Search for: "In re: Group Health Plan Litigation"
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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]
26 Apr 2022, 12:12 pm
LinkedIn SLP Health Care Risk Management & Operations Group, HR & Benefits Update Compliance Group, and/or Coalition for Responsible Health Care Policy. [read post]
18 Sep 2019, 1:21 pm
These plans also generally allow an employee to opt out of the cash waiver plan and to re-enroll in the employer’s group health plan during annual enrollment. [read post]
9 May 2019, 8:06 am
In addition to impacting existing plan features and their administration, health plans, their fiduciaries, administrators and insurers should prepare for a predictable surge in scrutiny by plan members about health plan prescription drug formularies that in many cases will fuel new appeals and challenges to the plan denials, formularies and other impacted features. [read post]
27 Feb 2023, 9:05 pm
There are only four groups of people who can sue under ERISA: insurance plan participants, plan beneficiaries, plan fiduciaries, and the Secretary of Labor. [read post]
23 Mar 2023, 3:36 am
In this several-part blog series titled The Basics of an ERISA Life, Health, and Disability Insurance Claim, we discuss the basics of an ERISA life, health, accidental death & dismemberment, and disability claims, from navigating a claim to handling a claim denial, through the subsequent appeal and litigation. [read post]
27 Mar 2012, 11:47 am
Here, petitioners contend that that market, for purposes of the alleged conspiracy, is the market in group health care plans. [read post]
30 Dec 2009, 6:27 pm
FEDERAL JUDGE DISMISSES BELLWETHER FOSAMAX SUIT, In re Fosamax Prods. [read post]
7 Dec 2023, 11:17 am
He was selected to co-lead the MDL’s Self-Funded Payer Track, composed of all actions brought individually on behalf of self-funded payers or groups such as local governments, unions, schools, educational institutions, organizations, and others who pay for prescription drugs provided to their health plan members. [read post]
15 May 2018, 4:00 am
Employers that offer group health insurance plans to their employees have an interest in learning how employees’ entitlement to Medicare benefits can affect the administration of those plans. [read post]
15 May 2018, 4:00 am
Employers that offer group health insurance plans to their employees have an interest in learning how employees’ entitlement to Medicare benefits can affect the administration of those plans. [read post]
5 Mar 2013, 6:27 am
Many health providers simply don't have the time to re-review their policies and revise documents. [read post]
15 Mar 2019, 8:19 am
Past Chair of the ABA Managed Care & Insurance Interest Group and, a Fellow in the American College of Employee Benefit Counsel, the American Bar Foundation and the Texas Bar Foundation, heavily involved in health benefit, health care, health, financial and other information technology, data and related process and systems development, policy and operations throughout her career, and scribe of the ABA JCEB annual Office of Civil Rights agency meeting, Ms. [read post]
11 Jul 2017, 10:32 am
Public health debates can spill over to the courtroom, and developments in the courtroom can, on occasion, inform and even resolve those public health debates that gave rise to the litigation. [read post]
16 May 2023, 1:05 pm
What does “mental health advocacy program” mean? [read post]
27 Mar 2012, 10:46 am
Here, petitioners contend that that market, for purposes of the alleged conspiracy, is the market in group health care plans. [read post]
17 Nov 2011, 10:00 am
On Monday the Court announced that it would decide four questions relating to the health care litigation. [read post]
5 Oct 2023, 1:28 am
While in-house counsel, he advised more than 20 departments, including the County Clerk/Registrar of Voters, Planning Director, Public Works Director, Sheriff, Public Guardian/Conservator, and Health and Human Services Director. [read post]
20 Jan 2018, 8:43 am
In re UnitedHealth Group PBM Litigation, 16-3352, D. [read post]
23 Oct 2019, 5:14 pm
Consequently, health plans, health insurers and other health care providers and their business associates should construe the JHS civil monetary penalty as evidence of the need to re-verify and remain constantly vigilant about maintaining compliance with HIPAA’s privacy, security and breach notification rules currently and on an ongoing basis. [read post]
