Featured Jobs
|
ESOP Administration Consultant Blue Ridge Associates
|
|
Regional Vice President, Sales MAP Retirement USA LLC
|
|
Retirement Plan Consultants
|
|
July Business Services
|
|
Retirement Plan Administration Consultant Blue Ridge Associates
|
|
BPAS
|
|
Relationship Manager for Defined Benefit/Cash Balance Plans Daybright Financial
|
|
Managing Director - Operations, Benefits Daybright Financial
|
|
BPAS
|
|
Cash Balance/ Defined Benefit Plan Administrator Steidle Pension Solutions, LLC
|
|
Anchor 3(16) Fiduciary Solutions
|
|
Mergers & Acquisition Specialist Compass
|
|
Compass
|
|
DC Retirement Plan Administrator Michigan Pension & Actuarial Services, LLC
|
Free Newsletters
“BenefitsLink continues to be the most valuable resource we have at the firm.”
-- An attorney subscriber
|
|
|
Finding No ERISA Preemption, Third Circuit Revives Out-of-Network Provider Claims Against Aetna
Michelle L. Roberts via LinkedIn 
July 22, 2020 "[At issue was the] remedy an out-of-network medical care provider has when an insurer ... [agrees] to pay reasonable rates for services that are not covered in the ERISA benefit plan ... only to later refuse to pay the provider's invoices.... The Third Circuit determined that the Surgery Center's causes of action for breach of contract and equitable estoppel did not 'reference' an ERISA plan because the side agreement does not require interpretation or analysis of the plan terms.... The Surgery Center's claims for breach of contract and equitable estoppel were also found not to have a 'connection' to any ERISA plan." [The Plastic Surgery Center., P.A. v. Aetna Life Ins. Co., No. 18-3381 (3d Cir. Jul. 17, 2020)] 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). |