Search for: "ERISA-Governed Health Benefits Plans and Subrogation Agreements"
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16 Apr 2013, 6:36 pm
McCutchen, No. 11-1285 (USSC April 16, 2013), a case that raised the issue of whether "equitable doctrines and defenses," such as the "common fund" doctrine and the "made whole" doctrine applied to subrogation interests governed by the Employees Retirement Income and Security Act of 1974 ("ERISA"). [read post]
8 Nov 2009, 1:22 am
If the bills are paid by a private entity get a copy of the applicable insurance policy or summary plan description to determine if a right of subrogation or reimbursement exists and if the plan is an ERISA plan. [read post]
8 Oct 2013, 1:50 pm
The contract should require the service provider to deliver plan services prudently in a manner that delivers the desired health benefits in a manner consistent with the purposes that justify the plan sponsor’s continued provision of the health benefits in accordance with the legal, operational, benefit and cost parameters applicable to the employer and its plan The contract should provide plan services in a… [read post]
19 Apr 2013, 7:35 am
“[I]f the agreement governs,” the Court reasoned, “the agreement governs. [read post]
24 Jul 2019, 5:55 am
Health insurance benefits provided through ERISA plans and the Affordable Care Act fall somewhere in between. [read post]
26 Jul 2015, 7:30 am
” The Plan documents contain a subrogation clause, which provided that when the Plan paid benefits for a covered injury, “the Plan [was] subrogated, to the extent of the benefits paid, to all rights and claims of the [employee] against any third-party who may be liable. [read post]
28 Oct 2015, 7:53 am
The respondent, the National Elevator Industry Health Benefit Plan, paid more than $100,000 of medical expenses. [read post]
