On August 16, 2017, the Department of Labor (“DOLâ€) led a lawsuit against Macy’s Inc. Health and Welfare plan (and its third party administrators) under ERISA Title I. Specifically, the complaint alleges: The health plan and its fiduciaries failed to follow the written terms of the health plan’s Summary Plan Description (SPD) when reimbursing…
AmeriHealth New Jersey Laboratory Network Update As a reminder, effective May 1, 2018, LabCorp Corporation of America® Holdings (LabCorp) will become the exclusive outpatient lab for all AmeriHealth HMO, Inc. and AmeriHealth Insurance Company of New Jersey (collectively AmeriHealth New Jersey) commercial HMO, HMO Plus, POS, POS Plus, PPO, EPO, and self-funded business. As…
On April 13, 2017, the Department of Health and Human Services (HHS) issued final regulations to help stabilize the individual and small group markets. These final regulations, effective June 19, 2017, do not significantly differ from the proposed regulations issued February 16, 2017. They do not directly impact large group or expatriate health plans, but…
Independence Blue Cross (Independence) and University of Pennsylvania Health System (UPHS) have signed an innovative, five-year contract that strengthens both organizations’ emphasis on coordinated patient care, exchange of critical data, and shared accountability for both quality and cost of care. Independence Blue Cross
Aetna has decided to leave the individual market in New Jersey. Due to New Jersey law, this decision also impacts their New Jersey small employer ACA insured medical products. Health insurance coverage for each of your New Jersey small employer clients with commercial (fully insured) medical plans, will end at midnight on the day before…
The WannaCry ransomware that has spread across 150 countries since Friday has appeared to slow down, but employees starting the workweek should be careful, as the effects in the United States are yet to be determined. WannaCry locks users out of their computers by exploiting a vulnerability in outdated versions of Microsoft Windows. It…