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3 Matching News Items |
| 1. |
U.S. Department of Labor via FindLaw
Jan. 16, 2002
38 pages. Rush Prudential HMO, Inc. v. Moran, No. 00-1021. The U.S. argues that the Illinois law mandating external review of HMO denials is saved from preemption because it is a law that regulates insurance, under ERISA's insurance savings clause.
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| 2. |
U.S. Department of Labor via FindLaw
Dec. 14, 2001
"Section 4-10 of the Illinois Health Maintenance Organization Act ... requires [an HMO] to 'provide a mechanism for * * * review by a physician * * * in the event of a dispute between the primary care physician and the Health Maintenance Organization regarding the medical necessity of a covered service proposed by a primary care physician' ... The question presented is whether Section 4-10 ... is preempted by [ERISA]." [Rush Prudential HMO, Inc. v. Moran, No. 00-1021]
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| 3. |
U.S. Court of Appeals for the Second Circuit via FindLaw
June 23, 2006
22 pages. The defendant was the administrator of a multiemployer health fund; the U.S. Department of Labor brought suit, accusing the defendant of having breached her fiduciary duties to the fund by allowing the fund to deal with a known embezzler (an individual who had been convicted and jailed for embezzling from another employee benefit fund) who proceeded to embezzle employer contributions meant for the fund. [Chao v. Merino, No. 04-2125 (2d Cir. Jun. 21, 2006)]
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