By Adam V. Russo, Esq. (As published in Thompson Information Services’ Employer’s Guide to Self-Insuring Health Benefits) Introduction While we are seeing record growth across the country, self-funding is a topic that few are familiar with, even though many participate i
On July 5, 2012, the United States Court of Appeals for the Fourth Circuit Court issued a significant opinion concerning the liability of insurers (and, potentially, employers) that are alleged to have provided misleading or faulty summary plan descriptions (SPDs) to employees. The c
At the summary judgment stage of the case, the district court dismissed James’s denial-of-benefits and breach-of-fiduciary-duty claims, but awarded him minimal statutory damages against the health plan administrator. James has appealed. Read More..
There’s no doubt – electronic distribution of benefit communication materials is on the rise. Employers are realizing that not only does electronic distribution of Summary Plan Descriptions (SPDs) save money; it results in faster distribution of SPDs that better reflect current plan p
This week, DOL issued final PPACA regulations requiring all health plans, including large employers’ self-insured plans, to issue to participants a Summary of Benefits and Coverage (SBCs), and though the rules incorporate some minor improvements over the earlier proposal, the Departme