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Results: 1-10 of 469

Retiree Health Benefits Case Remanded to District Court for Additional Fact Finding
  • Proskauer Rose LLP
  • USA
  • February 3 2016

On remand from the Supreme Court, the Sixth Circuit sent the parties in Tackett v. M&G Polymers USA, LLC back to the district court for additional


Big Employer Win in Wellness Program Case EEOC v. Flambeau
  • Proskauer Rose LLP
  • USA
  • January 20 2016

For the past couple of years, the U.S. Equal Employment Opportunity Commission (EEOC) has been challenging employer wellness programs for their


IRS Extends Deadlines for Affordable Care Act Reporting
  • Proskauer Rose LLP
  • USA
  • December 28 2015

Today, the IRS released Notice 2016-4, which extended the distribution and filing deadlines for the Affordable Care Act (ACA) reporting requirements


IRS Notice 2015-87 (Part 1) - IRS Issues New HRA Integration Rules
  • Proskauer Rose LLP
  • USA
  • December 21 2015

On December 16, 2015, the Internal Revenue Service issued Notice 2015-87containing guidance on a wide-range of topics under the Affordable Care Act


IRS clarifies prior guidance on premium reimbursement arrangements; provides limited relief
  • Proskauer Rose LLP
  • USA
  • February 23 2015

Continuing its focus on so-called “premium reimbursement” or “employer payment plans”, the Internal Revenue Service (IRS) released IRS Notice 2015-17


Rulings, filings, and settlements of interest
  • Proskauer Rose LLP
  • USA
  • October 5 2011

In Franco v. Connecticut General Life Ins. Co., No. 07-cv-6039, 2011 U.S. Dist. LEXIS 109022 (D.N.J. Sept. 23, 2011), plaintiffs, who were plan subscribers, health care providers, and several associations whose members consisted of out-of-network ("ONET") providers who provided ONET services to patients insured by CIGNA, alleged that CIGNA violated its contractual obligations to pay for ONET services at the "usual, customary and reasonable" ("UCR") rate by relying on the flawed database maintained by Ingenix, which generated artificially low UCRs to underpay ONET benefits to CIGNA plan members


Agencies issue final regulations on the Summary of Benefits and Coverage (SBC) requirements
  • Proskauer Rose LLP
  • USA
  • July 13 2015

As promised in the FAQ issued on March 30, 2015, the U.S. Departments of the Treasury, Labor and Health and Human Services (the Departments) have


Laptop Security Breach Leads to $850,000 HIPAA Settlement Payout
  • Proskauer Rose LLP
  • USA
  • December 15 2015

On November 19, 2015, Lahey Hospital and Medical Center ("Lahey") entered into an $850,000 settlement with the U.S. Department of Health and Human


First federal appellate court holds a noncash reverse payment subject to antitrust scrutiny: is the Third Circuit's decision in King Drug a turning point?
  • Proskauer Rose LLP
  • USA
  • July 9 2015

Recently, the Third Circuit issued the first federal appellate decision interpreting the Supreme Court's landmark decision in FTC v. Actavis, Inc


EEOC’s proposed wellness regulations add burdensome notice requirement; still prohibit mandatory HRAs
  • Proskauer Rose LLP
  • USA
  • April 28 2015

On April 16, 2015, the Equal Employment Opportunity Commission (EEOC) released proposed regulations covering wellness programs that involve