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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 Joseph settled with his uninsured motorist (UM) insurance carrier for $14,000 in the underlying action. NJ Transit).

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Final Rules and FAQs Issued for Federal IDR Process

AssuredPartners

This rule applies to group health plans and insurance carriers offering group or individual health insurance coverage beginning on and after January 1, 2022. Plan sponsors with fully insured benefits can rest easy because insurance carriers will likely handle the details behind the NSA and any provider payment disputes.

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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. RELATED TOPICS.

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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

The appellate court initially observed that the state’s supreme court had repeatedly stated that an insurance carrier is entitled to recover all benefits paid to an injured worker out of the “first money” the worker recovers from a liable third party [citing Exxon Mobile Corp. Insurance Co. 2019) (citing Tex.

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Professional Liability Actuarial Analysis – Senior Living

AssuredPartners

Implementing a Quick Response process engages a clinical risk manager along with a claims manager to assist community staff in identifying appropriate interventions as well as deploying insurance carrier resources to develop a claim closure strategy within days of the event.

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Professional Liability Actuarial Analysis – Senior Living

AssuredPartners

Data was analyzed through year end 2019, and does not include the impact that COVID-19 has on the industry. By quickly managing these events, communities are able to mitigate financial risk associated with surveys and liability insurance. billion in claim costs for skilled nursing and assisted living communities.

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Medical Plans Have PCORI Fee Extended 10 Years

Fringe Benefit Analysts

Also known as a PCORI fee, it had a sunset date on a group’s medical plan anniversary date in 2019. At the end of 2019, Congress reauthorized the annual payment of the PCORI fee until 2029. Accordingly, if a plan sponsor files Form 720 only to report PCORTF fees, a Form 720 should not be filed for the first, third, or fourth quarter.).

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