Sentences with phrase «in health insurance regulation»

Local agents who are members of the Trusted Choice network understand the upcoming changes in health insurance regulation and can help explain the details.

Local agents who are members of the Trusted Choice network understand the upcoming changes in health insurance regulation and can help explain the details.

Not exact matches

Important factors that could cause our actual results and financial condition to differ materially from those indicated in the forward - looking statements include, among others, the following: our ability to successfully and profitably market our products and services; the acceptance of our products and services by patients and healthcare providers; our ability to meet demand for our products and services; the willingness of health insurance companies and other payers to cover Cologuard and adequately reimburse us for our performance of the Cologuard test; the amount and nature of competition from other cancer screening and diagnostic products and services; the effects of the adoption, modification or repeal of any healthcare reform law, rule, order, interpretation or policy; the effects of changes in pricing, coverage and reimbursement for our products and services, including without limitation as a result of the Protecting Access to Medicare Act of 2014; recommendations, guidelines and quality metrics issued by various organizations such as the U.S. Preventive Services Task Force, the American Cancer Society, and the National Committee for Quality Assurance regarding cancer screening or our products and services; our ability to successfully develop new products and services; our success establishing and maintaining collaborative, licensing and supplier arrangements; our ability to maintain regulatory approvals and comply with applicable regulations; and the other risks and uncertainties described in the Risk Factors and in Management's Discussion and Analysis of Financial Condition and Results of Operations sections of our most recently filed Annual Report on Form 10 - K and our subsequently filed Quarterly Reports on Form 10 - Q.

These risks and uncertainties include food safety and food - borne illness concerns; litigation; unfavorable publicity; federal, state and local regulation of our business including health care reform, labor and insurance costs; technology failures; failure to execute a business continuity plan following a disaster; health concerns including virus outbreaks; the intensely competitive nature of the restaurant industry; factors impacting our ability to drive sales growth; the impact of indebtedness we incurred in the RARE acquisition; our plans to expand our newer brands like Bahama Breeze and Seasons 52; our ability to successfully integrate Eddie V's restaurant operations; a lack of suitable new restaurant locations; higher - than - anticipated costs to open, close or remodel restaurants; increased advertising and marketing costs; a failure to develop and recruit effective leaders; the price and availability of key food products and utilities; shortages or interruptions in the delivery of food and other products; volatility in the market value of derivatives; general macroeconomic factors, including unemployment and interest rates; disruptions in the financial markets; risk of doing business with franchisees and vendors in foreign markets; failure to protect our service marks or other intellectual property; a possible impairment in the carrying value of our goodwill or other intangible assets; a failure of our internal controls over financial reporting or changes in accounting standards; and other factors and uncertainties discussed from time to time in reports filed by Darden with the Securities and Exchange Commission.

A far greater part of the text — thousands of pages in more than 30 chapters — has to do with harmonizing regulations (financial, health and safety standards, etc.), reinforcing intellectual property rights (patents, copyrights), opening up new sectors to privatization and foreign investment (health insurance and education), and putting strict limits on how governments choose to protect the environment or create jobs.

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 signing laws that have increased Wall Street regulations and stopped health insurance companies from rejecting patients with preexisting conditions, Obama said at the breakfast, he wanted to «make the economy stronger for everybody.»

Bottom line: To reduce health insurance costs and to not be subject to Obama care regulations about supplying contraceptives, the Catholics should simply not hire those in need of contraceptives and fire those who demand such coverage.

Bottom line: To reduce health insurance costs and to not be subject to Obama care regulations about supplying contraceptives, Catholic groups should simply not hire those in need of contraceptives and fire those who demand such coverage.

u $ 70 million in savings attributed to renewed regulation of health insurance policies — an estimate that is dubious, to say the least;

«These interim final regulations are necessary in order to provide rules that plan sponsors and issuers can use to determine which changes they can make to the terms of the plan or health insurance coverage while retaining their grandfather status»

[BOX 6] Board of Directors, Old Photographs of Board of Directors meeting, April 1982 Behavioral Sciences, 1958 Bicentennial, 1972 - 1976 Biological Warfare, 1976 - 1977 Blacklisting (Dept. of Health, Education and Welfare) Bulletin of the Atomic Scientists, 1963 - 1972 Civil Defense, 1951 - 1952 Civil Liberties, (See Security; Condon, E.U.), 1952, 1973 Civil Liberties (See Security; Condon, E.U.), 1947 - 1951 Civil Liberties (Report of the Special Committee on the Civil Liberties of Scientist AAAS Executive Committee), 1948 Computer, 1972 - 1983 Condon, E.U. (See Meyerhoff), 1948 - 1951 DNA, 1977 Fluoridation, 1954 - 1984 Government Relations, 1955 - 1978 Import Duties - Scientific Equipment, 1955 - 1959 Resolutions (Correspondence), 1952 - 1974 Security (AAAS Membership), 1954 Security Regulations - Oppenheimer, Midway 9 - 9604 and 2 - 4602 Social Sciences, 1981 - 1982 Society for Social Responsibility in Science, 1960 SST - Concorde AAAS Donations, 1982 - 1983 Complaints - re: membership or subscriptions Dues, 1967 - 1975 Election of Fellows, 1975 - 1982 Insurance, 1960 - 1985 Membership (AAAS Life), 1967 - 1982 Retirement Plan (AAAS), 1950 - 1976 Correspondence with Section Officers, 1976 - 1977 Section W Stamps, 1961 - 1983

Because data is stored in the cloud, Nimble complies with HIPAA (Health Insurance Portability and Accountability Act) privacy regulations, according to ClearPractice.

The advantage of scale is not going away, but the above average profits of the last four years may prove difficult to maintain, as the government will find it difficult to not increase regulation in response to complaints over high health insurance premiums in the face of what are viewed as high profits.

As reasonable as those numbers are, the lack of regulation in Indiana means that there are no guarantees when it comes to finding quality health insurance or affordable rates in the land of the Chi Town Shooters and the Gary Steelheads.

Sections 30 through 36 of The Health Insurance Act (Ontario)(«the act») and Regulation 552 thereunder prescribe OHIP's entitlement to be reimbursed for hospital and medical costs incurred in treating injured persons involved in accidents caused by another.

Privacy counseling in conjunction with the Gramm - Leach - Bliley Act, the European Union Privacy and Personal Data Collection Directive, the Health Insurance Portability and Accountability Act (HIPAA) and other privacy - related laws and regulations

Business Development: Brokering various business dealings that further the diversification of Indian economies Developing and accessing commercial financial programs and services for tribal governments, including tax - exempt offerings and federally - guaranteed housing loans Serving as issuer or underwriter's counsel in tribal bond issuances Ensuring tribal compliance with Bank Secrecy Act and other federal financial regulatory requirements Handling federal and state income, excise, B&O, property and other tax matters for tribes and tribal businesses Chartering tribal business enterprises under tribal, state and federal law Registering and protecting tribal trademarks and copyrights Negotiating franchise agreements for restaurants and retail stores on Indian reservations Custom - tailoring construction contracts for tribes and general contractors Helping secure federal SBA 8 (a) and other contracting preferences for Indian - owned businesses Facilitating contractual relations between tribes and tribal casinos, and gaming vendors Building tribal workers» compensation and self - insurance programs Government Relations: Handling state and federal regulatory matters in the areas of tribal gaming, environmental and cultural resources, workers» compensation, taxation, health care and education Negotiating tribal - state gaming compacts and fuel and cigarette compacts, and inter-local land use and law enforcement agreements Advocacy before the Washington State Gambling Commission, Washington Indian Gaming Association and National Indian Gaming Commission Preparing tribal codes and regulations, including tribal court, commercial, gaming, taxation, energy development, environmental and cultural resources protection, labor & employment, and workers» compensation laws Developing employee handbooks, manuals and personnel policies Advocacy in areas of treaty rights, gaming, jurisdiction, taxation, environmental and cultural resource protection Brokering fee - to - trust and related real estate and jurisdictional transactions Litigation & Appellate Services: Handling complex Indian law litigation, including commercial, labor & employment, tax, land use, treaty rights, natural and cultural resource matters Litigating tribal trust mismanagement claims against the United States, and evaluating tribal and individual property claims under the Indian Claims Limitation Act Defending tribes and tribal insureds from tort claims brought against them in tribal, state and federal courts, including defense tenders pursuant to the Federal Tort Claims Act Assisting tribal insureds in insurance coverage negotiations, and litigation Representing individual tribal members in tribal and state civil and criminal proceedings, including BIA prosecutions and Indian probate proceedings Assisting tribal governments with tribal, state and federal court appeals, including the preparation of amicus curiae briefs Our Indian law & gaming attorneys collaborate to publish the quarterly «Indian Legal Advisor ``, designed to provide Indian Country valuable information about legal and political developments affecting tribal rights.

Preservation Vault is hosted in D4's Rochester - based state - of - the - art tier - three data center and offers a private cloud environment that meets government regulations such as The Health Insurance Portability and Accountability Act (HIPAA).

Examples of our substantive experience include fraud - related and financial reporting laws; employment matters in various industries (including matters involving senior executives); insurance regulation; corporate governance issues; financial services issues; health - care regulation; and a wide variety of other business problems.

They include: (1) regulatory law and enforcement work, because industries from banking to private equity funds to large oil companies will likely be targets of the new administration, while health insurance companies will be subject to heightened regulation; (2) litigation, because a Democratic administration will probably push back tort reform measures, giving rise to more lawsuits; (3) «green» law, i.e., representing companies that deal in green technology, whose growth will be stimulated by likely tax incentives as well as a cap and trade system; and (4) real estate, because the bailout legislation will most likely require banks availing themselves of the benefits to begin issuing mortgages again.

Please select (one or more) Antitrust Law Daily Employment Law Daily Health Law Daily IP Law Daily Securities Regulation Daily Products Liability Insurance Law Banking and Finance Law Interested in all the Dailies

The team includes lawyers with backgrounds in environmental regulation and government enforcement, worker safety and health, toxic tort defense, criminal defense, insurance recovery, congressional investigations, and media relations.

BY JONATHAN H. ADLER June 23 at 7:47 PM The Supreme Court has not ruled on the Internal Revenue Service's regulation purporting to authorize tax credits and cost sharing subsidies in federally run health insurance exchanges, but two recent decisions — Michigan v. Bay Mills Indian Community and UARG v. EPA — address related questions of statutory interpretation.

If you are buying a house in a city, even in a tax lien auction or an economically distressed area auction (like Detroit, Newark or any other city in dire straights), then you will fall under local health and safety regulations, because the house - in the process of a buy / sell agreement, title insurance, and lien research - also brings in the health department and fire department.

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.

For example, the term «trading partner» is defined here, for use in the Health Insurance Reform: Standards for Electronic Transactions regulation, published at 65 FR 50312, August 17, 2000 (the «Transactions Rule»).

This regulation is the second final regulation to be issued in the package of rules mandated under title II subtitle F section 261 - 264 of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104 - 191, titled «Administrative Simplification.»

We have adopted the policy recommended by the National Association of Insurance Commissioners in the Health Information Policy Model Act (1998) as this best reflects the balance of the appropriate level of regulation of the industry compared with the need to protect individuals from harm that may result from inadvertent disclosure of information.

We require that exceptions for rules to ensure appropriate state regulation of insurance and health plans be stated in a statute or regulation, so that such exceptions will be clearly tied to statements of priorities made by publicly accountable bodies (e.g., through the public comment process for regulations, and by elected officials through statutes).

This is a conservative estimate of the number of people who will benefit from the regulation because it assumes that only those individuals who have health insurance or are in government programs will use medical services or benefit from the provisions of the proposed regulation.

Similarly, disclosure of such medical information by the group health plan, under the limited circumstances permitted by this privacy regulation, may involve use of the information for insurance purposes as broadly described in the ADA discussion above.

In California alone, examples of weblogogical deceleration can be seen at Cal Insurance Regulation, the Health Insurance Blog and California Insurance Lawyer Blog.

Self - funded health insurance plans (aka self - insured plans) have been available to «big business» for decades, but the risk of a large claim, a wide variance in month to month plan cost, and regulations, have prevented the small employer from stepping into the self - funded arena.

Based in South Florida, our local East Coast Health Insurance agents and professionals are educated in all specific Michigan health insurance rules and regulaHealth Insurance agents and professionals are educated in all specific Michigan health insurance rules and regInsurance agents and professionals are educated in all specific Michigan health insurance rules and regulahealth insurance rules and reginsurance rules and regulations.

The Irda has informed the court that the pending issues in new health regulations will be taken up seriously with insurance firms.

The proposed regulations in part 147 would amend the rules regarding fair health insurance premiums and guaranteed availability to reflect proposed changes related to the SHOPs and special enrollment periods.

At the end of that duration, you may or may not be able to buy additional health insurance, depending on state regulations and your health at that point in time.

To reduce such cases, Irdai recently clarified in its draft health insurance regulations that TPAs have no right to reject claims and such power lies exclusively with insurance company.

Although we call South Florida home, East Coast Health Insurance has experienced Arizona licensed agents that are experts in your state's specific health insurance rules and regulaHealth Insurance has experienced Arizona licensed agents that are experts in your state's specific health insurance rules and regInsurance has experienced Arizona licensed agents that are experts in your state's specific health insurance rules and regulahealth insurance rules and reginsurance rules and regulations.

In October 2017, President Trump signed an executive order that directs various federal agencies to «consider proposing regulations or revising guidance, consistent with law, to expand the availability of» short - term health insurance.

To protect consumers and ensure that these regulations are upheld, every state has a set of licensing requirements that brokers must meet in order to be eligible to sell health insurance.

The exams vary by state, but all cover health insurance regulations at the national level, as well as state regulations in the state in which the exam is being taken.

«Moreover, we remain concerned about other regulations being put in place — including expanded association health plans and short - term limited duration plans — will also push up premiums and create affordability problems for millions of Americans purchasing coverage in the individual health insurance market,» Donaldson said.

For the average person, health insurance (not to mention healthcare in general) is incredibly expensive; for health insurance companies, they're losing money in Obamacare markets and are restricted by regulations; for the Trump administration, they just want to get rid of the Affordable Care Act.

If you're NOT receiving a premium subsidy (ie, you have a health plan that you purchased outside the exchange, or you bought an exchange plan but are paying full price for it), your grace period is still governed by your state's regulations, and will be spelled out in your health insurance policy materials.

If that's the case, your open enrollment period is determined by the U.S. Department of Health and Human Services, under regulations pertaining to the Affordable Care Act (prior to 2014, there was no such thing as open enrollment for individual health insurance, but insurers in most states could reject applications from people with pre-existing conditions, or charge them higher premiums; coverage is now guaranteed issue, regardless of medical history, but enrollment is limited to open enrollment or special enrollment perHealth and Human Services, under regulations pertaining to the Affordable Care Act (prior to 2014, there was no such thing as open enrollment for individual health insurance, but insurers in most states could reject applications from people with pre-existing conditions, or charge them higher premiums; coverage is now guaranteed issue, regardless of medical history, but enrollment is limited to open enrollment or special enrollment perhealth insurance, but insurers in most states could reject applications from people with pre-existing conditions, or charge them higher premiums; coverage is now guaranteed issue, regardless of medical history, but enrollment is limited to open enrollment or special enrollment periods).

Section 147.104 (b)(2) incorporates certain triggering events for special enrollment periods described in the Exchange regulations at § 155.420 (d), and applies them to health insurance issuers offering non-grandfathered coverage in the individual market through or outside the Exchange.

In the past, she noted, ACTA has pointed out «that there are issues and gaps related to the sale of travel health insurance in Canada through the differing licensing regulations within each provincIn the past, she noted, ACTA has pointed out «that there are issues and gaps related to the sale of travel health insurance in Canada through the differing licensing regulations within each provincin Canada through the differing licensing regulations within each province.