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Posted In: Fiduciaries

Pre-authorization for Surgery, but Insurance Denies Claim After the Procedure (Again)

Yet another case in the Midwest (Wisconsin to be exact) went up on appeal to the Seventh Circuit Court of Appeals in Chicago where an employee sought the…

16 Mar, 2011
Posted In: Health Care Reform

DOL Announces Public Forum on Automatic Enrollment into Employers’ Health Plans

Employees and executives in Chicago will in the near future experience automatic enrollment into health insurance as part of their employee benefits. The Department of Labor (“DOL”) announced…

14 Mar, 2011

24-Month Limitations on Mental Health Disability Coverage and When They Can Be Challenged

Many, if not all, long term disability (“LTD”) insurance policies, including those covered by ERISA, contain a clause that states some variation of “if Employee’s disability, as determined…

13 Mar, 2011
Posted In: Health Insurance

Are Employees Stuck with Hospital Bills When the Employer Fails to Pay the Health Insurance...

Many businesses over the past several years have been struggling, especially small businesses. For various reasons, including impending bankruptcy, garnishment of a bank account by a creditor, or…

12 Mar, 2011
Posted In: Health Insurance

Accidents Resulting in Aggravation of Prior Condition Raise ERISA Subrogation and Reimbursement Problems

Employees in Chicago currently suffering from a condition commonly find themselves involved in an auto accident, or some other accident where a third party caused them injuries. Often,…

11 Mar, 2011

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