EBIA Weekly Archives - GHPM
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Results (297 articles found)
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- 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 ...
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- 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 ...
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- 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 ...
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- 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. ...
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- 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...
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- 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 ...
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- 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? ...
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- 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 ...
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- 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 ...
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- 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 ...
