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20 Jul 2012, 8:15 pm by Cynthia Marcotte Stamer
Both state-regulated insured health plans and federal and state employee plans generally are loaded with a long list of mandated benefits that self-insured health plans don’t provide or provide only on a more limited basis. [read post]
17 Feb 2017, 12:17 pm by Rhonda Shirreff
While this opens the door for employees to obtain coverage for medical marijuana under their health benefit plans, the Board of Inquiry’s decision was specific to the facts of this case. [read post]
4 Apr 2021, 5:00 pm by Samuel J. Baldwin
Last month, we advised readers of this blog to consider efforts to formalize the fiduciary governance of their health and welfare benefit plans. [read post]
24 Oct 2022, 8:27 am by Brad Schnure
Robert Singer on recent increases in State health benefit premiums. [read post]
13 Sep 2011, 6:30 am by Misti D. Munster
  In general, state laws requiring the transfer of unclaimed benefits that can be considered plan assets (like retirement benefits or benefits payable under a self-funded group health plan) and will remain plan assets if unclaimed are likely to be preempted by ERISA. [read post]
25 Jun 2018, 6:54 pm by Ettinger Law Firm
Continue reading The post States Worried that Association Health Plans Could Lead to Fraud appeared first on New York Estate Planning Lawyer Blog. [read post]
13 Sep 2011, 6:30 am by Misti D. Munster
  In general, state laws requiring the transfer of unclaimed benefits that can be considered plan assets (like retirement benefits or benefits payable under a self-funded group health plan) and will remain plan assets if unclaimed are likely to be preempted by ERISA. [read post]
25 Sep 2018, 12:57 pm by Jerri Lynn Ward, J.D.
Short-term plans are less expensive than plans sold through state health insurance exchanges (ACA) such as covered in many states. [read post]
10 Sep 2013, 11:21 am by Legal Talk Network
There are ten Essential Health Benefits that all states are required to include, but the missing element is the lack of definitions for these benefits – which leaves us all wondering how to confirm the 50 states are correctly implementing them. [read post]
25 Sep 2018, 4:15 am by Frank Crivelli
  It will be particularly interesting to see if the City is able to deliver the same level of benefits and healthcare under the State Plan as it does under its own self insured plan. [read post]
25 May 2016, 9:44 am by Stephen D. Rosenberg
I would throw in another point that favors self-funding a plan, which is that ERISA preemption provides more freedom from state health insurance mandates in that circumstance than would otherwise be the case. [read post]
2 Mar 2016, 5:00 pm by Cynthia Marcotte Stamer
Employer and union sponsored group health plans covered by the Employee Retirement Income Security Act of 1974 (ERISA) and their insurers are not required to comply with a Vermont state law that requires health insurers and certain other parties to report payments relating to health care claims and other information relating to health care services to a state agency for compilation in an all-inclusive health care database,… [read post]
25 Jun 2018, 6:54 pm by Ettinger Law Firm
Continue reading The post States Worried that Association Health Plans Could Lead to Fraud appeared first on New York Estate Planning Lawyer Blog. [read post]
3 Dec 2021, 7:27 am by Edward T. Kang and Ryan T. Kirk
Kirk of Kang Haggerty co-authored “Self-Funded Employer Health Plans: Benefits, Pitfalls and Strategies. [read post]
27 Apr 2011, 5:19 am
The ability of an “in-network” health care provider to sue an ERISA health benefit plan for breach of contract in state court depends on the nature of its claimMontefiore Med. [read post]
7 Oct 2009, 11:47 am
Another option would entail states opening their workers' employee-benefit plans to the general public. ... [read post]
19 May 2010, 1:52 pm by Cynthia Marcotte Stamer
Cynthia Marcotte Stamer will discuss “Health Care Reform’s Implications for Employers, Health Plans and Employee Benefits Practitioners” at the June 9, 2010 meeting of Houston WEB. [read post]
14 Dec 2015, 12:07 pm by Cynthia Marcotte Stamer
While costs for legally required benefits, including Social Security, Medicare, unemployment insurance (both state and federal), and workers’ compensation, for state and local governments averaged $2.63 per hour worked. [read post]
29 Dec 2011, 10:28 am by Cynthia Marcotte Stamer
  The benefits and services included in the health insurance plan selected by the state would be the essential health benefits package. [read post]