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6 Sep 2012, 12:10 pm
The claims procedures of a group health plan, for example, will not be deemed to provide a claimant with a reasonable opportunity for a full and fair review of a claim and adverse benefit determination unless the claims procedures: Provide claimants with at least 180 days following receipt of a notification of an adverse benefit determination within which to appeal the determination; Provide for a review that does not afford deference to the initial… [read post]
23 Feb 2016, 2:00 am by Adrian Miedema
 The webinar will present an updated “work plan” and provide the opportunity for stakeholders to provide input on aligning U.S. and Canadian hazard communication regulations. [read post]
28 Mar 2011, 6:05 pm by S2KM Limited
Do private health plans have “set-aside” or special needs trust requirements? [read post]
8 Aug 2017, 8:42 am by Greg Daugherty and Seth Hanft
These new disability claims procedure regulations do not apply to any plan (health and welfare plan or qualified/nonqualified retirement plan) that provides a benefit the availability of which is conditioned on a finding of disability made by a party other than the plan itself. [read post]
8 Aug 2017, 8:42 am by Greg Daugherty and Seth Hanft
These new disability claims procedure regulations do not apply to any plan (health and welfare plan or qualified/nonqualified retirement plan) that provides a benefit the availability of which is conditioned on a finding of disability made by a party other than the plan itself. [read post]
16 Mar 2021, 9:03 am by Steven H. Sholk
The subsidy applies to group health plans that provide medical, dental, and vision benefits and employee assistance programs. [read post]
16 Mar 2021, 9:03 am by Steven H. Sholk
The subsidy applies to group health plans that provide medical, dental, and vision benefits and employee assistance programs. [read post]
16 Mar 2021, 9:03 am by Steven H. Sholk
The subsidy applies to group health plans that provide medical, dental, and vision benefits and employee assistance programs. [read post]
22 Apr 2013, 8:13 pm by Cynthia Marcotte Stamer
  The government, health care providers, insurers and community organizations can help by providing education and resources to make understanding and dealing with the realities of illness, disability or aging easier for a patient and their family, the affected employers and others. [read post]
29 Mar 2010, 8:25 am by Andrew Frisch
The health care law also amends the FLSA to require employers of more than 200 employees to automatically enroll new employees in existing employer-offered health plans. [read post]
25 May 2017, 8:00 am by Leigia Rosales
In fact, a well thought out estate plan should also protect, and help grow, those assets while you are alive and ensure that they are used to provide for your loved ones when you are gone. [read post]
17 Oct 2021, 8:02 pm by William S. Wilson
For someone such as your health care agent, you might want to name a child who lives close enough to you to accompany you to medical appointments and who doesn’t need to worry about a time difference when communicating with your medical providers. [read post]
29 Nov 2010, 11:30 am
The primary problem is that there's still that pesky third-party (the insurer) sandwiched betwixt the provider and the patient. [read post]
19 Apr 2010, 5:17 am
And the state this month began offering limited-network plans to 300,000 state employees, retirees, and their families, promising 20 percent discounts on premiums if they are willing to give up access to some of the Boston area’s most renowned hospitals.The federal government seeks to control the cost of health care by paying medical providers less than a market rate.The keepers of the Romneycare flame lower the cost of health care by limiting your choice of… [read post]
28 Sep 2004, 12:56 pm
The trial of private plans utilized preferred provider organizations (PPOs), a form of health insurance popular among senior citizens. [read post]
5 Feb 2018, 2:57 pm by Jessica Forbes Olson
Second, a wellness program will be a group health plan subject to the HIPAA Rules if it provides medical care to employees. [read post]
20 Aug 2024, 4:00 am by Sherica Celine
Claims Procedure ERISA Requirements Checklist (Group Health Plans) Benefit from these checklists, which describe the enhanced standards for a group health plan's benefit claims procedure under ERISA and the ACA. [read post]
10 Sep 2024, 5:00 am by Cari Rincker
Many people think estate planning is just about filling out forms to convey wishes about finances, health, and assets after death. [read post]
9 May 2017, 5:47 am by Sharon L. Lippett
While Congress’ attention has most recently been focused on the American Health Care Act, that bill will most likely not be the only proposed legislation that Congress will consider in 2017. [read post]
6 Aug 2024, 10:00 am by Sherica Celine
Healthcare Organization Compliance Program Training Presentation Use this model presentation to prepare a healthcare compliance program training slide deck for your healthcare organization clients, including hospitals, health systems, provider groups, and health insurance plans. [read post]