:: “Unexplained Gap” In Reviewing Physician’s Opinion Results In Decision For ERISA Plaintiff

Based on our review of the record, these conclusions do not reflect a rational connection between the known facts and the decision to deny benefits. . . Unlike the cases the Plan relied upon in …

:: District Court Adopts Agency Principles Deeming Employer Agent Of Insurance Carrier

n Ward v. Management Analysis Co. Employee Disability Benefit Plan, the Ninth Circuit cited with approval a decision under California law finding an agency relationship where an employer administers a group insurance policy while under …

:: The Conflict Between ERISA Overpayment Claims And Statutory Protection Of SSDI Benefits

he plaintiff also argues for dismissal of the counterclaim because MetLife seeks to recover funds received under the Social Security Act, which funds are protected from “execution, levy, attachment, garnishment, or other legal process.” See …

:: Data Mining & The HIPAA Privacy Rule – Can This Marriage Be Saved?

What is data mining?  Data mining has been described as process of extracting data from large databases of information in a manner that is meaningful to the extractor. What kind of information?  Many different kinds.