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Premature Satisfaction of a Third-Party Lien

Workers' Compensation

Background On October 23, 2019, the defendant, Darshelle Joseph, was injured during the course of his employment with the plaintiff, New Jersey Transit Corp. (NJ There is no requirement the employer's lien must be paid following recovery from a third-party tortfeasor. NJ Transit).

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Our Take on the CVS Health Hubs Concept

Corporate Synergies

“Our Take” is Corporate Synergies commentary on employee benefits and insurance topics that are in the news. Since CVS announced its plans to buy insurance carrier Aetna in December 2017, many experts, including ours , speculated how the acquisition and other similar ones would change healthcare. But let’s not be naive.

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Texas Court Stresses Comp Carrier is Entitled to Full “First Money” in Worker’s Third-Party Tort Settlement

The Workcomp Writer

Texas Mutual, the workers’ compensation carrier for Stevenson’s employer, paid workers’ compensation benefits to and on behalf of Stevenson for his injuries. Insurance Co. 2019) (citing Tex. In January 2015, Stevenson sued his health care providers for negligence. 3d 650, 651 (Tex. Code Ann. §§ 417.001-.002)].

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June HR News Worth Review

Higginbotham

Employer Takeaway. Most employers have already been contacted by their carrier or third-party administrator (TPA) and will rely on their insurance carriers or TPAs to provide the MRFs. Still, these employers remain legally liable for compliance under the TiC Final Rules. Employer Takeaway.

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The Fair and Reasonable Renewal Rate: the Art of Carrier Negotiations

Corporate Synergies

Annual health insurance carrier negotiations doesn’t have to be a contact sport. During carrier negotiations, employers naturally seek the lowest rate increase, while carriers typically propose a high increase. Want to Tackle Rising Insurance Costs? © 2019 Corporate Synergies Group, LLC. As Seen In.

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Baby Health Insurance Playbook: 5 Steps to Plan for a Newborn

Corporate Synergies

Employers can help make the process a little easier with the right communication tools. Insurance will often cover routine appointments and tests, such as blood tests, basic genetic screenings, ultrasounds, a glucose test and stress test. After a baby is born, they’re not automatically added to health insurance.

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New Transparency Requirements for Health Plans

AssuredPartners

Departments of Health and Human Services, Labor and the Treasury (together, the Departments) issued a final rule under the Patient Protection and Affordable Care Act (PPACA) and in furtherance of an executive order issued in 2019.