Posts in category ERISA

Why should a Company do a HealthPlan ...

Why should a Company do a HealthPlan ERISA Audit through ARC?
Background: Companies regularly conduct, or bring in outside audits, of their healthplan benefits. If they have done this for years, and always reported a “clean bill of health”, why should they now expend effort and cost to have an external audit by ARC ERISA experts?   Top-3 Reasons: If an insurance intermediary has intentionally ma [...]

On Nov. 5, 2014, federal Court of App...

On Nov. 5, 2014, federal Court of Appeals ruled for out-of-network provider’s ERISA right to sue UnitedHealth on behalf of patients for out-of-network deductible waiver claim denials.
On Nov. 5, 2014, federal Court of Appeals ruled for out-of-network provider’s ERISA right to sue UnitedHealth on behalf of patients for out-of-network deductible waiver claim denials. In a much anticipated case, the 9th Circuit sided with Spinedex Physical Therapy USA Inc., saying the clinic had standing to sue because the plan beneficiaries [...]