strategical framework for boards of directors to engage in an intelligent, thoughtful and appropriate supervision of a company’s cybersecurity risks. [read post]
3 Aug 2015, 12:07 pm by Cynthia Marcotte Stamer
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]
28 Jul 2015, 8:05 am by Cynthia Marcotte Stamer
Board certified in labor and employment law by the Texas Board of Legal Specialization, a Fellow in the American College of Employee Benefit Counsel, past Chair and current Welfare Benefit Committee Co-Chair of the American Bar Association (ABA) RPTE Section Employee Benefits Group, Vice Chair of the ABA Tort & Insurance Practice Section Employee Benefits Committee, former Chair of the ABA Health Law Section Managed Care & Insurance Interest Group, an ABA… [read post]
27 Jul 2015, 11:56 am by Cynthia Marcotte Stamer
Insurers and third party administrators providing claims and appeals services also should be concerned. [read post]
22 Jul 2015, 2:18 pm by Rebecca Tushnet
Sometimes A2K uses that ambiguity strategically to make access mean whatever is useful at any given time. [read post]
11 Jul 2015, 2:14 pm by Cynthia Marcotte Stamer
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… [read post]
30 Jun 2015, 2:43 pm by Cynthia Marcotte Stamer
A Fellow in the American College of Employee Benefit Counsel, past Chair and current Welfare Benefit Committee Co-Chair of the American Bar Association (ABA) RPTE Section Employee Benefits Group, Vice Chair of the ABA Tort & Insurance Practice Section Employee Benefits Committee, former Chair of the ABA Health Law Section Managed Care & Insurance Interest Group,  an ABA Joint Committee on Employee Benefits Council… [read post]
30 Jun 2015, 10:53 am by Cynthia Marcotte Stamer
  In most cases, businesses assume they can delay these actions until the beginning of their upcoming health plan year, not realizing their company’s potential liability exposures from existing and past defects. [read post]
26 Jun 2015, 12:25 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]
25 Jun 2015, 3:02 pm by Cynthia Marcotte Stamer
While many businesses as well as individual Americans have held off taking long overdue steps to comply with ACA’s mandates pending the Supreme Court’s King v. [read post]
16 Jun 2015, 2:54 pm by Cynthia Marcotte Stamer
  A current or former author and advisory board member of HR.com, Insurance Thought Leadership, SHRM, BNA and several other the prominent publications, Past Chair of the ABA RPTE Employee Benefit & Other Compensation Arrangements Group, Co-Chair and Past Chair of the ABA RPTE Welfare Plan Committee, Vice Chair of the ABA TIPS Employee Benefit Plans Committee, Vice President of the North Texas Health Care Compliance Professionals Association, Past Chair of the… [read post]
11 Jun 2015, 2:49 pm by John P. Feldman
Daus said that the same liability, insurance, and safety concerns should apply to taxi companies and other transportation services equally. [read post]
11 Jun 2015, 2:49 pm by John P. Feldman
Daus said that the same liability, insurance, and safety concerns should apply to taxi companies and other transportation services equally. [read post]