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21 Aug 2015, 6:07 pm by Cynthia Marcotte Stamer
Group health plans can face lawsuits from covered persons, their health care providers as assignees or the DOL, to enforce rights to benefits, plus attorneys’ fees and other costs of enforcement. [read post]
21 Aug 2015, 11:24 am by Cynthia Marcotte Stamer
Adjusted Out-Of-Pocket Limit Amounts The ACA out-of-pocket maximum limitation is one of many broad health care reforms enacted by ACA. [read post]
20 Aug 2015, 8:05 am by Kelly Phillips Erb
Ed MacConnell, President of Total Benefit Solutions, Inc. in suburban Philadelphia, explains that brokers are paid differently depending on the client. [read post]
6 Aug 2015, 6:21 pm by Kevin LaCroix
In cybersecurity, most companies allocate significant resources to fortifying their networks and to denying access to cyber-attackers. [read post]
3 Aug 2015, 12:07 pm by Cynthia Marcotte Stamer
While employers can design their group health plans to apply higher out-of-pocket limitations on coverages for non-essential benefits and out-of-network care, employers are cautioned to use care to ensure both that: The plan properly essential and non-essential health benefits, both in terms and in operation; and The application of higher out-of-pocket limitations for non-essential benefits does not violate other federal health plan rules such as… [read post]
20 Jul 2015, 9:07 am by Marty Lederman
 First, a quick note on the government's new final rules regarding the religious accommodation (including its extension to some for-profit employers such as Hobby Lobby, Inc.). [read post]
11 Jul 2015, 2:14 pm by Cynthia Marcotte Stamer
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]
9 Sep 2014, 6:30 am by Rebecca Shafer, J.D.
  Unlike other forms of managed care, PPOs maintain their advantage as follows:   Membership tends to provide substantial discounts for routine medical services; Networks create a number of options, including primary care doctors and specialists for injured workers to receive medical care and treatment; Treatment received outside a PPO network is generally not as expensive when compared to the same care received in other… [read post]
22 Aug 2014, 6:30 am by Michael B. Stack
Chiropractic Care: A chiropractic phyisician is a spinal health care expert that triages and treat injured workers with neuromusculoskeletal injuries. [read post]
2 Jun 2014, 2:32 pm by Cynthia Marcotte Stamer
  Many employers and health plans may want to communicate this new option to help minimize their COBRA exposures. [read post]
23 Feb 2014, 4:20 pm by Marty Lederman
Piggie Park Enterprises, Inc. (1968), and United States v. [read post]
5 Feb 2014, 6:30 am by Michael B. Stack
  The theme of this year’s conference is “Upheaval in the Market for Health Care – Facts and Myths. [read post]
26 Dec 2013, 3:15 pm by Cynthia Marcotte Stamer
  The Coalition for Responsible Health Care Policy is a group hosted by Solutions Law Press, Inc. [read post]
4 Nov 2013, 9:46 am by Jane Chong
For example, software insecurity can be likened to a public health crisis. [read post]
13 Sep 2013, 1:31 pm by Ed. Microjuris.com Puerto Rico
Wal-Mart including an analysis of the Supreme Court’s decisions in Amgen Inc. v. [read post]
27 Aug 2013, 8:13 pm by Cynthia Marcotte Stamer
   The action will finalize plans to adopt these rules that the Administration previously announced last December, reported on by Solutions Law Press, Inc. in DOL Plans To Tighten Employment Protections For Disabled Veterans & Other Disabled Employees Signals Need For Businesses To Tighten Defenses. [read post]
4 Jun 2013, 8:45 am by Ed. Microjuris.com Puerto Rico
Wal-Mart including an analysis of the Supreme Court’s decisions in Amgen Inc. v. [read post]
18 Apr 2013, 3:02 pm by Cynthia Marcotte Stamer
For non-emergency care needs, members can call the customer service number on the back of their member ID card to locate a network provider. [read post]