Regional Vice President of Sales The Retirement Plan Company
|
Compass
|
Defined Benefit Combo Cash Balance Compliance Consultant Loren D. Stark Company (LDSCO)
|
Bates & Company, Inc.
|
Loan & Distribution Specialist AimPoint Pension
|
AimPoint Pension
|
“BenefitsLink continues to be the most valuable resource we have at the firm.”
-- An attorney subscriber
Using 'Dummy Code' to Pass Administrative Fees Through to Health Plan May Be Fiduciary Breach
Thomson Reuters / EBIA July 8, 2021 "The court also observed that it would be reasonable to conclude that the claims administrator's actions -- such as referring to the subcontractor as a health care provider, and using codes that did not represent actual medical services -- violated the terms of the plan and constituted a fiduciary breach.... In addition, it appeared that the subcontractor was aware of the 'questionable nature' of the billing arrangement." [Peters v. Aetna, No. 19-2085 (4th Cir. Jun. 22, 2021)] |
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). |