News2017-08-20T09:17:05+00:00

ERISAPros News

Doctors Sue Anthem over ER Coverage

The Medical Association of Georgia (MAG) and the American College of Emergency Physicians have sued Blue Cross Blue shield of Georgia (BCBSGA) over Anthem’s policy of denying payment for emergency department visits that are later deemed non-emergent. The plaintiffs allege that the policy violates the ACA, which requires insurers to cover […]

By |August 1st, 2018|

Cyber Liability Insurance for Employee Benefit Plans

“Many [plan sponsors] are purchasing cyber liability insurance coverage to supplement their data security measures…. [M]any policies vest the decision to retain legal counsel in the insurer, rather than the policyholder…. Plan sponsors should also identify the plan’s service providers who have access to PII and PHI and ensure that […]

By |July 1st, 2018|

DOL Issues Final Association Health Plan Rules

“On June 19, 2018, the Department of Labor (DOL) released a final rule that offers new options for associations to sponsor health plans for their members.  These new options allow more small businesses to come together to create large employer plans free from many of the Affordable Care Act (ACA) mandates […]

By |July 1st, 2018|

“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|
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