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Health Plan TPA Becomes a Fiduciary
FIS Relius
[Guidance Overview] Dec. 9, 1999 "In Harold Ives Trucking Co. v. Spradley & Coker, Inc., 178 F.3d 523 (1999), the Court of Appeals for the Eighth Circuit affirmed a lower court's decision that the TPA was a plan fiduciary, despite language in its service agreement to the contrary. The Court held that the TPA 'assumed' discretionary authority when it reversed the stop-loss carrier's decision that the rehabilitation facility was not covered under the plan and then did not inform the plan administrator of this decision[.]" MORE >> |
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