Thu.Nov 04, 2021

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CMS Memo Provides Agency Contact Information for Surprise Billing Disclosures

ThomsonReuters

CMS Memo: Required Federal Agency Contact Information and Website to List on Certain Documents Related to the No Surprises Act (Oct. 25, 2021). Available at [link]. CMS has issued a memorandum to group health plans, insurers, and health care providers regarding agency contact information that must be included on certain notices and disclosures relating to the No Surprises Act, enacted as part of the Consolidated Appropriations Act, 2021 (CAA).

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How Often Should You Get a Valuation?

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How often should business owners get a valuation for their companies?

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OCR Cybersecurity Newsletter Addresses Security of Legacy Computer Systems

ThomsonReuters

OCR Cybersecurity Newsletter: Securing Your Legacy [System Security] (Oct. 29, 2021). Available at [link]. OCR’s Fall 2021 cybersecurity newsletter addresses the importance of securing legacy computer systems—that is, systems with one or more components that have been supplanted by newer technology and are no longer supported by the manufacturer. According to OCR, all organizations ideally would use only systems that are fully patched and up-to-date, but many factors explain why health organiza

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Denial of Life Insurance Benefit Supported by Clear Plan Provisions Despite Years-Long Collection of Premiums

ThomsonReuters

Talasek v. National Oilwell Varco, L.P., 2021 WL 4860133 (5th Cir. 2021). Available at [link]. An employee attempting to enroll in his employer’s ERISA-covered supplemental life insurance plan was informed that his elected coverage was “suspended” pending approval of required evidence of insurability. After some back-and-forth between the employee and the insurer, during which the employee corrected errors in his evidence-of-insurability form and provided additional materials, the insurance com

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How to Leverage Intent Data for Better Outcomes

Speaker: Susan Spencer, Principal of Spencer Communications

Intent signal data can go a long way toward shortening sales cycles and closing more deals. The challenge is deciding which is the best type of intent data to help your company meet its sales and marketing goals. In this webinar, Susan Spencer, fractional CMO and principal of Spencer Communications, will unpack the differences between contact-level and company-level intent signals.

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What Nondiscrimination Testing Rules Apply to Self-Insured Health Plans?

ThomsonReuters

QUESTION: We are changing our company’s group health (major medical) plan from fully insured to self-insured next year. Will our plan have to comply with nondiscrimination rules under Code § 105(h) and, if so, what do these rules require? ANSWER: Self-insured health plans are subject to two nondiscrimination tests under Code § 105(h)—the Eligibility Test and the Benefits Test.

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