PBMs Should Be Health Plan Fiduciaries, Employers Tell Congress
Pharmacy benefit managers should be required to act as fiduciaries acting in the interest of health-plan beneficiaries in providing benefits and paying plan expenses, a House subcommittee was told at a Tuesday hearing.
Mental Health Coverage Parity Remains Out of Reach, Survey Says
Out-of-network use of mental health providers for US patients was many times higher than use for medical and surgical treatment—nearly 20 times more for certain behavioral inpatient care—according to a new study that signals mental health benefits parity is still far from a reality.
Maersk Plans to Settle Would-be Class Suit Over 401(k) Plan Fees
Musk, X Get Discovery Paused in Twitter Severance Pay Lawsuit
Laid-off Twitter employees who say they’re owed severance benefits after
Deutsche Bank Lands DOL Exemption to Manage Retirement Funds
PRACTITIONER INSIGHTS
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Purdue Approved for Up to $7.2 Million in Executive Bonuses
Purdue Pharma won a bankruptcy judge’s approval to pay up to $7.2 million in bonuses to three top executives.
Investment-for-Visas Business Owner Appeals Director’s Pay Award
The owner of a business that coordinates US infrastructure investments for foreign nationals seeking EB-5 visas seeks to scrap some of the $2.5 million in damages he was ordered to pay his company after a trial court found he funneled funds to himself and another executive.
Sun Healthcare Whistleblowers Can Amend Claims Despite Delay
A whistleblower suit alleging nursing home services fraud by Sun Healthcare Group Inc., Genesis Healthcare Inc., and others can be amended despite whistleblowers’ “unwarranted” delay, a Pennsylvania federal district court said.
Matt Levine’s Money Stuff: Elon Wants His Money Back
Tesla to Texas, banker breakup fees, Destiny Tech100 and WhatsApp at the SEC.
Senators Query DoorDash, UberEats on Hidden Fees, Executive Pay
A group of three Senate Democrats including
Ex-NBA Player Sentenced for Role in League Health Plan Scheme
William Bynum was sentenced today to 18 months in prison for his role in a scheme to make false statements to the National Basketball Association Players’ Health and Welfare Benefit Plan, the Justice Department said Tuesday.
Deutsche Bank Lands DOL Exemption to Manage Retirement Funds
Elon Musk Pay Vetted by Sidley, Ex-Kirkland Partner, Tesla Says
Sidley Austin is advising the
Maersk Plans to Settle Would-be Class Suit Over 401(k) Plan Fees
IN BRIEF
View MoreCase: Health Care & Benefits/Benefits Denial (N.D. Cal.)
The court denied the University of San Francisco Welfare Benefit Plan’s motion for summary judgment on the applicable standard of review of an employee’s ERISA and Parity Act action challenging the denial of benefits for residential treatment as not medically necessary. K.G. v. Univ. of S.F. Welfare Ben. Plan, 2024 BL 12455, N.D. Cal., Case No. 23-cv-00299-JSC, 4/11/24
Case: Health Care & Benefits/Benefits Denial (C.D. Cal.)
The court granted an employee’s request to overturn the Director’s Guild of America’s denial of benefits, and entered judgment in the employee’s favor, in this ERISA action for denial of benefits and breach of fiduciary duty. Dan C. v. Anthem Blue Cross Life & Health Ins. Co., 2024 BL 120514, C.D. Cal., 2:22-cv-03647-FLA (AJRx), 4/9/24
Case: Retirement Benefits/Benefits Denial (W.D.N.C.)
The court granted EIDP Inc., Corteva Inc., the Pension and Retirement Plan, and the Benefit Plans Administrative Committee’s motion for judgment on the pleadings dismissing an employee’s ERISA action for wrongful denial of benefits, equitable relief, statutory damages, and attorneys’ fees. Gasper v. EIDP Inc., 2024 BL 115192, W.D.N.C., 3:23-CV-00512-FDW-SCR, 4/3/24
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