EBIA Weekly Archives - GHPM - Court Cases
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Results (83 articles found)
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- Court Rejects ADA and ERISA Claims by Terminated Employee With Mentally Ill Wife
- From the February 02, 2006 EBIA Weekly
- An employee who was terminated only a few weeks after being hired sued his employer, alleging violation of the Americans with Disabilities Act (ADA) and ERISA. The employee claimed that he was fired because his wife was mentally ill, because ...
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- WHCRA Does Not Require Payment of More Than Plan Maximum for Breast Reconstruction
- From the December 30, 2005 EBIA Weekly
- After being diagnosed with breast cancer, the wife of an individual who was covered by an insured group health plan had a bilateral mastectomy and breast reconstruction. Although the surgeon who performed the reconstruction charged $40,000, the insurer paid ...
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- Trial Court Rejects Challenge to EEOC Retiree Health Benefit Regulations, Vacating Earlier Ruling
- From the September 29, 2005 EBIA Weekly
- A trial court has rejected AARP's challenge to EEOC regulations that would allow employers to reduce, change, or eliminate retiree health benefits when retirees become eligible for Medicare, without violating the Age Discrimination in Employment Act (ADEA), vacating an ...
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- Employee Not Allowed to Sue State Agency for Violating FMLA's Self-Care Provision
- From the September 15, 2005 EBIA Weekly
- The employee in this case sued her former employer, a state agency, for violation of the Family and Medical Leave Act (FMLA) provision permitting an eligible employee to take up to 12 weeks of unpaid leave annually because of a ...
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- ERISA Prevents Application of State Mental Health Parity Law to Self-Funded Plans
- From the August 04, 2005 EBIA Weekly
- In this case, an employee claimed that the provisions of her employer's health plan limiting the number of mental health visits for which benefits would be paid (a plan-year maximum of 30 visits and a lifetime maximum of ...
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- Employer's Policy of Excluding Coverage for Contraceptives Violates the Pregnancy Discrimination Act
- From the July 28, 2005 EBIA Weekly
- The employer in this case provided health insurance that excluded coverage for contraception prescribed to prevent pregnancy--coverage was available for prescription contraceptives only if ordered for a "non-contraceptive purpose," such as the treatment of skin diseases or menstrual ...
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- Employer Required To Reimburse Mistaken Medicare Payments Even Though It Couldn't Recover From Insurer
- From the June 09, 2005 EBIA Weekly
- This case involves a dispute about an employer's liability under the Medicare Secondary Payer (MSP) statute, which requires that a group health plan (the primary payer) pay its benefits for an expense first and Medicare (the secondary payer) pay ...
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- Trial Court Blocks EEOC Retiree Health Benefits Regulations, Ruling That They Exceed the Agency's Authority
- From the April 07, 2005 EBIA Weekly
- A trial court has permanently enjoined the EEOC from "publishing or otherwise implementing" regulations that would allow employers to reduce, change, or eliminate retiree health benefits when retirees become eligible for Medicare, without violating the Age Discrimination in Employment Act (...
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- EEOC Final Regulations on Coordinating Retiree Health Benefits With Medicare Delayed by AARP Lawsuit
- From the February 10, 2005 EBIA Weekly
- In response to a lawsuit filed by AARP, the EEOC has agreed that it will not implement regulations on retiree health benefits before April 5, 2005. The regulations would permit employers to reduce, change, or eliminate retiree health benefits when ...
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- Court Rejects ADA and ERISA Claims by Employee Terminated After Infants Incurred Large Medical Expenses
- From the June 17, 2004 EBIA Weekly
- An employee was terminated three months after his wife gave birth to premature twins. The infants suffered from several serious medical conditions at birth, resulting in the payment of almost $200,000 in claims by the employer's health plan. ...
