summary plan description

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Latest blogosphere posts tagged “summary plan description”

  • Court Takes Strict Approach In Reading Subrogation Provision


    Passion for SubroAuthority Authority: 134
    Plan’s subrogation and reimbursement language may actually thwart their ability to recover from tort settlement proceeds benefits they paid. It is important for plan language to ensure that its recovery claim is limited to settlement proceeds. In one such case, a health plan did not identify a particular fund from ...
    1 week ago
  • ERISA Plan Documents Time Limitations Are Enforceable


    Passion for SubroAuthority Authority: 134
    MyHealthGuide Source: Employer’s Guide to Self-insuring Health Benefits, Todd Leeuwenburgh, Editor, Thompson Publishing Group. Copyright 2009. 11/13/09, www.thompson.comCases:• Salisbury v. Hartford Life and Accident Co., 2009 WL 3112411 (10th Cir., 9/30/09)• Lutz v. Philips Electronics North America Corp., 2009 ...
    1 week ago
  • When Updating Your Plan Documents, Don’t Forget The Following:


    Passion for SubroAuthority Authority: 134
    Reporting to MedicareThe purpose of these reporting requirements is to enable the Centers for Medicare & Medicaid Services (CMS) to determine whether those covered by Medicare are also covered by other insurance that, by law, must pay primary to Medicare.For employer-sponsored group health plan benefits, the ...
    4 weeks ago

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