Don’t get cute when ERISA documents are requested

By Keith R. McMurdy The Employee Retirement Income Security Act generally requires that plan participants get copies of summary plan descriptions, plan documents and annual reports when requested. ERISA Section 104(b)(4) provides that “the administrator shall, upon written request of
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State/Legislative Regulatory News

Self-Insurance Institute of America, Inc. Exclusive Reporting for the Week of May 7, 2014 May 7, 2014 — This is your weekly update of state legislative/regulatory developments affecting companies involved in the self-insurance/alternative risk transfer marketplace. Should you ha
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Global warming has wide-reaching healthcare impact, report says

By Steven Ross Johnson Climate change poses a threat to public health and efforts to address the rising chronic diseases while presenting new risks of the emergence of infectious disease outbreaks, according to a government report. Read more…
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Brokers Rack Up ACA Enrollments In Idaho

By Gillian Roberts Brokers saw a great deal of success on the state-run exchange in Idaho, enrolling about 50% of the more than 76,000 private health plans sold on the marketplace, according to an exchange spokeswoman who noted the percentage is based on anecdotal information at this
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Small employers not seizing self-funding tactic for ACA, yet

By Richard F. Stolz A couple of years ago, as many smaller employers were first beginning to think long and hard about how they would fare under the Affordable Care Act, benefit advisers and industry experts talked a great deal about the pros and cons of self-insuring their health ben
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Many large employers wary of private health insurance exchanges: Survey

By Matt Dunning Large employers remain divided over whether private health insurance exchanges are a viable option for delivering health benefits to their active employees, according to a survey released last week. Read more…
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State exchanges, when working, helped boost enrollments

By Paul Demko States that opted to establish their own exchanges—and managed to avoid debilitating technical problems—had some of the highest levels of enrollment in the country during the recently completed sign-up period. Read more…
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Reform Update: Doc employment won’t lead to lower healthcare spending, research shows

By Melanie Evans Market share and prices tend to climb among hospitals that employ doctors but not for hospitals with looser contracts with independent physicians, according to newly published research. The findings, the authors say, suggest that integration itself does not produce th
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State Legislative/Regulatory News

Self-Insurance Institute of America, Inc. Exclusive Reporting for the Week of April 28, 2014 April 28, 2014 — This is your weekly update of state legislative/regulatory developments affecting companies involved in the self-insurance/alternative risk transfer marketplace. Should
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Physician anxieties linger as CMS sets Oct. 1, 2015 conversion date for ICD-10

By Joseph Conn The countdown has restarted toward the compliance deadline with the federally mandated conversion to the ICD-10 diagnostic and procedural codes. The new ICD-10 start date is Oct. 1, 2015, according to a terse statement from the CMS. Read more…
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