EBIA Weekly Archives - GHPM

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Results (297 articles found)


  1. Retiree Plan Found to Be Primary Payer in Triple Coordination of Benefits Dispute
    From the December 13, 2007 EBIA Weekly
    We recently reported on a coordination of benefits (COB) case involving medical expenses of a disabled individual with triple coverage: (1) as a dependent under his wife’s employer’s plan (wife’s plan); (2) as a ...
    [Fujitsu Ten Corp. of Am. Employee Benefit Plan-Indiana Employees v. Unicare Life & Health Ins. Co., 2007 WL 4234105 (E.D. Mich. 2007)]
  2. DOL Announces Enforcement Safe Harbor for Supplemental Plans Under HIPAA Portability, MHPA, WHCRA, and NMHPA Rules
    From the December 13, 2007 EBIA Weekly
    Several categories of benefits are excepted from HIPAA’s portability, nondiscrimination, and wellness program rules, including certain “supplemental” coverage provided under a separate policy, certificate, or contract of insurance. (This type of supplemental insurance coverage is also ...
    [DOL Field Assistance Bulletin 2007-04 (Dec. 7, 2007)]
  3. Do we have to provide disclosure notices under Medicare Part D for our health FSA and HRA?
    From the December 06, 2007 EBIA Weekly
    QUESTION: We know that we have to provide disclosure notices under Medicare Part D for our company’s major medical plan. But do we have to provide disclosure notices for our HRA and health FSA? ANSWER: The answer is ...
  4. Paid Leave Was a Reduction of Hours Triggering COBRA Rights
    From the November 29, 2007 EBIA Weekly
    In this case, an employee injured in an auto accident used accrued time off to take paid medical leave under the Family and Medical Leave Act (FMLA). The employer continued his group health plan coverage, as required by the FMLA. ...
    [Mehmen v. Collin County, 2007 WL 3389929 (E.D. Tex. 2007)]
  5. Medicare Found Not to Be Primary Payer in Triple Plan Coordination of Benefits Dispute
    From the November 15, 2007 EBIA Weekly
    This case involves the medical expenses of a disabled individual covered by three health plans: (1) as a dependent under the plan of his wife’s employer (wife’s plan); (2) as a retiree under his former employer&#...
    [Fujitsu Ten Corp. of Am. Employee Benefit Plan-Indiana Employees v. Unicare Life & Health Ins. Co., 2007 WL 3275122 (E.D. Mich. 2007)]
  6. CMS Updates Disclosure to CMS Form Required to Be Provided by Group Health Plans
    From the November 01, 2007 EBIA Weekly
    Under Medicare Part D regulations, most group health plans offering prescription drug coverage to Part D eligible individuals must disclose to CMS whether the plan coverage is creditable or noncreditable. In 2006, CMS issued several items of guidance regarding the &#...
    [Creditable Coverage Disclosure to CMS; Guidance, Form, and Instructions (Sept. 25, 2007)]
  7. Does our group health plan have to provide SPDs or offer COBRA rights to alternate recipients who are covered because of a QMCSO?
    From the September 20, 2007 EBIA Weekly
    QUESTION: We just enrolled an employee’s child in our group health plan as an alternate recipient under a QMCSO, but the child lives with the other parent. Do we need to provide a separate SPD to the child? ...
  8. EEOC Officials Offer Informal Views on ADEA, ADA, and PDA Issues
    From the September 20, 2007 EBIA Weekly
    The American Bar Association’s Joint Committee on Employee Benefits (JCEB) has posted a report on the May 2007 Q&A session between JCEB representatives and EEOC officials. Highlights include the following informal, nonbinding remarks covering a range ...
    [ABA Joint Committee on Employee Benefits, Meeting with EEOC Officials (May 10, 2007)]
  9. CMS Informally Answers Questions About Medicare Part D Disclosure Notices
    From the September 13, 2007 EBIA Weekly
    The Joint Committee of Employee Benefits (JCEB) of the American Bar Association has reported on the May 2007 Q&A session between JCEB representatives and CMS officials. Highlights include the following informal, nonbinding comments about Medicare Part D disclosure ...
    [ABA Joint Committee on Employee Benefits, Meeting with CMS Officials (May 7, 2007)]
  10. Court Orders QMCSO Coverage for Nonresident Stepchild, Even Though This Exceeded Coverage Ordinarily Provided by Plan
    From the August 30, 2007 EBIA Weekly
    Can a qualified medical child support order (QMCSO) require coverage for the stepchild of a group health plan participant? In what appears to be the first reported decision on ERISA’s QMCSO requirements, the judge in this case holds ...
    [O'Neil v. Wal-Mart Corp, 2007 WL 2386455 (N.D.N.Y. 2007)]

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