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14 Mar 2019, 7:29 am by Cynthia Marcotte Stamer
Employee benefit plan sponsors, fiduciaries, administrators and advisors should review and update their benefit and compensation plan designs and testing in response to the just released tables of covered compensation under § 401(l)(5)(E) of the Internal Revenue Code and related regulations for the 2019 plan year in new Revenue Ruling 2019-06. [read post]
3 Mar 2022, 9:32 pm by Cynthia Marcotte Stamer
LinkedIn SLP Health Care Risk Management & Operations Group, HR & Benefits Update Compliance Group, and/or Coalition for Responsible Health Care Policy. [read post]
18 Dec 2019, 10:03 am by Cynthia Marcotte Stamer
” Charges Suggest Potential Advisability For Plan Audit of Prescription Drug Charges To Confirm Supported By Valid Prescription For Dispensed Drugs The charges made in the complaint filed against Omnicare highlight an area of claims payment eligibility not regularly verified by many pharmacy benefit and other health claims administrators when administering pharmacy benefit claims- the existence of a current valid prescription to support the dispensation of the billed… [read post]
13 Jul 2018, 10:37 pm by Cynthia Marcotte Stamer
  Health care providers, employer and other health plan sponsors, individual Americans and their families, and others interested in health benefit and health care reform will want to keep a close eye on these and other developments as Congress continues to debate health care reform in the runup to the upcoming 2018 health benefit plan renewal and annual enrollment season and November’s mid-term elections. [read post]
1 Aug 2017, 2:34 pm by Cynthia Marcotte Stamer
Communicating the availability of these free government-resource tools to workers during the annual employee benefit plan enrollment period, year-end, raise or bonus time or other strategic times throughout the year could help employees better appreciate the tax-preferred benefit offerings provided by the employer as well as provide significant financial education benefits many workers need for little or no employer cost. [read post]
17 Mar 2022, 11:17 am by Cynthia Marcotte Stamer
LinkedIn SLP Health Care Risk Management & Operations Group, HR & Benefits Update Compliance Group, and/or Coalition for Responsible Health Care Policy. [read post]
7 Oct 2009, 2:50 pm by Patrick Hindert
Garretson said the timing was right for him to focus exclusively on the core lien/claims administrative services of the Garretson Firm Resolution Group Inc. [read post]
12 Jul 2023, 3:00 am by Jon L. Gelman
“When employers exploit their workers the State loses millions in tax revenue, reputable contractors lose out on opportunities to bid, and the workers themselves are left without the protection of healthcare coverage, workers’ comp, retirement plans, and other important benefits,” Kocsis continued. [read post]
30 Jun 2015, 10:53 am by Cynthia Marcotte Stamer
  Businesses and their leaders who have held off updating their health plan compliance and expect to delay completion of these activities until the beginning of their upcoming health plan year are likely to be in for a rude awakening, however, particularly since a much underappreciated Sarbanes-Oxley style provision of the Internal Revenue Code will require employer or other group health plan sponsors to self-report, self-assess and pay stiff excise tax… [read post]
10 May 2017, 10:20 am by Cynthia Marcotte Stamer
While many excellent reasons may exist for a business to offer group health coverage for qualifying employees, all employers regardless of size considering offering group health coverage obtained through the SHOP or other sources should keep in mind that employers that establish and maintain group health coverage, the group health plans they establish and the company or persons with discretionary authority or responsibility for the maintenance, management… [read post]
7 May 2020, 10:23 am by Renae Lloyd
The company reportedly “suspended its stock redemption plan indefinitely in July 2018 when it began to consider strategic alternatives,” according to Mackenzie’s offer letter. [read post]
27 Jul 2015, 11:56 am by Cynthia Marcotte Stamer
 While under ERISA, group health plans and their responsible plan administrator or other applicable named fiduciary, not the sponsoring employer, generally bear the responsibility and liability for administering the group health plan in accordance with ACA’s claims and appeals and the other group health plan requirements covered by Form 8928, the Code’s extension of the Form 8928 filing requirement and… [read post]
28 Jul 2015, 8:05 am by Cynthia Marcotte Stamer
Board certified in labor and employment law by the Texas Board of Legal Specialization, a Fellow in the American College of Employee Benefit Counsel, past Chair and current Welfare Benefit Committee Co-Chair of the American Bar Association (ABA) RPTE Section Employee Benefits Group, Vice Chair of the ABA Tort & Insurance Practice Section Employee Benefits Committee, former Chair of the ABA Health Law Section Managed Care & Insurance Interest… [read post]
31 May 2016, 4:05 pm by Cynthia Marcotte Stamer
She supports her clients both on a real time, “on demand” basis and with longer term basis to deal with daily performance management and operations, emerging crises, strategic planning, process improvement and change management, investigations, defending litigation, audits, investigations or other enforcement challenges, government affairs and public policy. [read post]
27 Mar 2019, 8:13 am by Cynthia Marcotte Stamer
We also invite you to share your own best practices ideas and resources and join the discussions about these and other human resources, health and other employee benefit and patient empowerment concerns by participating and contributing to the discussions in our Health Plan Compliance Group or COPE: Coalition On Patient Empowerment Groupon LinkedIn or Project COPE: Coalition on Patient Empowerment Facebook Page. [read post]
3 Feb 2020, 8:21 am by Cynthia Marcotte Stamer
LinkedIn SLP Health Care Risk Management & Operations Group, HR & Benefits Update Compliance Group, and/or Coalition for Responsible Health Care Policy. [read post]
10 Jul 2019, 3:33 pm by Cynthia Marcotte Stamer
The Pension Benefit Guarantee Corporation (“PBGC”) has released its new form and instructions for requesting a determination about whether a plan is covered under Title IV of ERISA. [read post]