:: EBSA Publishes Guidance On Health Care Reform (PPACA)

The Department of Labor’s Employee Benefits Security Administration has posted the following related to preexisting condition exclusions, lifetime and annual limits, rescissions and patient protections under the Affordable Care Act:

The EBSA has published guidance regarding preexisting condition exclusions, lifetime and annual limits, rescissions and patient protections under the Patient Protection And Affordable Care Act:

Published version of Interim Final Regulation, available at

http://www.dol.gov/federalregister/HtmlDisplay.aspx?DocId=23983&AgencyId=8&DocumentType=2Model Notice on Patient Protections, available at

http://www.dol.gov/ebsa/patientprotectionmodelnotice.docModel Notice on Lifetime Limits No Longer Applying and Enrollment Opportunity, available at

http://www.dol.gov/ebsa/lifetimelimitsmodelnotice.docModel Notice of Opportunity to Enroll in Connection with Extension of Dependent Coverage to Age 26, available at

http://www.dol.gov/ebsa/dependentsmodelnotice.doc

:: Plan Administrators Cannot Invoke “SPD Prevails” Rule To Cure Plan Language Deficiencies

:: Ninth Circuit Upholds Ban Of Discretionary Clauses

:: District Court Remands ERISA Subrogation Case

:: Health Care Providers Warn Of Failure In HIT Compliance

:: Online Resources On The Patient Protection Act

:: Health Care Legislation Creates Uncertainty For Employer Plans

:: Equitable Liens In Restitution – An Alternative Under ERISA Section 502(a)(3)?

:: Final Regulation On Definition Of “Plan Assets”

:: New Article Analyzes Proposed Levies Under Health Care Reform

:: Tribute To Janell Grenier, Esq.

:: Notice Versus Fact Pleading – When Additional Facts Must Be Alleged Under F.R.Civ. P. 8

:: Defensive ERISA Preemption Inadequate To Sustain Removal Of Subrogation Dispute

:: A Primer On Venue Choice In ERISA Claim Disputes

:: First Circuit Finds Plan Language Adequate For Delegation Of ERISA Fiduciary’s Authority

:: Health Care Economics – Why Prices ≠ Costs & Why That Matters

:: Balance Billing Practices May Constitute Breach of Contract

:: New Scholarship Provides Group Actuarial Perspectives On Health Plan Populations

:: Health Plan Law Now On Twitter

:: Health Plan Exclusions For DUI – An Overview

:: Sixth Circuit Reviews ERISA Plan TPA Benefit Denial De Novo

:: Seventh Circuit Finds Conflict Factor Insignificant In Judicial Review

:: HPL Newsletter

:: Court Grants Discovery Upon Rule 56(f) Motion Where File Reviewers Oppose Treating Physicians’ Opinions

Denmark Opinion Influences Narrow Post-Glenn Discovery In Judicial Review

:: Senate Finance Committee Poised To Review “America’s Health Future Act” Bill

:: Are ERISA Fiduciaries Entitled To Deference In Interpretation Of ERISA Subrogation & Reimbursement Provisions?

:: ERISA Benefits Litigation Article Discusses Effect Of Met Life v. Glenn

:: New Scholarship – Post-Glenn Discovery

:: Seventh Circuit Rejects “Multi-Factored” Approach In Evaluating Conflict In Vesting Dispute

:: New Scholarship Addresses Retiree Medical Benefits Issues

:: The Sotomayor File – Her Impact On ERISA Jurisprudence

:: Eleventh Circuit Affirms Benefit Denial Under “Multi-Step” Analysis

:: New ERISA Plan Reimbursement & Subrogation Checklist

:: Discretionary Authority: Limited To Claims Decisions Or Extended To All Plan Interpretations?

:: Health Care Reform – Another Tort “Reform” Opportunity For The Insurance Lobby

:: Government Reverses Position On ERISA Theft Indictments

:: The “Public Option” Rx For Solving America’s Health Care Ills

:: Fiduciary Exception Eclipses ERISA Fiduciary’s Claim Of Attorney Client Privilege

:: Publicly Financed Healthcare – Models For Reform

:: New Scholarship On Remedy Of Restoration Of Compensation

:: New ERISA Fiduciary Resource

:: New Scholarship Forum On ERISABoard.com

:: ERISA Plan Stands Down In “Overpayments” Dispute With Providers

:: First Circuit Vacates District Court Opinion For Post-Glenn Analysis

:: Health Care Provider’s Equitable Estoppel Claims Dismissed As Contrary to Plan’s MAC Provisions

:: ERISA Litigation Study Gives ERISA Cases Systematic Analysis

:: Fifth Circuit Case Reflects Continuity On ERISA Reimbursement Claims

:: Fifth Circuit Holds That ERISA Plaintiff Waived Arbitration Option

:: Sixth Circuit Holds That Plaintiffs Fail To Make ERISA Section 510 Case

Next Page »

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• Recent Posts

  • :: Attorneys’ Fees & Costs Awards In The Fourth Circuit
  • :: ERISA Preemption Notes After PCMA v. District Of Columbia
  • :: EBSA Publishes Guidance On Health Care Reform (PPACA)
  • :: Plan Administrators Cannot Invoke “SPD Prevails” Rule To Cure Plan Language Deficiencies
  • :: DOL Releases Guidance On Grandfathered Health Plans