Featured Jobs
|
Regional Vice President, Sales MAP Retirement
|
|
MAP Retirement
|
|
Strategic Retirement Plan Consultant Retirement Plan Consultants
|
|
BPAS
|
|
Sentinel Group
|
|
DWC - The 401(k) Experts
|
|
MAP Retirement
|
|
Retirement Relationship Manager MAP Retirement
|
|
Plan Administrator, Defined Benefit & Cash Balance The Pension Source
|
|
Defined Benefit Plan Consultant/Actuarial Analyst Sentinel Group
|
|
Pattison Pension
|
Free Newsletters
“BenefitsLink continues to be the most valuable resource we have at the firm.”
-- An attorney subscriber
|
|
|
|
Text of Seventh Circuit Opinion: Chiropractors Were Not Entitled to ERISA Claims Procedures for Contractual Payments by Insurers (PDF)
U.S. Court of Appeals for the Seventh Circuit
Oct. 2, 2015 "Plaintiffs concede that they are not participants under the definition in [ERISA] Section 1002(7) ... [b]ut plaintiffs describe themselves as beneficiaries.... The problem with this contention all but catapults off the page: a 'beneficiary' is a person designated 'by a participant' or 'by the terms of an employee benefit plan,' and plaintiffs are neither.... No employee's benefits are at issue and none had to pay an extra penny as a result of the insurer's treatment of some procedures as capitation based rather than fee-for-service based ... Plaintiffs are not 'beneficiaries' as ERISA uses that term, so they are not entitled to the procedures established by Section 1133 and the implementing regulations.... The damages and injunctions therefore must be vacated, and the award of attorneys' fees to plaintiffs falls with them." [Pennsylvania Chiropractic Association v. Independence Hospital Indemnity Plan, Inc., Nos. 14-2322, 14-3174 and 15-1274 (7th Cir. Oct. 1, 2015)] MORE >> |
| Please click here to report this link if it is broken (for example, if you see a "404 File Not Found" error message after you click on the linked news item's title). |
| An important word about authorship: BenefitsLink® created this link to the news item, but we are not the news item's author (unless expressly shown above). |