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9 May 2013, 3:31 am by Cynthia Marcotte Stamer
  Accordingly, group health plans and the fiduciaries and administrators involved in their administration will want to take proper steps to identify claims that may involve individuals covered by MA Plans in a manner that allows the group health plan to track and distinguish the coverage provided by the MA Plan from other insurance coverage as needed to comply with the MSP Act. [read post]
29 Dec 2020, 9:56 am by John Rich
In addition to the changes to FSAs and DCSAs, the Stimulus Bill contains other welfare benefit plan changes designed to provide greater cost transparency and improve employee health care plan outcomes. [read post]
20 Nov 2012, 12:54 pm by Cynthia Marcotte Stamer
Employers and other health plan sponsors, insurers, and their administrators and service providers should consider the advisability of updating health plan cost projections, plan documents and procedures, communications and other practices in response to new and proposed guidance interpreting federal health plan rules under the Patient Protection and Affordable Care Act (ACA) released today (November 20, 2012). [read post]
12 Mar 2013, 11:27 pm by Cynthia Marcotte Stamer
ACA & Other Federal Health Plan Rules Generally Apply To Expat Coverage The Expat FAQ makes clear that the Agencies generally view expatriate health plans and other health benefit coverage provided by businesses subject to U.S. law for employees working outside their home country generally are subject to the mandates of ACA, as well as other federal health plan mandates. [read post]
30 Jul 2012, 9:29 am by Cynthia Marcotte Stamer
  Accordingly, even while anticipating greater support by federal agencies in the fight against fraud affecting private payers, health insurers and other private health plans also should tighten their practices to prepare for heightened scrutiny and enforcement by federal officials of federal health plan rules. [read post]
8 Oct 2013, 1:50 pm by Cynthia Marcotte Stamer
The following are some basic guidelines that management or others making health plan vendor and design decisions generally will want to consider and document as part of their analysis when reviewing proposed health plan vendors and the plan designs, documentation, communications and procedures. [read post]
12 Nov 2013, 5:51 am
Though the number is inflated with those who haven't actually purchased a plan, it's not not additionally puffed up with those who signed up for Medicaid. [read post]
13 Jan 2023, 9:48 am by Renee Lieux
  Below is a high-level list of the provisions of the Act which are effective in 2023 and which may affect your plan: Welfare Benefit Plans High Deductible Health Plans can continue to waive the deductible for any telehealth services for plan years beginning before January 1, 2025. [read post]
16 Oct 2018, 3:55 pm by Cynthia Marcotte Stamer
  The breach that resulted in the settlement agreement affected ePHI Anthem maintained for its affiliated health plans including many employer or union sponsored self-insured and insured group health plans and other HIPAA-covered entity health plans. [read post]
9 Sep 2015, 2:21 pm by Cynthia Marcotte Stamer
  She also previously served as President and Founding Board Member of the Alliance for Health Care Excellence and its Health Care Heroes and Patient Empowerment Programs, as RPTE Employee Benefits & Other Compensation Group Chair and Welfare Benefit Committee Vice Chair, Exempt Organizations Coordinator of the Gulf States Area TEGE Council, Board President and Audit Committee Chair of the Richardson Development Center for Children ECI Agency, National Kidney… [read post]
11 Jun 2014, 11:45 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, Vice President of the North Texas Health Care Compliance Professionals Association, Past Chair of the ABA Health Law Section Managed Care & Insurance Section and the former Board… [read post]
15 Nov 2019, 11:43 am by Sara Amundson
Department of Agriculture plans to permanently conceal crucial animal welfare records, including inspection reports and enforcement records of puppy mills and horse shows where Tennessee walking horses and other related breeds are vulnerable to the heinous practice of soring. [read post]