Sentences with phrase «in group health plans»

(Note: In group health plans, this 12 - month period is called a «plan year»).

This proposed policy will ensure that consumers enrolled in group health plans not subject to ERISA do not experience unnecessary delays in receiving the benefit of the rebates.

We note that, as specified in the proposed rule, this policy provides a special enrollment period inside the Exchange for individuals whose coverage in group health plans and individual market plans offered outside of the Exchange is expiring, including grandfathered and transitional plans.

Again, coordinating health care operations among these entities may be necessary to serve the participants and beneficiaries in the group health plans.

Of course, the term «enrollees» includes participants and beneficiaries in group health plans.

'' one is the fascinating and moving view provided by the sonogram, and another is the survival of «premature» babies of feather - like weight, who have achieved «viability» outside the womb» --------------------------------- — Any viability is only possible (and at enormous expense to everyone else in the group health plan) with pregnancies > 20 weeks.

This information does not constitute de-identified information because there may be a reasonable basis to believe the information is identifiable to the plan sponsor, especially if the number of participants in the group health plan is small.

Individuals enrolled in a group health plan that provides benefits only through an insurance contract with a health insurance issuer or HMO would have access to all rights provided by this regulation through the health insurance issuer or HMO, because they are covered entities in their own right.

One contract specifies that the issuer may use and disclose protected health information about the participants in the group health plan for research purposes without authorization (subject to the requirements of this rule) and one contract specifies that the issuer must always obtain authorizations for these uses and disclosures.

Summary health information is information that summarizes the claims history, expenses, or types of claims by individuals enrolled in the group health plan.

First, we include a group health plan and an issuer or HMO with respect to the group health plan within the definition, but only with respect to the protected health information of the issuer or HMO that relates to individuals who are or have been participants or beneficiaries in the group health plan.

(i) An individual enrolled in a group health plan has a right to notice:

(ii) A group health plan that provides health benefits solely through an insurance contract with a health insurance issuer or HMO, and that creates or receives protected health information in addition to summary health information as defined in § 164.504 (a) or information on whether the individual is participating in the group health plan, or is enrolled in or has disenrolled from a health insurance issuer or HMO offered by the plan, must:

(iii) A group health plan that provides health benefits solely through an insurance contract with a health insurance issuer or HMO, and does not create or receive protected health information other than summary health information as defined in § 164.504 (a) or information on whether an individual is participating in the group health plan, or is enrolled in or has disenrolled from a health insurance issuer or HMO offered by the plan, is not required to maintain or provide a notice under this section.

(B) Information on whether the individual is participating in the group health plan, or is enrolled in or has disenrolled from a health insurance issuer or HMO offered by the plan.

In this case, the individuals enrolled in the group health plan would receive notice of the health insurance issuer or HMO's privacy practices, but would not be entitled to notice of the group health plan's privacy practices.

Unless you're in a group health plan, pricing is based on your individual factors.

The 12 - month period in which you are enrolled in a group health plan and receive coverage under the plan.

Medicare is a federal health insurance program that allows certain groups of people to get healthcare coverage without purchasing individual insurance plans or enrolling in a group health plan, such as an employer's health plan.

However, if you enroll late in a group health plan (after you were hired and not during a regular or special enrollment period) under a self - insured group health plan, you may have a pre-existing condition exclusion period of up to 18 months.

The maximum period is 12 months if you are in a group health plan.

I have a single employee, currently enrolled in our group health plan, who is getting married to someone who does not work with us in April.

The plan administrator must enroll the child as a beneficiary in the group health plan regardless of any restrictions on the enrollment period, and the union or employer must withhold any required premium from the obligor's income upon notification by the plan administrator that the child is enrolled.

The child shall be enrolled in the group health plan in which the obligor is enrolled.

, or upon application of the obligor pursuant to the order, the union or employer shall enroll the minor child as a beneficiary in the group health plan regardless of any restrictions on the enrollment period and withhold any required premium from the obligor's income.

Not exact matches

Kaiser Permanente is made up of multiple branches to handle a variety of healthcare needs and operates their health plans on a not - for - profit basis, with a mix of for - profit businesses and health centers mixed in to help subsidize the other parts of the group.

The 71 - year - old nonprofit — it's a health plan, a hospital system, and a physicians» group all in one — provides high - quality and relatively affordable care to some 10 million members in eight states.

This week, UnitedHealth Group, the country's biggest health insurer, said it would review and, if necessary, adjust «facility claims for the most severe and costly ED visits for patients enrolled in the company's commercial and Medicare Advantage plans,» the trade publication Modern Healthcare reported today.

Small - business owners offer health benefits for a variety of reasons: they're genuinely concerned about their employees being taken care of, it's mandated in their state or they want to be more competitive to attract top talent (a large majority of employees consider a health plan to be the most important benefit they can be offered, according to a survey by the National Business of Group on Hehealth benefits for a variety of reasons: they're genuinely concerned about their employees being taken care of, it's mandated in their state or they want to be more competitive to attract top talent (a large majority of employees consider a health plan to be the most important benefit they can be offered, according to a survey by the National Business of Group on Hehealth plan to be the most important benefit they can be offered, according to a survey by the National Business of Group on HealthHealth).

The proposal met with a record number of comments, with a number of health insurance groups expressing concern that the short - term plans will undermine the health exchanges by siphoning off younger, healthier consumers who will no longer face a penalty if they enroll in non-compliant plans in 2019.

The deal could help Cigna compete with UnitedHealth Group, which has clinics, drug benefits and insurance business, and CVS Health Corp, which agreed in December to buy US health insurance giant Aetna for about $ US68 billion, linking its pharmacies and drug - benefit plans with the insurer's covHealth Corp, which agreed in December to buy US health insurance giant Aetna for about $ US68 billion, linking its pharmacies and drug - benefit plans with the insurer's covhealth insurance giant Aetna for about $ US68 billion, linking its pharmacies and drug - benefit plans with the insurer's coverage.

When Banner Health, a large group based in Phoenix, partnered with Aetna to offer a joint health plan, it decided to add 35 retail clinics where people could get care after - hours or closer to their homes rather than show up in the system's emergency Health, a large group based in Phoenix, partnered with Aetna to offer a joint health plan, it decided to add 35 retail clinics where people could get care after - hours or closer to their homes rather than show up in the system's emergency health plan, it decided to add 35 retail clinics where people could get care after - hours or closer to their homes rather than show up in the system's emergency rooms.

Our tailored, world - class services for all plan sponsors — health plans, accountable care organizations (ACOs), state Medicaid programs, employer groups and unions — blend state - of - the - art technologies with experienced and talented professional teams to optimize your return on investment while enhancing your competitive stance in the market.

Our customized, world - class services for all plan sponsors — health plans, accountable care organizations (ACOs), state Medicaid programs, employer groups and unions — blends state - of - the - art technologies with experienced and talented professional teams to optimize your return on investment while enhancing your competitive stance in the market.

Our best in class people, process and technology are aligned to support all plan sponsors — health plans, Accountable Care Organizations (ACOs), State Medicaid programs, employer groups, and unions.

Our tailored, world - class services for all plan sponsors — health plans, accountable care organizations (ACOs), state Medicaid programs, employer groups and unions — blend state - of - the - art technologies with experienced and talented professional teams to optimize plan sponsors return on investment while enhancing organization's competitive stance in the market.

A group of workers at Venezuela's state - owned oil company is requesting wages in dollars as well as meal plans and better health insurance to make up for what they called «suffocating» economic conditions.

SOUTHFIELD, Mich., May 3, 2018 — Simplify Healthcare, a leader in Benefit Plan and Medicare Product Configuration today announces that Mohammed Vaid, CEO and Chief Solution Architect of Simplify Healthcare recently joined David E. Williams, President of Health Business Group for an exclusive podcast on «Helping Health Plans with Administrative Automation.»

DHS Group started in 1997 working with health plans, helping them measure the quality of care through HEDIS measures.

In developing the GOT regulation, the Departments accounted for wide variation in how group health plans and health insurance issuers determine both in - network and out - of - network rates, and made a determination to base the GOT criteria on existing provisions of federal laIn developing the GOT regulation, the Departments accounted for wide variation in how group health plans and health insurance issuers determine both in - network and out - of - network rates, and made a determination to base the GOT criteria on existing provisions of federal lain how group health plans and health insurance issuers determine both in - network and out - of - network rates, and made a determination to base the GOT criteria on existing provisions of federal lain - network and out - of - network rates, and made a determination to base the GOT criteria on existing provisions of federal law.

Thus, the Departments concluded in the November 2015 final rule, and still maintain, that the existing GOT regulation provides a statutorily supportable, and also a more practical, and cost - effective approach for group health plans and health insurance issuers to determine the required minimum payment amounts.

In an effort to address concerns of religious groups that self - insure, the new rules suggest creating «an exemption for group health plans established or maintained by certain religious employers.»

This edict seeks to bring religious groups to heel by requiring all employers to cover contraception and abortifacients in their health - care plans.

Community mental health programs were planned that would be intimately involved in the structure and function of the community, including programs related to the clergy, who are a major professional group in the community, and programs related to the churches, which are major institutions of the community.

Although billions of dollars are being expended annually on family planning services in less - developed countries, and such programs have been promoted by various governments at the national level for four decades, there are only a few studies that have attempted to measure the demographic and health impact of family planning against a «control group» — a similar area which lacks the service.

A growing coalition of conservative political leaders, religious groups and government officials is leading the attack against publicly supported programs of sex education, school - based health centers, guidance programs in family planning, and other activities designed to address the sexual needs of youth from both a social and a health perspective.

Alabama health officials placed a Planned Parenthood clinic on a one - year probation in February after a pro-life group released an undercover recording that appears to portray employee willingness to break parental consent laws.

No, momoya, it's about out of control insurance costs going ever higher because more and more is mandated to be covered, it's about tax exempt groups being in effect taxed via mandates and indeed mandated to pay things that go directly contrary to their philosophy, it's about disingenuous mumblers on the left talking incoherently about people being «forced» not to use contraception when (a) no one is forcing them to affiliate with the organization balking at the mandate, (b) no one is preventing them from buying contraception on their own dime and (c) no one is preventing them from buying their own health insurance plans, something MANY will have to do when Obamacare kicks in for real.

Fox tells the story from beginning to end: childhood in the German - American parsonage; nine grades of school followed by three years in a denominational «college» that was not yet a college and three year's in Eden Seminary, with graduation at 21; a five - month pastorate due to his father's death; Yale Divinity School, where despite academic probation because he had no accredited degree, he earned the B.D. and M.A.; the Detroit pastorate (1915 - 1918) in which he encountered industrial America and the race problem; his growing reputation as lecturer and writer (especially for The Christian Century); the teaching career at Union Theological Seminary (1928 - 1960); marriage and family; the landmark books Moral Man and Immoral Society and The Nature and Destiny of Man; the founding of the Fellowship of Socialist Christians and its journal Radical Religion; the gradual move from Socialist to liberal Democratic politics, and from leader of the Fellowship of Reconciliation to critic of pacifism; the break with Charles Clayton Morrison's Christian Century and the inauguration of Christianity and Crisis; the founding of the Union for Democratic Action, then later of Americans for Democratic Action; participation in the ecumenical movement, especially the Oxford Conference and the Amsterdam Assembly; increasing friendship with government officials and service with George Kennan's policy - planning group in the State Department; the first stroke in 1952 and the subsequent struggles with ill health; retirement from Union in 1960, followed by short appointments at Harvard, at the Center for the Study of Democratic Institutions, and at Columbia's Institute of War and Peace Studies; intense suffering from ill health; and death in Stockbridge, Massachusetts, in 1971.

As the Pope still has significant influence over the less educated masses in these parts of the World, he has exercised this power by: (a) Using some of the Vatican's incomprehensible wealth to educate these vulnerable people on health family planning and condom use; (b) Supporting government programs that distribute condoms to high risk groups; (c) Using its myriad of churches in these regions to distribute condoms; or (d) Scaring people into NOT using condoms, based upon his disdainful and aloof view that it is better that a person die than go against the Vatican's position on contraceptive use.