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27 Apr 2016, 9:01 am by Cynthia Marcotte Stamer
   FAQ 12 also states group health plans and insurers may use reasonable medical management techniques to control costs and promote efficient delivery of care, such as covering a generic drug without cost sharing and imposing cost sharing for equivalent branded drugs provided that the plan or insurer accommodates any individual for whom a particular drug (generic or brand name) would be medically inappropriate, as determined by the individual’s… [read post]
27 Apr 2016, 9:01 am by Cynthia Marcotte Stamer
   FAQ 12 also states group health plans and insurers may use reasonable medical management techniques to control costs and promote efficient delivery of care, such as covering a generic drug without cost sharing and imposing cost sharing for equivalent branded drugs provided that the plan or insurer accommodates any individual for whom a particular drug (generic or brand name) would be medically inappropriate, as determined by the individual’s… [read post]
21 Apr 2016, 10:07 am by Cynthia Marcotte Stamer
  Meanwhile, insurers, business associates and other plan vendors also generally should anticipate that beyond HIPAA, they also may be subject to data security, privacy and other mandates and exposures under state HIPAA-like rules for protected health information, as well as other obligations under insurance, data security, identity theft, breach, privacy and other state laws. [read post]
21 Apr 2016, 10:07 am by Cynthia Marcotte Stamer
  Meanwhile, insurers, business associates and other plan vendors also generally should anticipate that beyond HIPAA, they also may be subject to data security, privacy and other mandates and exposures under state HIPAA-like rules for protected health information, as well as other obligations under insurance, data security, identity theft, breach, privacy and other state laws. [read post]
19 Apr 2016, 6:00 am by David L. Beck
The recent decision of Allied Property & Casualty Insurance Co. v. [read post]
15 Apr 2016, 12:54 pm by Stephen M. Fuerch
The defense had presented evidence that a co-worker who spoke to Michaelson minutes before the accident saw no signs of impairment. [read post]
14 Apr 2016, 8:00 am by Robert Kreisman
Travelers Insurance Co., 166 Ill.2d 188 (1995), the Supreme Court declined to recognize spoliation of evidence as an independent tort. [read post]
14 Apr 2016, 6:30 am by Michael B. Stack
You should consult with your insurance broker, attorney, or qualified professional. [read post]
12 Apr 2016, 3:50 pm by Cynthia Marcotte Stamer
Concurrent with its adoption of final regulations implementing these new rules concerning investment advisors and their fiduciary responsibilities, the Rule also adopts certain new Prohibited Transaction Exemptions that define requirements that providers of covered investment advice and the plan fiduciaries that engage them generally will be required after April 7, 2017 to ensure are met for investment advisors to receive commission-based compensation for their services, to sell or purchase… [read post]
12 Apr 2016, 3:50 pm by Cynthia Marcotte Stamer
Concurrent with its adoption of final regulations implementing these new rules concerning investment advisors and their fiduciary responsibilities, the Rule also adopts certain new Prohibited Transaction Exemptions that define requirements that providers of covered investment advice and the plan fiduciaries that engage them generally will be required after April 7, 2017 to ensure are met for investment advisors to receive commission-based compensation for their services, to sell or purchase… [read post]
11 Apr 2016, 10:15 am by Cynthia Marcotte Stamer
  The Agencies SBC regulations generally require that the SBC be provided before the first day of the enrollment period and that updated SBCs be provided whenever any material change in benefits or coverage is enacted after the delivery of the original SPB. [read post]
11 Apr 2016, 10:15 am by Cynthia Marcotte Stamer
  The Agencies SBC regulations generally require that the SBC be provided before the first day of the enrollment period and that updated SBCs be provided whenever any material change in benefits or coverage is enacted after the delivery of the original SPB. [read post]
3 Apr 2016, 11:01 am by Carter Ruml
  This approach is particularly sensible when one or more branches of a family foreseeably won’t be able to meet capital calls, and the older generation bequeathi [read post]
3 Apr 2016, 11:01 am by Carter Ruml
  This approach is particularly sensible when one or more branches of a family foreseeably won’t be able to meet capital calls, and the older generation bequeathi [read post]