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Category Archive
Health Insurance Benefits
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Halo and Strict Enforcement of ERISA Health and Disability Benefit Claim Procedures

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

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Attorney Mark Scherzer On CIGNA Acquisition Of Express Scripts

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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