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DOL Clarifies Lifetime Income Disclosure Requirement - Employment and HR
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UntiedHealth Sued over Denial of Behavioral Treatment as Not Neccesary
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A recent case before the Fifth Circuit Court of
Appeals
1 determined that a Project Completion
Incentive applying to employees on a construction project
(the Plan ) was not governed by the Employee Retirement
Income Security Act of 1974 ( ERISA ).
2
Former laborer Employees of the construction manager Employer
filed a lawsuit in Louisiana State Court asserting that the
Employer was required to pay them the Project Completion
Incentive under the Plan for the time spent on the
project-despite conceding that they quit the project before
completion and were therefore not eligible for the incentive under
the Plan terms.
3 The Employees asserted that the
Health
your username
4 days ago A case originally brought in Orange County Superior Court by five substance use disorder treatment providers against Anthem Blue Cross Life and Health Insurance Company and affiliates will proceed in federal court, per a notice of removal filed Tuesday in the Central District of California.
The Discovery House LLC, Discovery Transitions Outpatient Inc., DHP Heights LLC, MT Golden Corporation, and MT Process LLC, all out-of-network providers of services, including residential treatment, inpatient and outpatient care, therapy, and medication management, filed a complaint Jan. 19, alleging denial of Employee Retirement and Income Security Act (ERISA) benefits; breach of implied, oral, and written contract; breach of covenant of good faith and fair dealing; promissory estoppel; and unfair competition against the defendants.
Health
your username
February 10, 2021
Judge Charles Eskridge of the Southern District of Texas ruled Tuesday that the employee health plan of an individual who unintentionally shot themselves while at work is not governed by the Employee Retirement and Income Security Act (ERISA), effectually remanding the matter to state court.
The plaintiff, who is the sole owner and employee of an automobile repair shop, said in the original complaint that they kept a gun at the business for protection. After the accidental self-inflicted injury resulting from “attempting to remove a stuck bullet,” the judge explained, the plaintiff filed a claim with the defendant, Life Insurance Company of North America, for medical and disability benefits. Defendant Matt Reiter, an employee of third-party work-related injury claims administrator Salus Claims Management, denied the plaintiff’s claim, “asserting that using or cleaning a gun wasn’t within the covered scope of employment,” and then
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