The U.S. Department of Labor (“DOL”) recently filed a lawsuit against UMR, Inc., a third-party administrator and UnitedHealth Group, Inc. subsidiary. The lawsuit alleges that UMR denied thousands of claims based on diagnosis...more
11/21/2023
/ Affordable Care Act ,
Claim Procedures ,
Denial of Insurance Coverage ,
Department of Labor (DOL) ,
Drug Testing ,
Employee Retirement Income Security Act (ERISA) ,
Enforcement Actions ,
Explanation of Benefits (EOBs) ,
Statutory Violations ,
TPAs ,
UnitedHealth
After several years of uncertainty surrounding enforcement of the Patient Protection & Affordable Care Act of 2010’s so-called “employer mandate,” the Internal Revenue Service (IRS) has begun assessing penalty notices for the...more
On July 2, 2013, the U.S. Treasury announced that the Obama Administration is implementing a one-year delay of the employer and insurer reporting requirements under the Affordable Care Act of 2010 ("ACA"). ...more
7/10/2013
/ Affordable Care Act ,
Deadlines ,
Delays ,
Employer Group Health Plans ,
Employer Mandates ,
Fees ,
Form 720 ,
Healthcare ,
Marketplace Notice ,
Pay or Play ,
PCORI ,
Shared Responsibility Rule ,
U.S. Treasury