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Benefits in the News > By Subject >

Health plan admin - misc

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[Guidance Overview] Health Plan Medicare Secondary-Payer Reporting Begins Jan. 1, 2009; Details Announced

[Guidance Overview] End of Year Challenges for Benefit Plans As Statutory and Regulatory Mandates Impact Administration and Design of Compensation, Retirement, and Welfare Arrangements

[Guidance Overview] Milliman's Monthly Benefit News and Developments, October/November 2008 (PDF)

[Guidance Overview] Legislation Extends Existing Health Coverage for Dependent College Students in Cases of Medically Necessary Leaves of Absence

[Guidance Overview] New Law Expands Mental Health Parity Requirements for Group Health Plans

[Guidance Overview] Adoptions Act Narrows the Definition of Qualifying Child Under Code Section 152

[Official Guidance] Text of IRS/DOL/HHS Request for Information on Sections 101 - 104 of Genetic Information Nondiscrimination Act of 2008

[Guidance Overview] Class Action Complaint Sufficient to Meet Twombley Standards

Ruling Invites More Scrutiny of Denial of Health Benefit Claims

Employee Benefit Plans � Why Manage Globally?

Connecticut PEO Legislation Requires Licensing

[Official Guidance] Text of Golden Gate Restaurant Association Case from Ninth Circuit Upholding San Francisco Mandatory Healthcare Expenditure Law (PDF)

[Guidance Overview] Treasury Dept. and IRS 2008-2009 Priority Guidance Plan Includes Guidance for Cafeteria and Health Plans

[Guidance Overview] Eleventh Circuit Eliminates 'Heightened' Standard of Review for Benefit Claim Decisions (PDF)

[Guidance Overview] Administrative Law Analogies After MetLife v. Glenn

11th Circuit Backtracks on Benefits Denial Review Standard

Eleventh Circuit Panel Holds That Glenn Overrules Prior Precedent

[Guidance Overview] Reminder: Deadline for Medicare Part D Creditable Coverage Notices Approaches (PDF)

[Guidance Overview] Dependent Eligibility Audits Make Good Business Sense

[Guidance Overview] Medicare Secondary Payer Mandatory Reporting Requirements (PDF)

[Guidance Overview] TPA Breached Fiduciary Duties by Paying Itself from Health Plan Assets and Forwarding Remainder to Bankrupt Plan Sponsor

[Guidance Overview] In Important 11th Circuit Case After the Glenn Decision, Heightened Arbitrary and Capricious Review Is Questioned

[Guidance Overview] District Court Rejects 'Substantial Compliance' Argument As Justification for Failure to Exhaust Administrative Remedies

[Guidance Overview] Failure to Furnish Enrollment Form and Other Documents Does Not Trigger ERISA Penalty

CMS's Summary of Proposed Mandatory Reporting Requirements Under the Medicare Secondary Payer Rule; Comments Requested

[Guidance Overview] 'Metlife v. Glenn': The Court Addresses a Conflict Over Conflicts in ERISA Benefit Administration (PDF)

[Guidance Overview] The Supreme Court Strikes Twice (but Misses the Mark) (PDF)

[Guidance Overview] TPA-Provided EOBs That Failed to Inform Former Employee of Claim Denial Did Not Comply with Claims Regulations

[Guidance Overview] Employee Benefits Update, August 2008 (PDF)

[Guidance Overview] CMS Taking Steps to Implement New Medicare Secondary Payer Reporting Requirements

[Guidance Overview] Employer's State Law Claims Against Stop Loss Carrier Dismissed

[Opinion] On Estoppel and Equitable Remedies Under ERISA: It Should Be a Two-Way Street

[Guidance Overview] CMS Publishes Summary of Proposed Mandatory Insurer Reporting Requirements

[Guidance Overview] New Hampshire Mandates Obesity Coverage and Bariatric Surgery

[Guidance Overview] On-Site Health Clinics Require an Ounce of Legal Prevention

[Guidance Overview] DOL Enforcement Manual Updated to Address Fiduciary Gifts & Gratuities

[Guidance Overview] Revisions to the Standard of Care Rule Book, Unit 1

[Guidance Overview] Trial Court Permits Limited Discovery Regarding Insurer's Alleged Conflict of Interest

[Guidance Overview] DOL Service Provider Disclosure Regs: A New and Improved (?) Way of Doing Business

California Assembly OKs Amended Bill Capping Health Insurers' Administrative Costs

[Official Guidance] Text of IRS Rev. Proc. 2008-48: Treatment of Dependent by Noncustodial Parent When Custodial Parent Has Not Released Claim (PDF)

Who Owns Blue Cross? Who Should?

Florida Health Insurers Challenge State Rule to Create Uniform Small Business Insurance Applications

[Guidance Overview] Milliman's Monthly Benefit News and Developments, August 2008 (PDF)

[Guidance Overview] Harsh Consequences of Shoddy Claim Denials and Explanations of Benefits

Self-Funding of Health Plans: One More Thing That Should Keep Risk Managers Up at Night

[Guidance Overview] Employee Benefits Update, July 2008 (PDF)

Employee Benefits Developments July 2008

[Guidance Overview] Employers Should Prepare for GINA Effects

New Features on the Redesigned BLS Web Site As of July 2008

Milliman's Monthly Benefit News and Developments, July 2008 (PDF)

New York Civil Liberties Union Sues Health Insurer Over Coverage Denial

Benefits Attorney Donald R. Levy Dies

Report Shows California HMOs Spend $6B on Costs Unrelated to Health Care

[Guidance Overview] Explanation of Benefits Not Effective as a Denial of Claims, Causing Plan to Lose Exhaustion of Remedies Defense

[Guidance Overview] Milliman's Monthly Benefit News and Developments, June 2008 (PDF)

Report Traces $200B in U.S. Health Costs To Claims Processing Errors

[Guidance Overview] White House Calls for Regulations to Be Finalized by November 1, 2008

Periodic Audits of ERISA Plans and Employment Policies and Practices Can Prevent Costly Mistakes

[Opinion] Groom Law Group Weighs in on Supreme Court Debate over Conflict of Interest Case: MetLife Insurance Co. v. Glenn

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