Search for: "NATIONAL RIGHT TO WORK LEGAL DEFENSE AND EDUCATION FOUNDATION, INC. v. U.S. DEPARTMENT OF LABOR" Results 41 - 56 of 56
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11 Jul 2015, 2:14 pm by Cynthia Marcotte Stamer
In the face of these developments, health plans and their employer or other sponsors, health plan fiduciaries, health plan vendors acting as business associates and others dealing with health plans and their management should contact legal counsel experienced in these matters for advice and help about evaluating within the scope of attorney-client privilege the implications of the Resolution Agreement and other recent guidance on the adequacy and defensibility of their and their… [read post]
31 May 2016, 4:05 pm by Cynthia Marcotte Stamer
Board Certified in Labor & Employment Law by the Texas Board of Legal Specialization, Ms. [read post]
23 Jan 2017, 2:47 pm by Cynthia Marcotte Stamer
A Fellow in the American College of Employee Benefit Counsel, the American Bar Foundation and the Texas Bar Foundation, Ms. [read post]
27 Jul 2015, 11:56 am by Cynthia Marcotte Stamer
  As implemented by current Department of Labor Regulations, these ACA claims and appeals procedures require that group health plans (other than grandfathered plans) both comply with: All of the pre-existing ERISA claims and appeals rules; and Notify members or their beneficiaries of their rights to and provide for independent review of coverage rescission decisions and medical judgment-based claims denials in accordance with detailed rules set forth in the… [read post]
25 Apr 2017, 3:21 pm by Cynthia Marcotte Stamer
 Among other things, group health plans and their fiduciaries can face audits, litigation and enforcement actions by the Centers for Medicare & Medicaid Services and other health plans for improperly coordinating plan claims with other coverage as well as lawsuits from covered persons, their health care providers or other beneficiaries, the Department of Labor and CMS, or others seeking to enforce rights to benefits, penalties in the case of CMS or the… [read post]
3 Aug 2015, 12:07 pm by Cynthia Marcotte Stamer
Since violation of these out-of-pocket maximums (as well as many other federal health benefit rules) can trigger an obligation for the employer to self-assess, self-report by filing a Form IRS Form 8928, and pay excise taxes of up to $100 per day, as well as expose the plan and its fiduciaries to ERISA lawsuits from covered persons, the Department of Labor or both, insurers and administrators also should review their group health plan provisions and their administration in… [read post]
26 May 2013, 1:33 pm by Cynthia Marcotte Stamer
  Noting that “[v]arious situations have come to the attention of the Departments where a health insurance policy is advertised as fixed indemnity coverage” that do not “Meet the conditions for excepted benefits,” FAQ XI warns, “The Departments plan to work with the States to ensure that health insurance issuers comply with relevant requirements for different types of insurance policies and provide consumers the… [read post]
22 Jun 2010, 12:41 pm by Erin Miller
Reynolds Tobacco Co. and Philip Morris USA, Inc. (978; 994) Brief in opposition of British American Tobacco (978; 994) Petitioner’s reply (976) Petitioners’ reply (977) Petitioner’s reply (978) Petitioner’s reply (979) Petitioner’s reply (980) Petitioners’ reply (994) Petitioner’s reply (1012) Amicus brief of the Chamber of Commerce of the United States (976; 977; 979; 980; 1012) Amicus brief of the Washington Legal Foundation et… [read post]
5 Mar 2013, 1:51 pm by Cynthia Marcotte Stamer
Since the Supreme Court’s June 28, 2012 National Federation of Independent Business v. [read post]