The U.S. Department of Labor (“DOL”) recently entered into a settlement agreement with a New York-based insurer and third-party administrator (“Company”) of employer group health plans governed by the Employee Retirement...more
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
In light of the recent settlement between the U.S. Department of Labor (DOL) and a health plan third-party administrator (TPA), plan fiduciaries and TPAs should re-examine, or even re-negotiate, portions of their current TPA...more