Tag Archives: erisa

The Association Health Plan Challenge: The States Initiate Litigation Challenging the Final Rule

government building
In our blog post of July 10, 2018, we discussed the key elements of the Final Rule issued on June 21, 2018 with respect to Association Health Plans (AHPs). As we noted, the expansion of ERISA’s definition of an employer and the other elements of the Final Rule designed to expand insurance opportunities for small … Continue reading this entry

Association Health Plans – The Final Rule Is Issued

Earlier this month, the Department of Labor (DOL) released its Final Rule seeking to expand the scope of participation in Association Health Plans. The Final Rule, titled “Definition of ‘Employer’ under Section 3(5) of ERISA – Association Health Plans”, with a few revisions, codified the Proposed Rule. At its heart is a change to the … Continue reading this entry

California Targets Surprise Medical Bills, Follows on the Heels of New York and Florida

Governor Brown approved a new law last Friday that limits patient exposure to so-called surprise medical bills.  AB 72 caps the cost-sharing obligations of patients who unexpectedly receive care from non-contracted providers during or because of a stay at an in-network facility.  The law limits cost sharing for covered services to in-network amounts unless the … Continue reading this entry

Second Circuit Reinstates Mental Health Parity Case Against UnitedHealth

CMS Releases Medicare Part B Supplier Billing and Payment Data
In late August the U.S. Court of Appeals for the Second Circuit reinstated a lawsuit by a physician association against a third-party plan administrator. The case against UnitedHealth Group and related entities (United) had been dismissed by the United States District Court for the Southern District of New York. The appellate opinion is significant both because it … Continue reading this entry