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10 Jun 2016, 6:00 am by Joanna Herzik
Available to both individuals and employer groups, the exchange offers a wide range of health insurance choices and more. [read post]
31 May 2016, 4:05 pm by Cynthia Marcotte Stamer
In Gobeille, the Supreme Court ruled that the preemption provisions of Section 514 of the Employee Retirement Income Security Act (ERISA) bar Vermont from requiring self-insured ERISA Plans In addition to excusing self-insured Plans from the trouble and expense of complying with Vermont’s disclosure law, the Supreme Court’s ruling in Gobeille that Vermont cannot enforce the law against self-insured ERISA Plans raises a concern that the Privacy Rules of HIPAA… [read post]
26 May 2016, 12:05 pm by Cynthia Marcotte Stamer
  This includes the right to inspect or obtain a copy, or both, of the PHI, as well as to direct the Covered Entity to transmit a copy to a designated person or entity of the individual’s choice as long as the Covered Entity or a business associate on its behalf maintains the PHI, regardless of the date the information was created; whether the information is maintained in paper or electronic systems onsite, remotely, or is archived; or where the PHI originated (e.g., whether the… [read post]
20 May 2016, 6:00 am by Joanna Herzik
Available to both individuals and employer groups, the exchange offers a wide range of health insurance choices and more. [read post]
6 May 2016, 1:19 pm by Randy Barnett
” But the “will of the people” can only be the preferences of a majority of the people. [read post]
6 May 2016, 11:45 am by Cynthia Marcotte Stamer
She is particularly recognized for her leading edge work, thought leadership and knowledgeable advice and representation on the design, documentation, administration, regulation and defense of a diverse range of self-insured and insured health and welfare benefit plans including private exchange and other health benefit choices, health care reimbursement and other “defined contribution” limited benefit, 24-hour and other occupational and non-occupational injury… [read post]
6 May 2016, 11:03 am by Kyle Krull
Sure, we all have to make financial choices with our budgets, but this is the "personal responsibility" play. [read post]
6 May 2016, 6:00 am by Joanna Herzik
Available to both individuals and employer groups, the exchange offers a wide range of health insurance choices and more. [read post]
4 May 2016, 10:38 am by Jeffrey P. Gale, P.A.
With the ambiguity resolved, the Castellanos Court had no choice but to address the statute’s constitutionality. [read post]
4 May 2016, 10:38 am by Jeffrey P. Gale, P.A.
With the ambiguity resolved, the Castellanos Court had no choice but to address the statute’s constitutionality. [read post]
3 May 2016, 6:30 am by Michael B. Stack
You should consult with your insurance broker, attorney, or qualified professional. [read post]
28 Apr 2016, 6:33 pm by Kevin LaCroix
The insurers certainly can be forgiven for their apparent surprise and unhappiness at finding themselves having to litigate a coverage dispute in New York under a policy that has a forum selection clause designating “a Swiss place of Jurisdiction” as the preferred venue. [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 health care provider,… [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 health care provider,… [read post]
24 Apr 2016, 9:01 pm by Ronald D. Rotunda
Ward, the Court invalidated an Alabama law that taxed out-of-state insurance companies at a higher rate than domestic insurance companies to promote domestic business within Alabama. [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]
18 Apr 2016, 9:00 am by David A. Wolf
 While many would prefer to care for their own children during the day and avoid day care centers completely, the economics and practicality of the matter is that many parents have no other viable choice but to utilize day care centers for their children. [read post]