News 2017-08-20T09:17:05+00:00

ERISAPros News

“Tie Goes to the Plan Administrator: Sixth Circuit Clarifies Importance of Firestone Language for ERISA Plan Interpretation

[P]lan sponsors should take the following steps as a result of this litigation.

  1. Inventory all plans, including qualified, nonqualified, health and welfare, and severance plans that are subject to ERISA.
  2. Review these plans to make sure that they have language that provides the plan administrator with authority to interpret the […]
By | June 1st, 2018|

Patients Overpay for Prescriptions 23% of the Time

“The practice of charging a copay that is higher than the full cost of a drug is called a ‘clawback’ … After taking your insurance card, your pharmacist says you owe a $10 copay, which you pay, assuming that the drug costs more than $10 and your insurance is covering […]

By | April 1st, 2018|

A Health Plan ‘Down Payment’ Is One Way States Try Retooling Individual Mandate

“As President Donald Trump and congressional Republicans tirelessly try to dismantle the Affordable Care Act, a number of states are scrambling to enact laws that safeguard its central provisions….Maryland is on the cutting edge with legislation moving through both chambers of the Statehouse…. Proposals have been discussed or advanced in at […]

By | April 1st, 2018|

Thanks for Noticing: Disability Claims Procedure Regulations Change Notice Requirement Next Month, Impose Strict Compliance Standard

“The DOL’s revised ERISA disability claims procedures regulations will be taking effect [this] month, and plan sponsors should take a hard look at plan processes over the next few weeks to ensure compliance. The new requirements apply to disability benefit claims filed after April 1, 2018, after a 90-day delay […]

By | April 1st, 2018|
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