Indemnity Plan’s Recovery Provision Does Not Bind Providers, So Lawsuit to Force Pay-back Is Dismissed
ERISA can be the key to upholding benefit decisions based on plan language before money is paid, but it may be far less helpful once overpaid money goes out the door, particularly when the plan is indemnity-based with no provider contracts. This situation became evident in Int’l Longshore & Warehouse Union v. Sharp Surgery Center, […]