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Physicians and Providers Can Now Sue Insurers for Double Damages

Physicians and Other Providers Can Now Sue Insurers for Double Damages Under the Medicare Secondary Payer Law
Thursday, February 25, 2021
The Medicare Secondary Payer Act is a law that allows Medicare and Medicare Advantage (MA) plans to recover monies they paid for a Medicare patient’s health care from other insurers who are primarily liable for the patient’s health care costs. Usually, these other insurers are auto insurers, worker’s compensation insurers and general liability insurance. The law was created to protect the Medicare program from unnecessary expenditures for treating injuries that are covered under one of these other types of insurance. Generally, the other insurers are obligated to reimburse Medicare or MA plans on a voluntary basis once their liability for coverage has been established, such as when a car accident suit is settled or the insurer loses at trial. But when the insurers do not voluntarily reimburse the Medicare program for thes ....

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Benefits Counselor – December 2020 - Employment and HR

RETIREMENT PLAN DEVELOPMENTS
DOL Finalizes Pooled Plan Provider Registration
Requirements
The U.S. Department of Labor (DOL) finalized registration
requirements for pooled plan providers offering
pooled employer plans through its final regulation,
which became effective on November 16, 2020. Beginning on
January 1, 2021, the Setting Every Community Up for Retirement
Enhancement Act of 2019 (SECURE Act) authorizes newly permitted
pooled plan providers to begin offering pooled employer plans. The
pooled plan provider is named fiduciary for a pooled employer plan
and is responsible for performing most administrative and fiduciary
functions for the plan. Pooled plan providers are required to
register with both the DOL and the U.S. Department of the Treasury ....

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