by Rory Akers, JD | June 23, 2016 | COBRA
On June 21, 2016, the Departments of Labor (DOL), Health and Human Services (HHS), and Treasury released another Frequently Asked Question (FAQ) related to Affordable Care Act (ACA) issues. The FAQ, number 32 in a series of FAQs, provides group health plan...
by Ed Fensholt | May 13, 2016 | Compliance Services, Health Reform
A federal trial court judge has ruled that the Obama Administration cannot use federal funds to reimburse health insurers providing cost-sharing subsidies in the online health insurance marketplaces created by the Affordable Care Act (ACA). The judge won’t enforce her...
by Ed Fensholt | April 22, 2016 | Compliance Services, Uncategorized
Another federal appeals court, this time the First Circuit Court of Appeals, recently ruled that if an ERISA plan wants to enforce a plan-imposed time limit for suing the plan, it must disclose that limit in the claim denial notice even if the limit is described in...
by Ed Fensholt | March 3, 2016 | Medicare
The CMS Data Match game, that is. That’s right, ladies and gents, the Centers for Medicare and Medicaid Services (CMS) has kicked off a new Medicare Data Match game. Employers everywhere are receiving letters from CMS asking them (the employers) to provide eligibility...
by Ed Fensholt | February 23, 2016 | ERISA
The US Supreme Court decided an ERISA-related case recently that sponsors of self-insured medical plans are talking about, wondering about, and even worrying about. We’ll explain here why the case is worth knowing about, but why it’s most relevant, and...
by Ed Fensholt | January 18, 2016 | ERISA
Data breaches and identity theft are now so prevalent that I was amused, but not surprised, to find in my email inbox the other day an e-zine called, “Data Breach Today.” Typically, when the holder of sensitive financial or other personal data suffers a data breach,...
