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Category: Uncategorized

Category: Uncategorized

Home Archive for category "Uncategorized" (Page 11)

:: District Court Opinion On PBM Disclosure Law Vacated

Roy Harmon PBMs / Uncategorized March 10, 2008 July 9, 2021

The plaintiff-the Pharmaceutical Care Management Association-is a national trade organization representing pharmacy benefit managers. Pharmacy benefit managers act as “middlemen” hired by health benefit providers (such as employers, health maintenance organizations, and public and private …

Read more":: District Court Opinion On PBM Disclosure Law Vacated"

:: Failure To Furnish SPD Can Lead To Loss Of Deferential Standard Of Review

Roy Harmon Uncategorized March 10, 2008 July 7, 2021

Although Lumbermens has shown that the Summary Plan Description (“SPD”) unambiguously confers upon the Plan administrator discretionary authority to determine eligibility for benefits and to construe the terms of the plan, see Ingram v. Martin …

Read more":: Failure To Furnish SPD Can Lead To Loss Of Deferential Standard Of Review"

:: ERISA Criminal Convictions Affirmed

Roy Harmon Uncategorized March 10, 2008 July 7, 2021

John Alvis Jackson, Jr. and Larry Andrew Carey (together, the Defendants), were prosecuted in the Western District of Virginia on multiple fraud and theft offenses involving a loss of more than $15 million. U.S. v. …

Read more":: ERISA Criminal Convictions Affirmed"

:: Statutory Construction – Textualist Or Intentionalist?

Roy Harmon Uncategorized March 10, 2007 July 7, 2021

As the Supreme Court has observed, the plain meaning of the statute should be conclusive except in the rare cases [in which] the literal application of a statute will produce a result demonstrably at odds …

Read more":: Statutory Construction – Textualist Or Intentionalist?"

:: Fourth Circuit Rejects Validity Of Assignments Taken In Claims Settlement

Roy Harmon Uncategorized April 10, 2002 July 7, 2021

Although we have never addressed the question of derivative standing for ERISA benefits, our sister circuits have consistently recognized such standing when based on the valid assignment of ERISA health and welfare benefits by participants …

Read more":: Fourth Circuit Rejects Validity Of Assignments Taken In Claims Settlement"

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