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Refusal to Pay Claims to Gain Negotiating Leverage Is Abuse of Discretion Under ERISA, Court Says
  • Reed Smith LLP
  • USA
  • October 13 2016

A federal district court found that Cigna Healthcare abused its discretion, and thus was liable under section 502(a)(1)(B) of ERISA, when its primary

Tax Training Notes - Monthly Tax Training - October 2016
  • Brown Wright Stein Lawyers
  • Australia, USA
  • October 14 2016

Mr Colin Ward and his wife, Joan, retired in February 2008 and September 2007 respectively after having worked in low paid jobs throughout their

Non-Discrimination Under the Affordable Care Act: A Broad Impact on Healthcare Providers
  • Burr & Forman LLP
  • USA
  • October 13 2016

The Affordable Care Act (“ACA”) prohibits certain entities who administer health programs or activities from discriminating on the basis of race

Federal District Court in Texas Rules on Cigna’s “Fee Forgiveness” Protocol in the Administration of Medical Benefit Claims
  • Haynes and Boone LLP
  • USA
  • October 13 2016

The U.S. District Court for the Southern District of Texas recently ruled on motions for summary judgment by both parties in North Cypress Medical

What does the Affordable Care Act have to do with independent contractors?
  • Liebert Cassidy Whitmore
  • USA
  • August 12 2014

When we think of the Affordable Care Act ("ACA"), we invariably think of health insurance. The ACA mandates that any employer with 50 or more full

Can employers refuse to cover spouses?
  • Kelley Drye & Warren LLP
  • USA
  • May 4 2015

The Affordable Care Act (“ACA”) requires employers to cover dependents (meaning children) until they turn 26 years old, or pay a penalty. 42 U.S.C.A

Application of the HHS Nondiscrimination Rules to Employee Health Plans
  • Hunton & Williams LLP
  • USA
  • October 17 2016

In May 2016, the Department of Health and Human Services (HHS) Office of Civil Rights (OCR) published final rules implementing Section 1557 of the

Healthcare Litigation
  • Manatt Phelps & Phillips LLP
  • USA
  • October 20 2016

Recently, California Governor Jerry Brown signed into law “surprise medical bill legislation,” seeking to curb out-of-network medical bills. This law

2016 Welfare Plan Automatic Participant Disclosures Checklist1
  • Bass, Berry & Sims PLC
  • USA
  • October 18 2016

ERISA requires plan sponsors to distribute SPDs to inform participants of their benefits, rights, and obligations under the plan and describe how the

Recent federal rulings on COBRA notification requirements
  • Weil Gotshal & Manges LLP
  • USA
  • April 23 2015

There have been several recently-decided cases concerning employer's responsibilities for continued health care coverage requirements under the