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June 16, 2000

This HMO Triumph Could Be Short-Lived
Excerpt: "At first blush, it looks like a slam dunk for the managed-care industry. On June 12, the U.S. Supreme Court decided that consumers can't use federal law already on the books to challenge the treatment decisions of HMO physicians. The ruling led to rejoicing on the part of managed-care companies that have had precious little to cheer about of late." (Business Week)

10th Cir: Insurer's Denial Of Coverage For High-Dose Chemotherapy Was Arbitrary And Capricious
Excerpt: "The Tenth Circuit U.S. Court of Appeals has ruled that a health insurance company's denial of coverage for the high-dose chemotherapy portion of high-dose chemotherapy with autologous bone marrow transplant (HDC/ABMT) was arbitrary and capricious. The ruling came in Pitman v. Blue Cross and Blue Shield of Oklahoma." (Spencernet)

6th Cir: Retiree Health Benefits Vested Under Terms of Collective Bargaining Agreements
Excerpt: "An employer violated ERISA and the Labor-Management Relations Act (LMRA) when it unilaterally modified retiree health care benefits because those benefits had vested under the terms of collective bargaining agreements. This was the decision of the Sixth Circuit U.S. Court of Appeals in Maurer, et al. v. Joy Technologies, Inc." (Spencernet)

Gateway Embraces Black-Scholes Model for Executive Stock Options -- Sort Of
Excerpt: "In 1993, the Financial Accounting Standards Board, the rule-making body for American accounting, proposed that every company charge its earnings with the estimated present value of stock option grants, measured using the Black-Scholes model or one of its linear descendants. While most every company in the land was unhappy with this proposal, the high-tech folks were apoplectic." (Graef Crystal, on Bloomberg.com)

What's a KEYSOP? Do They Work?
Learn more about this new executive compensation program by following the online discussion among practitioners. (BenefitsBoards.net)

Gays Praise Automobile Manufacturers' Actions
Excerpt: "Some, including Michigan State University Trustees who voted to give university employees domestic partner benefits in 1997, think the move could ripple throughout the business world." (U-WIRE)

Insur Agents' Assoc Supports Medical Privacy But Urges Changes to Protect Employer-Sponsored Plans
Excerpt: " ... independent insurance agents often act on behalf of their clients--including small businesses that do not have human resources departments--when shopping for the best policy among many insurance companies ... companies require access to personally identifiable health information to quote rates." (PR Newswire)

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