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District Court Orders Insurer to Comply with ERISA Notice Requirements When Requesting Repayment from Providers (PDF)
U.S. District Court for the Northern District of Illinois Link to more items from this source
May 20, 2014
"[T]he Court may appropriately issue an injunction that requires IBC to provide notice and appeal to PCA members that complies with ERISA. Furthermore, the portion of the Code of Federal Regulations that IBC cites does not require that only a 'plan administrator' or 'named fiduciary' provide notice and an appeal pursuant to ERISA. The regulation requires plan administrators and named fiduciaries to provide notice and appeal to claimants in accordance with a specific set of standards. [It] contains no limitation on whether and which other entities can provide similar notice and appeal, and IBC identifies no such language." [Pennsylvania Chiropractic Association v. Blue Cross Blue Shield Association, No. 09 C 5619 (N.D. Ill. May 19, 2014)]

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