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10 Jan 2013, 1:21 pm by Cynthia Marcotte Stamer
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]
27 Jul 2015, 11:56 am by Cynthia Marcotte Stamer
 While under ERISA, group health plans and their responsible plan administrator or other applicable named fiduciary, not the sponsoring employer, generally bear the responsibility and liability for administering the group health plan in accordance with ACA’s claims and appeals and the other group health plan requirements covered by Form 8928, the Code’s extension of the Form 8928 filing requirement and imposition… [read post]
2 Jul 2013, 12:28 pm by Cynthia Marcotte Stamer
The Connecting Kids to Coverage Outreach and Enrollment Grants were awarded to 41 state agencies, community health centers, school-based organizations and non-profit groups in 22 states; two grantees are multistate organizations. [read post]
4 Apr 2023, 9:04 pm by Dan Flynn
Members of the committee are chosen based on their expertise in meat and poultry safety, public health, and other Food Safety and Inspection Service (FSIS) policies. [read post]
15 Sep 2015, 4:42 am by Cynthia Marcotte Stamer
A Fellow in the American College of Employee Benefit Counsel, past Chair and current Welfare Benefit Committee Co-Chair of the American Bar Association (ABA) RPTE Section Employee Benefits Group, Vice Chair of the ABA Tort & Insurance Practice Section Employee Benefits Committee, former Chair of the ABA Health Law Section Managed Care & Insurance Interest Group, an ABA Joint Committee on Employee Benefits Council Representative and Board Certified in Labor &… [read post]
11 Jul 2015, 2:14 pm by Cynthia Marcotte Stamer
The heavy reliance by group health plans and health insurers upon internet based applications and portals to carry out online enrollment, claims administration and payment, reporting and a host of other key health plan functions makes it particularly important for health plans, their employer or other sponsors, fiduciaries, vendors, and other involved in health plan administration or using or accessing health plan data to verify and… [read post]
4 Nov 2014, 4:54 pm by Cynthia Marcotte Stamer
Solutions Law Press, Inc. invites employer and other employment-based group health plan sponsors, fiduciaries insurers, administrators, brokers, consultants and others to learn more about Notice 2014-69 and its implications on the design and consequences of employers offering “skinny” or other limited coverage health plans to their employees under the pay-or-play “shared responsibility provisions of the Code. [read post]
16 Feb 2017, 3:01 pm by Cynthia Marcotte Stamer
Department of Health and Human Services (HHS) to settle potential violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy and Security Rules sends a clear warning message to all health plans, healthcare providers and health care clearinghouses (Covered Entities) and their business associates that simply adopting HIPAA policies alone is insufficient to avoid getting nailed by OCR under HIPAA; Covered Entities and their… [read post]
23 Jan 2020, 12:17 pm by Matthew L.M. Fletcher
McKinney is the director of Young Minds In Transition (YMIT) School Tour and is a member of the Bridging Communities Inc. [read post]
27 Feb 2011, 9:47 am by admin
Purpose The purpose of this advisory is to notify providers that Medical Review will be conducting a widespread prepayment probe review of group psychotherapy services in the outpatient setting. [read post]
20 Jul 2012, 8:15 pm by Cynthia Marcotte Stamer
Consequently, the care and services covered by self-insured health plans typically are less generous in many respects than those provided by state and federal employee health plans or individual or group health insurance policies regulated by state insurance law. [read post]
9 Jul 2012, 11:22 pm by Cynthia Marcotte Stamer
Workshops Helps Health Plans, Fiduciaries, Insurers & Administrators Prepare Health plans, their fiduciaries, employer and other sponsors, insurers and administrator can catch up on steps to take to prepare their health plans to comply with the new SBC and other requirements by participating in the 2012 Health Plan-U Coping With Health Care Reform Workshops that Solutions Law Press, Inc. will host beginning on July 24, 2012. [read post]
25 Apr 2017, 3:21 pm by Cynthia Marcotte Stamer
 Among other things, group health plans and their fiduciaries can face audits, litigation and enforcement actions by the Centers for Medicare & Medicaid Services and other health plans for improperly coordinating plan claims with other coverage as well as lawsuits from covered persons, their health care providers or other beneficiaries, the Department of Labor and CMS, or others seeking to enforce rights to benefits, penalties in the case of CMS… [read post]