Insights

Currently, the Fifth Circuit Court of Appeals (Fifth Circuit) is considering an appeal by air ambulance providers Guardian Flight, LLC and Med-Trans Corporation (appellants) of a district court decision dismissing their claim against insurer Health Care Service Corporation (appellee). As reported in our July 30, 2024, edition of Compliance Corner, the appellants sought to compel payment of an amount awarded them under the CAA No Surprises Act (NSA) independent dispute resolution (IDR) proc

NFP's Benefits Compliance and Well-Being and Engagement teams recently held a webinar in which they discussed the compliance challenges of designing and implementing an effective wellness program.

Learn how to identify which benefits to provide across your locations overseas, as well as key considerations that may affect what international benefits you can offer in each location.

In a recent ruling, the EPA designated perfluorooctanoic acid and perfluorooctanesulfonic acid as hazardous substances under the Comprehensive Environmental Response, Compensation, and Liability Act.

Cyber threats aren’t slowing down, and the emphasis on cybersecurity hygiene has only become more pronounced over the years. Fortunately, there are simple tried and true steps that can help keep your data secure.  Recently, Microsoft mandated multifactor authentication (MFA) for all Azure users. This decision comes amid a surge in cyberattacks and data-exposure incidents, including for a healthcare services company and a background checking group, that have revealed the widespread effects

On September 25, 2024, in Knudsen v. MetLife Group Inc., the Third Circuit Court of Appeals (Third Circuit) affirmed the dismissal of a putative class action lawsuit claiming ERISA violations by defendant MetLife for its retention of prescription drug plan rebates. The Third Circuit found that the plaintiffs, who were former MetLife employees, had failed to allege the necessary financial harm to establish standing as required under Article III of the US Constitution. In Knudsen, MetLife was the

Certain pre-tax wellness arrangements that promise large tax savings for employers and employees with little employer investment (sometimes referred to as “wellness indemnity plans” or “FICA savings programs”) frequently lack a legitimate basis in tax law (the Internal Revenue Code (IRC)) and consequently are typically too good to be true. Unfortunately, marketing and other promotional materials regarding these cafeteria plan wellness arrangements can be vague and misleading, making it difficul

On September 27, 2024, California Gov. Gavin Newsom signed into law AB 2258, which prohibits any group or individual non-grandfathered healthcare service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2025, from imposing cost-sharing requirements for specified preventive care services and screenings such as reproductive healthcare (including contraceptives such as intrauterine device (IUDs)), HIV prevention medications like pre-exposure prophylaxis (

On September 19, 2024, in Dwyer v. United Healthcare Ins. Co., the United States Court of Appeals for the Fifth Circuit (the court) found that defendant United Healthcare (UHC) improperly denied benefits for the continuing treatment of a participant’s anorexia nervosa, disregarding both the plan’s own coverage terms and its claims and appeals procedures. In this case, ED, the preteen dependent of plaintiff Kelly Dwyer, received inpatient care at a residential treatment facility that specializes