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1 May 2023, 12:27 pm
Group health plans and insurers must ensure their programs don’t violate the Mental Health Parity and Addiction Equity Act (“MHPAEA”) by improperly limiting or excluding coverage for treatment of autism or mental therapy developmental disorders. [read post]
26 Jul 2023, 3:38 pm
The Occupational Health and Safety Administration (“OSHA”) is changing its requirements for reporting occupational injury data electronically. [read post]
16 Apr 2020, 7:56 am
And It’s Expensive.PaymentsSource PayThink – April 9, 2020 With the EMV liability shift date for automated fuel dispensers (AFD) looming, subject to any last-minute changes, we are seeing major changes at fuel sites across the USA. [read post]
11 Aug 2023, 10:11 am
Group health plans and individual and group health insurance subject the federal No Surprises Act (“NSA”) are likely to experience continued delays in their ability to finalize certain claims liability determinations and pay providers for health claims submitted for arbitration under the NSA-established Federal Independent Dispute Resolution (“IDR”) medical claims review process as a result of an August 3, 2023 federal court ruling even as the federal agencies responsible for… [read post]
5 Jan 2011, 7:24 am
Coach USA, Inc., et al. [read post]
4 Aug 2023, 5:55 pm
Group health plans and individual and group health insurance subject the federal No Surprises Act may experience delays in their ability to finalize liability determinations and pay providers for health claims submitted for arbitration under federal surprise billing rules as a result of an August 3, 2023 federal court ruling. [read post]
17 Jul 2023, 1:45 pm
Out-of-state employers, insurers, employee benefit plan vendors, and other businesses registered to do business in Pennsylvania, Georgia, Iowa, Kansas, Minnesota, or another state that requires that out-of-state businesses consent to jurisdiction as a condition of their registration to do business in the state face a heightened risk of getting hauled into court in the consent to jurisdiction state following last month’s Supreme Court decision in Mallory v. [read post]
2 Mar 2020, 7:29 am
Today (March 2, 2020) is the last day to submit comments on Department of Health and Human Services (“HHS”) “Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2021; Notice Requirement for Non-Federal Governmental Plans Proposed Rule” (“Proposed Rule”) published by HHS on February 6. 2020. [read post]
5 Jun 2023, 1:41 pm
Employers that took advantage of the temporary flexibility allowed by the U. [read post]
31 Jul 2023, 10:40 am
Columbia, Mississippi-based Singley Construction Company, Inc., faces an Equal Employment Opportunity Commission (“EEOC”) lawsuit that charges the employer violated the Americans With Disabilities Act (“ADA”) by failing to accommodate an employee’s disability by allowed ng her to undergo dialysis in its workplace and then retaliating against her for requesting the accommodation and filing a charge with the EEOC. [read post]
7 Feb 2023, 6:19 pm
On February 7, the Department of Justice released its accounting of fraud recoveries and accomplishments for fiscal year 2022 (ending last September 30). [read post]
20 Mar 2020, 5:41 am
Employer and union-sponsored health plans, their sponsors, fiduciaries and administrators should heed the reminder of the importance of ensuring their health plans properly comply in form and operation with the mental health and substance abuse parity mandes of the Mental Health Parity and Addiction Equity Act (MHPAEA) in when the U.S. [read post]
16 Mar 2020, 12:43 pm
The financial effects of the COVID-19 pandemic and containment efforts has many businesses flailing to reconfigure their staffing and other business models even as Congress is preparing to impose paid COVID related leave mandate on employers with less than 500 employees. [read post]
26 Jun 2020, 9:16 am
Earlier this week, the Internal Revenue Service (“IRS”) announced that employee benefit plan participants that already took a required minimum distribution (RMD) in 2020 from certain retirement accounts now has the opportunity through August 31, 2020 to roll those funds back into a retirement account following the Coronavirus Aid, Relief, and Economic Security (CARES) Act RMD waiver for 2020. [read post]
17 May 2023, 11:05 am
Updated guidance published by the Equal Employment Opportunity Commission (“EEOC”) warns employers that the end of the COVID-19 health care emergency did not automatically end employers’ responsibilities to provide accommodations granted during the COVID-19 health care emergency, to consider new requests for accommodation from applicants or employees claiming disability from COVID-19 or other pandemic related conditions, or to comply with the medical confidentiality, interference… [read post]
24 May 2023, 5:16 pm
A newly announced Department of Health and Human Services Office of Civil Rights (“OCR”) Health Insurance Portability and Accountability Act (“HIPAA”) settlement agreement with a medical practice manager business associate highlights the need for health plans and other HIPAA covered entities ensure servers are properly secured and that that they and every third party administrator, technology, audit, accounting and other plan service provider with access to protected health… [read post]
28 Jan 2020, 9:58 pm
Health plans and their health plan records providers and other business associates should review and update their existing policies and practices concerning providing and charging individuals for access to protected health information in response to modifications in the Department of Health & Human Service (“HHS”) Office of Civil Rights (“OCR”) rules implementing the Health Insurance Portability & Accountability Act (“HIPAA”) requirements regarding… [read post]
11 Mar 2020, 2:07 pm
Following up on the White House’s announcement yesterday that by major health insurers, Medicare and Medicaid to cover medically necessary testing and expand coverage for treatment of 2019 Novel Coronavirus (“coronavirus), without applying deductibles or coinsurance and offer expanded telemedicine and other coverage for coronavirus care, the Internal Revenue Service (“IRS”) today issued guidance giving health plans confirming health plans waiving deductibles won’t… [read post]
11 Jun 2020, 9:18 am
IRS Notice 2020-33 released indexing the permissible health FSA carryover. [read post]
18 Dec 2019, 10:03 am
A civil health care fraud lawsuit filed by the Department of Justice (“DOJ”) in the U.S. [read post]
