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Health plans are unlocking the power of ICD-10 codes and using modern technologies to identify and track the progress of cases to maximize recoveries when plan members have been reimbursed twice for injuries caused by liable third parties, Elizabeth Longo, general counsel for Discovery Health Partners, explained. Unlock the Power of ICD-10 Using data mining […]
By Valeria Gomez, JD It’s no secret that the Family and Medical Leave Act (FMLA) provides leave benefits only for employees who fit the strict eligibility requirements set forth in the statute. Recently, however, the U.S. Court of Appeals for the 6th Circuit—which covers Kentucky, Michigan, Ohio, and Tennessee—ruled that an employer may not be […]
By Keith Soranno, Keas More than half of the U.S. population accesses health benefits via employer provided-benefit plans, and employers collectively spend over a trillion dollars providing them. A significant amount of this money has been wasted due to poor utilization and a lack of understanding by employees on how to effectively utilize these benefits.
Thank you for your inquiry regarding a former employee’s change of plan prior to COBRA election.
Validic, a healthcare industry digital health platform, has been selected by the Wellness Council of America (WELCOA), to power the National On The Move Wellness Challenge. The On The Move competition is focused on fueling national corporate health initiatives to combat physical inactivity and initiate behavior change. Validic will power the platform’s digital health data […]
Your 401(k) plan is designed to help everyone in your workplace to save for retirement—from the youngest employee to the oldest. In the last few years, you may have emphasized the importance of saving early and enough. It can be challenging to reach a diverse group of employees with a message that encourages action, because […]
The U.S. Department of Labor (DOL) has issued new guidance regarding economically targeted investments (ETIs) made by retirement plans covered by the Employee Retirement Income Security Act. ETIs are investments that are selected for the benefits they create in addition to the investment return to the employee benefit plan investor.
By Keith Soranno, Keas More than half of the U.S. population accesses health benefits via employer provided-benefit plans, and employers collectively spend over a trillion dollars providing them. A significant amount of this money has been wasted due to poor utilization and a lack of understanding by employees on how to effectively utilize these benefits. […]
A Puerto Rico health insurer agreed to pay $3.5 million in a HIPAA settlement after the U.S. Department of Health and Human Services, investigating multiple breach reports from the company, found what it called “widespread noncompliance” throughout the organization. Triple-S Management Corp. is an insurance holding company that offers many insurance products and services through […]
By Todd Castleton Another recent court dispute among would-be beneficiaries highlights the options facing retirement plan administrators when distributing a deceased participant’s benefit. If two or more parties are claiming to be the rightful beneficiary of a deceased participant’s benefit, one option is to review all the facts and make a determination applying the plan’s terms through […]