Carol Gerner

Carol Gerner

Sedgwick LLP

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The Affordable Care Act – Where are We Now

With the passing of the March 31st deadline for the initial open-enrollment under the Affordable Care Act (“ACA” or “ObamaCare”), the resignation of Health and Human Services (HHS) Secretary Kathleen Sebelius, and the...more

5/15/2014 - Affordable Care Act Contraceptive Coverage Mandate Data Breach HHS Hobby Lobby IRS Kathleen Sebelius Open Enrollment Personally Identifiable Information Privacy Concerns

The Check’s in the Mail - Who Is Responsible for Payment in a Delegated-Network System?

In today’s healthcare system, reimbursement issues involve not only prompt pay statutory provisions but also various risk-shifting arrangements included in a delegated-network system of managed care. When the insolvency of...more

5/14/2014 - Health Insurance Healthcare HMOs Physician Payments Reimbursements

It’s All in the Delivery – Proper Renewal Saves Millions

In Windmill Nursing Pavilion Ltd. v. Cincinnati Ins. Co., (No. 1-12-2431), the Illinois Court of Appeals concluded that under Ohio law, Cincinnati Insurance Company (“Cincinnati”) provided sufficient notice to its insured,...more

2/14/2014 - TCPA Unitherm Unsolicited Faxes

Like a Rolling Stone – You Don’t Always Get What You Want

On June 4, 2013, the Second Circuit Court of Appeals ruled in favor of excess insurers and against former directors and officers (collectively, the “Directors”) when it concluded that the excess insurers did not have to “drop...more

6/10/2013 - Indemnification Insurers Liability Payment Plans Third-Party

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