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20 Apr 2016, 8:30 am
Capitation is a set amount of money paid lump sum to a provider for the overall care of a patient. [read post]
21 Jan 2019, 9:15 am
You should consult with your insurance broker, attorney, or qualified professional. [read post]
11 Apr 2014, 5:30 am
“Employers, insurers, consumer groups and media organizations pressed for release. [read post]
25 May 2013, 3:51 pm
A four year Targeted Market Conduct Examination of CIGNA and Life Insurance Company of America (LINA),'s Disability Income Insurance Claim Handling Practices was just concluded by the Departments of Insurance of Maine, Massachusetts, California, Connecticut and Pennsylvania. [read post]
The Medicare Shared Savings Program: A Missed Opportunity to Address Providers’ Growing Market Power
8 Oct 2014, 3:30 am
Jessica Lind Mantel Most discussions of the Affordable Care Act (ACA) focus on its primary goal—expanding health insurance coverage. [read post]
4 Apr 2023, 1:10 pm
It notes that the proposed law: Prohibits authorized and surplus lines insurers from cancelling a property insurance policy during any pending claim until after repairs are complete; Requires that Citizens cover property with open claims that are being handled by FIGA (Florida Insurance Guaranty Association); Prohibits the Office of Insurance Regulation (OIR) from waiving its review of policy forms for 3 years for any insurer that… [read post]
28 Nov 2011, 10:26 am
At the same time, Missouri law requires insurers to provide prompt, fair and equitable settlements to their policyholders, and rigid deadlines may violate that law. [read post]
12 Aug 2012, 5:19 am
The individual then filed for unemployment insurance benefits. [read post]
14 Oct 2019, 1:57 pm
The court’s analysis provides an interesting illustration of the often-stated principle that insurance contracts are to be read as a whole. [read post]
21 Jan 2013, 6:00 am
If the insurer failed to protect Medicare from payment of work-related, injury medical bills, Medicare can hold various parties responsible for reimbursement of the Medicare paid expense, including the insurer, employer, employee, attorneys who had represented one of these parties, and even the medical provider. [read post]
9 May 2013, 11:23 am
Combative sports like mixed-martial arts and boxing provide surety bonds and medical coverage. [read post]
25 Feb 2016, 6:38 am
It is clear from a comparison of the language of Colorado Criminal Code sections 18-3-102 and 18-3-101(3) that the guilty verdict in Huckleberry's criminal trial is a judicial determination that Huckleberry was a "principal ... in willfully bringing about the death of the insured" which would dictate the forfeiture of his interest under Texas law. [read post]
15 Sep 2011, 1:00 am
self-insurance for the employer who has sufficient assets to self insure 3. [read post]
13 May 2021, 8:11 am
Thus, the motion court properly found that plaintiff’s sole recourse was against the insured, its client, and not its client’s insurance provider. [read post]
16 Oct 2009, 9:51 am
The appellate court directed the trial court, on remand, to balance “the prejudice to the insureds if they are required to litigate both cases at once against the prejudice that Great American will sustain if it is forced to continue to provide a defense until the underlying action is resolved. [read post]
28 Jun 2012, 8:23 am
The Supreme Court has held that the federal government can tax people for NOT buying something.From the syllabus: 3. [read post]
18 Jun 2013, 7:29 am
Any claims filed beyond this date may be rejected. 2) Some workers face delays or rejections when seeking workers compensation benefits as insurance carriers crack down on insurance fraud. 3) Workers compensation does not always cover the full cost of a serious on-the-job injury, such as a spinal cord injury in Miami, and this leaves employees having to pay substantial costs out-of-pocket. [read post]
2 Aug 2013, 7:00 am
These changes include, for example, (1) expansions of eligibility for health benefits to all employees who work 30 or more hours a week; (2) changes to make health plan coverage “affordable” or to assure that it provides “minimum value”; and (3) the implementation of measurement and stability periods for seasonal and variable hour workers. [read post]
26 Jun 2017, 8:09 am
Physicians currently use a SSN-based Health Insurance Claim Number (“HICN”) for Medicare transactions like billing, eligibility status, and claim status. [read post]
23 Aug 2017, 2:23 am
The insurer was only obliged to provide an indemnity for the first event once they received satisfactory evidence of the loss and was not required to make payment until the cost of reinstatement had been incurred. [read post]
