The Phia Group, LLC | Claim Recovery Specialists

January 2012 – Peer Into the Future…Forecasting Health Benefits in 2012

amilesky — Wed, 22 Feb 2012 19:10:05 +0000

January 2012

2/11/12 – The Phia Group’s Adam Russo Fires at WSJ Article ‘When Insurance Fails…’

amilesky — Sun, 12 Feb 2012 17:21:45 +0000

MyHealthGuide Source: Adam V. Russo, CEO, The Phia Group, 2/6/2012, www.PhiaGroup.com

To the Editors of Wall Street Journal: On January 7, 2012, Leslie Scism wrote an article for the Wall-Street Journal, titled ” When Insurance Fails: Cheaper Policies Bought in the Workplace Can Have Drawbacks.” As an attorney as well as a regular reader of the Wall-Street Journal, I was shocked to see such misinformation. At the outset, the author mentions premium increases health insurance has been imposing upon us. These premium increases apply solely to what is called “fully funded insurance policies;” whereby an insured pays premiums to an insurance carrier, and the carrier bears the risk of loss…

2/10/12 – The Wait is Finally Over…The Final Rules for the Summary of Benefits (“SBC”) and Coverage and Uniform Glossary Templates and Instructions Have Arrived

amilesky — Sun, 12 Feb 2012 17:09:28 +0000

BRAINTREE, MASSACHUSETTS – February 10, 2012 – The guidance, scheduled for publication on February 14, 2012, sets forth the rules for group health plans to draft the mandated SBCs for the first year of their application. The Departments advise they are taking a “phased approach” to implementation, particularly since they acknowledge that January 1, 2014 will bring on new market reforms wherein additional changes will be prompted…

02/07/12 – The Benefits & Best Practices of Self Funding

amilesky — Mon, 06 Feb 2012 22:50:32 +0000

Presented By Adam V. Russo, Esq. & Ron E. Peck, Esq.
World Congress
February 6, 2012

[Read More]

01/31/12 – Legislative Implications for TPAs

amilesky — Thu, 02 Feb 2012 21:16:52 +0000

Presented By Adam V. Russo, Esq.
AAPPO 2012 Anunual Forum
January 31, 2011

[Read More]

01/25/2012 – The Phia Group Announces the Development of its Plan Language Service Center

amilesky — Tue, 31 Jan 2012 22:54:01 +0000

Braintree, MA, 01/25/2012 – To ensure that all self funded benefit plans maximize benefits while minimizing costs, The Phia Group is proud to announce its new “Plan Language Service Center.”
The Phia Group’s Senior Vice President and General Counsel, Ron E. Peck, advised that, “It is a fact that the greatest advantage of being self-funded is plan design. All of the plan’s rights, obligations, and rules are set forth in its plan document. That is why a benefit plan’s rights are only as good as its plan language.” The Employee Retirement Income Security Act of 1974 (“ERISA”) merely permits the enforcement of the plan document. If the document is ambiguous or silent as it relates to any issue, the benefits of ERISA are nullified…

January 2012 Newsletter

amilesky — Tue, 17 Jan 2012 21:07:04 +0000

A new year always brings hope for a new beginning, and 2012 is no different. Unfortunately in our business, the issues and problems that we had in 2011 don’t just go away – they linger and linger and just get bigger.

January Newsletter

December 2011 – Looking at the PPO Persepctive from All Points of View

amilesky — Wed, 04 Jan 2012 20:03:16 +0000

December 2011

02/15/12 – “Health Care on the Docket – A review of hot-button health care issues… appearing in a courthouse near you!”

amilesky — Wed, 04 Jan 2012 19:54:52 +0000

PDF Only

Please fill out the following form to retrieve the link.

December 2011 Newsletter

amilesky — Wed, 21 Dec 2011 14:27:18 +0000

What a year this has been! At this time last year, we were hoping that 2011 would clarify the picture for all of us when it comes to health care reform. Unfortunately, as this year comes to a close, we can see that 2011 just brought more questions than answers…

December Newsletter