Search for: "Group Health Plan"
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25 Jun 2018, 6:54 pm
These large group insurance plans are subject to far less state regulation and fewer ACA requirements than small-group or individual plans. [read post]
7 Jul 2013, 11:00 pm
The PCORI and transitional reinsurance fees are assessed on health insurance companies and employer sponsors of self-insured health plans. [read post]
7 Jul 2013, 11:00 pm
The PCORI and transitional reinsurance fees are assessed on health insurance companies and employer sponsors of self-insured health plans. [read post]
25 Aug 2010, 6:17 am
These requirements, which do not apply to grandfathered group health plans, substantially expand the claims review and appeals processes that group health plans must follow in administering claims. [read post]
31 Oct 2023, 2:15 pm
He works primarily for the Managed Care and General Liability Practice Groups, guiding insurers and managed care entities in the areas of ERISA health plan litigation, payment disputes, and managed care […] The post Cross-Plan Offsetting in ERISA Health Plans, by Henry Norwood, Esq., published by The American Bar Association, 10-2023 appeared first on Kaufman Dolowich. [read post]
4 Apr 2021, 5:00 pm
Some employers that sponsor a self-funded group health plan transfer funds to an account with their third-party administrator, which the third-party administrator then uses to make payments to providers and plan participants. [read post]
27 Apr 2016, 9:01 am
Act To Verify Compliance, Leverage Opportunities FAQ 31 and the other guidance presents a two-edged sword for health insurers and group health plans and their sponsors. [read post]
27 Apr 2016, 9:01 am
Act To Verify Compliance, Leverage Opportunities FAQ 31 and the other guidance presents a two-edged sword for health insurers and group health plans and their sponsors. [read post]
27 Jan 2011, 12:59 pm
Hosted by the Group’s Welfare Plan Committee, the study group call will feature a roundtable discussion of various current Health Care Reform issues. [read post]
29 Mar 2020, 5:00 pm
Group health plan changes The CARES Act requires group health plans and health insurance issuers to cover medical care intended to prevent or mitigate COVID-19 within 15 business days after the date the item or service is recommended. [read post]
31 Dec 2013, 5:28 am
COB activities for both Group Health Plans and Non-Group Health Plans (that is, liability insurance (including self-insurance), no-fault insurance, and workers' compensation laws or plans) and Recovery activities for Non-Group Health Plans will be transitioned from the COB contractor and the Medicare Secondary Payer Recovery Contractor effective February 1, 2014. [read post]
30 Apr 2010, 12:26 pm
Many employers sponsoring group health plans are asking .... [read post]
10 Jan 2013, 1:21 pm
Employers and other self-insured group health plan sponsors and health insurers, adjust your budgets and prepare to open up your wallets to pay additional fees mandated by the Patient Protection and Affordable Care Act (“PPACA”). [read post]
12 Aug 2010, 3:57 am
Affordable Care Act Requires Prompt Action By Group Health Plans, Employee Sponsors, Fiduciaries, Administrators, & Insurers Health benefit costs and legal risks continue to grow for U.S. businesses. [read post]
7 Jul 2017, 4:46 am
The cases were brought by James Swoben, who was previously an employee of Senior Care Action Network Health Plan and a consultant within the risk adjustment industry, and Benjamin Poehling, who was the former finance director of a UHG group that managed the insurer’s Medicare Advantage Plans. [read post]
14 Aug 2019, 10:58 pm
The Plan Administrator is … The post The Basics of an ERISA Life, Health and Disability Insurance Claim – Part Three: Plan and Claims Administrators appeared first on McKennon Law Group PC. [read post]
8 Mar 2019, 2:41 pm
Individual and small group health plans were a vulnerable target for health insurers. [read post]
13 Dec 2011, 2:49 pm
According to the Technical Release, a distribution such as the rebate to a group health plan will be a plan asset if the plan has a beneficial interest in the distribution under ordinary notions of property rights. [read post]
18 Mar 2020, 6:27 am
shuttered, what happens to their group plans? [read post]
8 Aug 2010, 10:51 am
This timely discussion has immediate impact on practitioners and their clients dealing with group health plans, since the new rules generally apply to plan years beginning on or after September 23, 2010. [read post]
