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NJ Federal Court Rules Pension Plan Established By Church-Controlled Hospital Not an ERISA-Exempt Church Plan

On March 31, 2014 the U.S. District Court in New Jersey held that a defined benefit pension plan established by St. Peter’s Healthcare System was not a church plan exempt under ERISA despite the fact that St. Peter’s is...more

4/11/2014 - Catholic Church Churches Defined Benefit Plans ERISA Exemptions Healthcare

Affordable Care Act’s Special Rules for Grandfathered And Self-Insured Health Plans

The Affordable Care Act’s (“ACA”) mandates regarding health care plans, including the individual mandate, take effect with no change in schedule, despite the recent U.S. Treasury Department’s decision to postpone employer...more

9/15/2013 - Affordable Care Act Collective Bargaining Employer Group Health Plans Employer Mandates Exemptions FLSA Grandfathered Status Self-Insured Health Plans

Hospital’s State Law Claims against Health Plan Held Preempted by ERISA, Rules NJ Appellate Division

Last month a NJ Appellate Division panel held in three consolidated appeals that a NJ hospital’s state law claims that a health care plan must pay full price for medical services the hospital provided to plan participants are...more

8/13/2013 - Employee Benefits ERISA Healthcare Hospitals Unjust Enrichment

High Court Holds Equitable Defenses Do Not Trump ERISA Plan’s Clear Reimbursement Language

The Supreme Court’s April decision in U.S. Airways, Inc. v. McCutchen resolves a circuit split on the issue of a medical plan’s right to reimbursement of medical expenses from a plan participant who recovers on a personal...more

5/19/2013 - Benefit Plan Sponsors Employer Group Health Plans ERISA McCutchen v. U.S. Airways SCOTUS Subrogation Third-Party

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