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21 Aug 2015, 6:07 pm by Cynthia Marcotte Stamer
  Consequently, sponsoring employers and their management generally will want to ensure that their plan documents are properly updated to comply with the out-of-pocket maximum and other federal requirements, to require contractual commitments to administer the health plan in compliance with and to report, correct, and indemnify for violations of these requirements in vendor contracts with their health plan insurers, administrators and other vendors, and conduct documented audits to… [read post]
11 Dec 2014, 12:13 am by Cynthia Marcotte Stamer
Board Certified in Labor & Employment Law, Past Chair of the ABA RPTE Employee Benefit & Other Compensation Arrangements Group, Co-Chair and Past Chair of the ABA RPTE Welfare Plan Committee, Vice Chair of the ABA TIPS Employee Benefit Plans Committee, an ABA Joint Committee On Employee Benefits Council representative, Past Chair of the ABA Health Law Section Managed Care & Insurance Section, a Fellow in the American College of Employee Benefit Counsel, ABA, and… [read post]
5 Nov 2023, 3:10 pm by Cynthia Marcotte Stamer
§ 1320d-5(a)(3), HIPAA authorizes OCR as the designated representative of the Secretary of HHS to impose CMPs against a covered entity for post-February 18, 2009 HIPAA Privacy or Security Rule violations. [read post]
10 Jul 2012, 3:10 pm by Cynthia Marcotte Stamer
  Her publications and insights appear in the Health Care Compliance Association, American Bar Association, Atlantic Information Service, Bureau of National Affairs, World At Work, SHRM, The Wall Street Journal, Government Institutes, Inc. [read post]
13 Sep 2017, 4:00 pm by Cynthia Marcotte Stamer
Exceptions may be granted when participating in an authorized [T-Mobile] activity or with permission from an employee’s Manager, HR Business Partner, or the Legal Department. [read post]
2 Mar 2020, 11:04 am by Cynthia Marcotte Stamer
  Since health insurers whose administrative expenses exceed the MLS ratio must rebate premiums under the ACA, HHS anticipates that finalizing the 2/06/20 Proposed Rule as proposed would prompt insured health plans covered by the MLR rule that use PBMs to administer pharmacy benefits to change the compensation provisions of their PBM contracts to eliminate or restructure those payments. [read post]
12 Apr 2018, 7:42 pm by Cynthia Marcotte Stamer
§ 541.100(a)(2)-(4) to determine whether an employee is a manager or supervisor for purposes of section 3(m). [read post]
20 Apr 2011, 4:54 pm by Cynthia Marcotte Stamer
Board certified in labor and employment law by the Texas Board of Legal Specialization with extensive leading edge health plan experience, Ms. [read post]
20 Jul 2012, 8:15 pm by Cynthia Marcotte Stamer
Businesses, individuals, states and federal and state Congressional and regulatory leaders others looking for opportunities to manage these costs should carefully scrutinize how the Department of Health & Human Services (HHS) plans to define “essential health benefits” (EHBs). [read post]
23 Feb 2015, 12:09 pm by Cynthia Marcotte Stamer
Stamer annually leads the Joint Committee on Employee Benefits (JCEB) HHS Office of Civil Rights agency meeting. [read post]
18 Jan 2012, 4:25 am by Cynthia Marcotte Stamer
  Board Certified in Labor & employment Law by the Texas Board of Legal Specialization,management attorney, author and consultant  Ms. [read post]
1 Oct 2021, 9:19 am by Cynthia Marcotte Stamer
For more information about the these or other health or other legal, management or public policy developments, please contact the author Cynthia Marcotte Stamer via&nbs [read post]
1 Jul 2016, 1:49 pm by Cynthia Marcotte Stamer
About The Author Cynthia Marcotte Stamer is a noted Texas-based management lawyer and consultant, author, lecture and policy advocate, recognized for her nearly 30-years of cutting edge management work as among the “Top Rated Labor & Employment Lawyers in Texas” by LexisNexis® Martindale-Hubbell® and as among the “Best Lawyers In Dallas” for her work in the field of “Tax: Erisa & Employee Benefits” and… [read post]