Extension of ERISA Health, Life, and Disability Claim Deadlines During Covid-19 “National Emergency” [UPDATED: March, 2021, to Reflect EBSA Guidance Issued]

By markscherzer | Published October 5, 2020 | Posted in Health Insurance Benefits, Long Term Disability Benefits |

By A. Christopher Wieber (Law Office of Mark Scherzer) What if your long-term disability claim was denied and you have a 180-day appeal deadline, but — due to the coronavirus pandemic — your doctors’ offices have been closed, or short-staffed, so that it is impossible to obtain supporting medical documentation in a timely fashion? If your Read More

If I am Not Disabled, but Lose My Job in a Coronavirus-Related Layoff, What Can I do to Keep my Medical, Life, and Disability Coverage?

By markscherzer | Published March 24, 2020 | Posted in Health Insurance Benefits, Long Term Disability Benefits |

By Mark Scherzer, Esq. (Law Office of Mark Scherzer) If you are facing a recent or imminent layoff because of the economic impact of the coronavirus (Covid-19) pandemic, you may be wondering whether it is possible to keep some or all of your existing company-sponsored employee benefits (such as your health plan, your group life Read More

Halo and Strict Enforcement of ERISA Health and Disability Benefit Claim Procedures

By markscherzer | Published January 9, 2020 | Posted in Health Insurance Benefits, Long Term Disability Benefits |

By A. Christopher Wieber, Esq. (Law Office of Mark Scherzer) In 2016, the Second Circuit Court of Appeals issued Halo v. Yale Health Plan, 819 F.3d 42 (2d Cir. 2016), a decision that has reinforced the important protections provided by ERISA’s full-and-fair-review procedural requirements. ERISA’s regulations set forth rules regarding the timing and content of decision Read More

Attorney Mark Scherzer On CIGNA Acquisition Of Express Scripts

By markscherzer | Published March 21, 2018 | Posted in Health Insurance Benefits |

Lawyer Mark Scherzer was recently quoted in Crain’s New York Business on CIGNA’s deal to acquire Express Scripts. Mr. Scherzer noted that such acquisitions may benefit insurance consumers and policyholders because when insurance companies acquire pharmacy benefit managers (PBMs), the PBMs become part of the regulated insurance industry and may themselves become more susceptible to Read More

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