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10 Feb 2014, 3:00 am
The ACA provided extra motivation and a potential justification as well. [read post]
17 Jun 2018, 7:18 am
Section 1133(2) requires ERISA plans to afford claimants a full and fair review, usually called an appeal, of a denied claim by a claim fiduciary. [read post]
5 Jun 2018, 1:46 am
The update provides hyperlinks to recent issued FCA publications: Policy Statement 18/10: Retiring Finalised Guidance (FG) 12/15 and FG14/1; Guidance Consultation (GC) 18/2: Fairness of variation terms in financial services consumer contracts under the Consumer Rights Act 2015; Handbook Notice 55; FG18/4: The FCA’s approach to the review of Part VII insurance business transfers; FG18/4: Summary of feedback to GC17/5; Consultation Paper 18/12: High-cost Credit Review:… [read post]
3 Oct 2019, 7:03 am
In PS21/19 the PRA sets out its final rules and guidance on issues consulted on in the following chapters of CP13/19: Chapter 2: Solvency II: the quality of capital instruments. [read post]
31 Mar 2014, 1:33 am
See, for example, AP2682 (directed to “a system for facilitating the initiation and/or conclusion of an insurance contract”) or AP2668 (from Nokia and directed to “a new method, system, apparatus and software product for dynamic gating of an uplink (UL) control channel”). [read post]
11 Jun 2013, 1:03 pm
” (Id. at 5 n.2.) [read post]
1 Mar 2010, 3:07 pm
If paid with pre-tax dollars, as part of a cafeteria plan for example, or paid by the employer, the benefits are considered taxable income. 2. [read post]
14 Jun 2008, 10:50 am
If the notice was provided within two years, the burden will be on the insurer to prove that it was prejudiced.New Insurance Law § 3420(c)(2)(A), however, will speak of late notice from "the time required under the policy[.] [read post]
28 Feb 2016, 5:22 am
Here is something for life insurance lawyers to read. [read post]
23 Nov 2015, 9:05 pm
., decided 11/13/2015)Plaintiff provider commenced this action to recover first-party no-fault benefits as assignee of nine individuals. [read post]
2 Apr 2010, 3:24 pm
Further, the government may provide the medical care directly, or may cooperate with private individuals for the providing of that care. [read post]
17 Sep 2011, 8:06 am
(2) When a GHP violates the Medicare Secondary Payer Act (MSPA), what is the remedy for the injured healthcare provider? [read post]
9 Dec 2011, 5:28 am
Where the insured cooperates to some degree or explains its noncooperation, a jury must resolve the factual questions, but here King Sports and Chang provided Hedrick with no substantive information in the underlying suit. [read post]
3 Mar 2022, 1:15 pm
Advising regulated financial and insurance entities within the State to evaluate systems for cyber risk and take appropriate actions to mitigate that risk. [read post]
3 Mar 2022, 1:15 pm
Advising regulated financial and insurance entities within the State to evaluate systems for cyber risk and take appropriate actions to mitigate that risk. [read post]
3 Mar 2022, 1:15 pm
Advising regulated financial and insurance entities within the State to evaluate systems for cyber risk and take appropriate actions to mitigate that risk. [read post]
8 Feb 2021, 12:51 pm
Employers may require any paid leave provided under the program to run concurrently with (1) any qualifying (unpaid) leave under the federal Family and Medical Leave Act (FMLA), and/or (2) any leave provided under any company-provided disability policy. [read post]
28 Jun 2010, 12:48 pm
Beyond providing an initial injury report (C-2), they are neither asked or required to do much else. [read post]
23 Nov 2010, 10:47 am
While all PPOs got the mid-range 2-3 stars for getting care easily, all insurers except Aetna received the lowest, single-star rating for plan service. [read post]
29 Mar 2020, 7:59 pm
There’s a big insurance company that uses the tag line: Life Comes at You Fast. [read post]