Search for: "Share Health Plan, Inc. v. Marcotte" Results 1 - 20 of 57
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9 Sep 2015, 2:21 pm by Cynthia Marcotte Stamer
Solutions Law Press, Inc. is happy to share information about this upcoming free health industry study group meeting on 9/15/2015 in Irving, Texas. [read post]
11 Jul 2015, 2:14 pm by Cynthia Marcotte Stamer
Obviously, health plans, business associates and other parties at minimum, should evaluate and address the adequacy of their own health plan security safeguards, practices and procedures impacting internet access and sharing of ePHI by and between the health plan, its workforce, business associates, sponsoring or contributing employers and others. [read post]
25 Apr 2017, 3:21 pm by Cynthia Marcotte Stamer
 See, Businesses Must Confirm & Clean Up Health Plan ACA & Other Compliance Following Supreme Court’s King v. [read post]
21 Dec 2020, 5:17 pm by Cynthia Marcotte Stamer
  In acquiescence to the District Court’s January, 2020 holding that the prohibition against Covered Entities charging for third party copies in the current regulations exceeded its statutory authority in Ciox Health, LLC v. [read post]
16 Oct 2018, 3:55 pm by Cynthia Marcotte Stamer
Health plans, their employer and other sponsors and fiduciaries, health insurers, health care providers, health care clearinghouses and their business associates should study and learn from the just announced, record-setting $16 million resolution agreement between health insurance giant, Anthem, Inc., to resolve Department of Health & Human Services Office of Civil Rights (OCR) charges that Anthem, Inc. [read post]
10 Jan 2013, 1:21 pm by Cynthia Marcotte Stamer
Code Section 4376(b)(1) requires that the plan sponsor of a self-insured health plan pay the required fee for self-insured health plans imposed by Section 4376(a). [read post]
10 May 2017, 10:20 am by Cynthia Marcotte Stamer
 While small employers plans sometimes qualify for some relief from a few of these requirements, depending on their size,  the majority of these federal rules apply to most if not all group health plans. [read post]
3 Aug 2015, 12:07 pm by Cynthia Marcotte Stamer
Group health plans and insurance policies generally must count toward the out-of-pocket maximum limit all deductibles, coinsurance, copayments, or similar charges and any other expenditure the group health plan requires a covered person to pay for a qualified medical expense that is an “essential health benefit” within the meaning of ACA other than premiums, balance billing amounts for non-network providers and other out-of-network… [read post]
31 May 2016, 4:05 pm by Cynthia Marcotte Stamer
Self-insured employer or union sponsored health plans (Plans), their fiduciaries, third party administrative or other service providers, and sponsors should consult legal counsel for advice about whether their Plans might violate the Privacy Rule of the Health Insurance Portability & Accountability Act (HIPAA) by disclosing individually identifiable claims or other Plan records or data to a state “all payer” claims or other data… [read post]
26 Dec 2013, 5:29 pm by Cynthia Marcotte Stamer
District Court to recover losses to the Miller’s Health Systems, Inc., Employee Stock Ownership Plan. [read post]
28 Jul 2016, 2:30 pm by Cynthia Marcotte Stamer
  UMMC made the breach notification to comply with HIPAA’s Breach Notification Rule requirement that health care providers, health plans and healthcare clearinghouses (Covered Entities) timely notify affected individuals, OCR and others of breaches of unsecured ePHI. [read post]
20 Jan 2014, 2:23 pm by Cynthia Marcotte Stamer
Sponsoring employers and administrators of cafeteria plans now have additional guidance from the Internal Revenue Service (IRS) about when same-sex couples can be treated as spouses for purposes of Internal Revenue Code (Code) Section 125’s rules on cafeteria plans, including health and dependent care flexible spending arrangements (FSAs), and Code Section 223’s rules about health savings accounts (HSAs) following the Supreme Court decision declaring… [read post]