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23 Nov 2010, 10:47 am by Robert McKennon
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]
8 Feb 2021, 12:51 pm by admin
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]
29 Mar 2020, 7:59 pm by John Gotaskie
There’s a big insurance company that uses the tag line:  Life Comes at You Fast. [read post]
17 Jun 2024, 2:37 am by Jon L. Gelman
  An insurer or self-insured employer is required to provide the notice not more than 60 days after the supplement is awarded or voluntary payment is to begin. [read post]
11 Aug 2010, 6:23 am
  Every possible means of providing complete indemnity is required when dealing with tort damages, contract damages, and the proper amounts of payment required by a contract of insurance. [read post]
27 Jul 2016, 5:08 pm by Cynthia Marcotte Stamer
Health care providers, health plans, healthcare clearinghouses (covered entities) and their business associates should reevaluate the adequacy of their practices and procedures for the protection of electronic protected health information (ePHI) on or accessible through laptops or other mobile devices in light of the $2.75 million penalty and other schooling the Department of Health and Human Services Office for Civil Rights (OCR) just gave the University of Mississippi (UM) Medical Center… [read post]
Elder law attorneys provide legal assistance to people who are concerned about the financial challenges that they may face as senior citizens. [read post]
12 Jul 2011, 9:01 am by Shafik Bhalloo
Sagaz Industries Canada Inc., [2001] 2 S.C.R. 983 that is instructive on this issue. [read post]
12 Jul 2011, 9:01 am by Shafik Bhalloo
Sagaz Industries Canada Inc., [2001] 2 S.C.R. 983 that is instructive on this issue. [read post]
22 Aug 2011, 9:50 am by Medicare Set Aside Services
The foundation was created to provide much needed assistance to Medicare beneficiaries facing MSP compliance issues resulting from an insurance settlement. [read post]
17 May 2015, 7:37 am by Mark S. Humphreys
The policy provides: "Total disability' as used herein means complete inability of the Insured to engage in any and every occupation or employment for wage or profit, but during the first 24 months of any period of disability the Insured shall be deemed totally disabled while he is unable to perform any and every duty pertaining to his occupation and is not engaged in any occupation or employment for wage or profit.' The policy of insurance… [read post]
21 Jan 2009, 4:30 am
Horizon Blue Cross Blue Shield of New Jersey, 568 F.Supp.2d 556 (D.N.J. 2008) The bottom line is, if your 2-step plan is to: 1) brief the issue and provide evidence supporting your position; and then 2) “respectfully request that the Court render its decision,” don’t take the second step first. [read post]
28 Jul 2016, 2:30 pm by Cynthia Marcotte Stamer
§ 164.312 (a)(2)(i) by failing to assign a unique user name and/or number for identifying and tracking user identity in information systems containing ePHI including, for example, allowing workforce members to access ePHI on a shared department network drive through a generic account, preventing UMMC from tracking which specific users were accessing ePHI; and While UMMC provided notification on UMMC’s website and in local media outlets following the discovery of the… [read post]
5 Oct 2007, 7:57 am
We previously mentioned William and Mary law student Darren Abernethy’s upcoming law review note presenting ideas on how to enact so-called fair share legislation - which attempts to obligate employers to provide certain levels of health insurance coverage - without running afoul of ERISA preemption. [read post]
26 Aug 2008, 2:51 pm
§§7201 (Tax Evasion) & 7206 {2} (False Income Tax Returns). [read post]
29 Aug 2013, 6:30 am by Michael B. Stack
  Many employers mistakenly think that the cost of workers’ compensation insurance is the amount of premium paid to the work comp insurer, or if self-insured, the amount paid out in medical and indemnity benefits. [read post]
31 May 2016, 4:05 pm by Cynthia Marcotte Stamer
 (2)  A covered entity must meet the requirements described in paragraph (c), (e), or (f) of this section for uses or disclosures required by law. [read post]
17 Mar 2009, 12:25 am
    A buyers’ guide approved by the Commissioner of Banking and Insurance (note, however, that a guide based on the NAIC model buyer’s guide is not subject to approval by the Commissioner).2. [read post]