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21 Aug 2015, 6:07 pm
Except in rare circumstances where the sponsoring employer has carefully contracted to transfer fiduciary liability to its insurer or administrator and otherwise does not exercise or have a fiduciary obligation to exercise discretion or control over these responsibilities, employers sponsoring group health plans that violate federal mandates like the out-of-pocket limit often ultimately bear some or all of these liabilities even if the violation actually was committed by a plan vendor hired to… [read post]
21 Aug 2015, 11:24 am
The new self-reporting and excise tax self-assessment and payment requirements for employers coupled with already long-standing fiduciary and other liabilities for fiduciaries, plan administrators and others makes it important that employers sponsoring group health plans and their management or other leaders overseeing or participating in plan design or vendor selection, plan administration or other plan related activities seek the advice and help of qualified, experienced legal… [read post]
19 Aug 2015, 10:50 am
Entity selection is more important than you think. [read post]
18 Aug 2015, 7:17 pm
Corporate Counsel magazine has called Best Lawyers “the most respected referral list of attorneys in practice. [read post]
16 Aug 2015, 4:46 pm
Via LLRX.com – Finding People Resources and Sites on the Internet – People centric resources and sites on the Internet allow you to find individuals based on a range of objectives: personal (family, medical, genealogy); business (legal, corporate, financial); academic; government and career. [read post]
16 Aug 2015, 11:54 am
People centric resources and sites on the Internet allow you to find individuals based on a range of objectives: personal (family, medical, genealogy); business (legal, corporate, financial); academic; government and career. [read post]
15 Aug 2015, 3:21 pm
Although, as the court noted, plaintiff was willing to accept the East Coast appraisal, it also is clear that plaintiff did not object to the selection of a third appraiser. [read post]
15 Aug 2015, 10:21 am
Although, as the court noted, plaintiff was willing to accept the East Coast appraisal, it also is clear that plaintiff did not object to the selection of a third appraiser. [read post]
10 Aug 2015, 5:00 am
As such, the court found that there was no error of any kind during the jury selection process. [read post]
5 Aug 2015, 9:36 am
A corporation is considered to reside “in any judicial district in which such [corporation] is subject to the court’s personal jurisdiction with respect to the civil action in question. [read post]
4 Aug 2015, 1:52 pm
FMC Corporation, and resurrected two prior FCA cases. [read post]
3 Aug 2015, 12:07 pm
Special care and scrutiny should be applied if the group health plan uses multiple service providers to help administer benefits (such as one third-party administrator for major medical coverage, a separate pharmacy benefit manager, and a separate managed behavioral health organization). [read post]
28 Jul 2015, 9:01 pm
What about selective editing? [read post]
28 Jul 2015, 8:16 pm
Schipani, Medical Malpractice v. the Business Judgment Rule: Differences in Hindsight Bias, 73 Or. [read post]
27 Jul 2015, 11:56 am
Under Code Section 6039D, businesses sponsoring group health plans are required to self-assess and pay excise taxes of up to $100 per day for each uncorrected violation of a specified list of federal health plan mandates by filing a Form 8928 when the business files its corporate or partnership tax return for the applicable taxable year. [read post]
23 Jul 2015, 5:04 am
The Application of the Fair Labor Standards Act’s “Suffer or Permit” Standard in the Identification of Employees Who Are Misclassified as Independent Contractors.Sounding very much like a workers' compensation standardized employment status test, the US Department of Labor has added its interpretation this developing area of the law. [read post]
18 Jul 2015, 5:36 am
In 1987, a Humana employee said she could create a printout of select payments he wanted. [read post]
13 Jul 2015, 8:00 am
Kickbacks and other financial incentives can subvert the independent judgment of medical professionals. [read post]
11 Jul 2015, 2:14 pm
Elizabeth’s Medical Center (SEMC) includes a clear message to health plans, health care providers, health care clearinghouses (Covered Entities) and their business associates to adequately secure and ensure that workforce members properly use internet applications and other systems used to share, access or maintain personally identifiable health information considered protected health information (PHI) in accordance with HIPAA. [read post]
10 Jul 2015, 12:01 pm
It functions as the flagship hospital for the corporation. [read post]
