Phia Group

Texas Prompt Pay Law Not Preempted; Enforceable Against Self-Insured Health Plan TPAs

On June 17, 2015
A federal district court has ruled that ERISA does not preempt the Texas Prompt Payment Act as it applies to TPAs of self-insured benefit plans.

"Stories From The Front Lines" - Real Wins, Losses, & Difference Makers

On May 20, 2015
Join The Phia Group on Wednesday, May 20th, from 1 to 2 PM EST, as its attorneys discuss their experiences providing plan administrators with guidance as it relates to difficult claim processing decisions, conflict resolution, and bill negotiation… as well as dissect the small factual differences between otherwise similar scenarios that made all the difference.

"Survival of the Fittest" - Best Practices to Perfect a Modern TPA

On April 23, 2015
Join The Phia Group’s legal team as they discuss the best practices for TPA’s and how this can help you!

The Phia Group, LLC – 1st Quarter Newsletter – 2015

On April 8, 2015
The Book of Russo, Letter from the Editor, Free Monthly Webinar, SCOTUS

The Phia Group, LLC – 1st Quarter 2015 – The Stacks

On April 8, 2015
one of the primary goals of ERISA is to establish a uniform statutory framework for employee benefit plans, a major feature is the preemption of most state regulation which touches on employee benefit plans falling within its scope.

"To Be Or Not To Be"... A Fiduciary - Do You Even Have A Choice?

On March 25, 2015
Being a fiduciary is serious business. Determining whether you are one can also be very complicated. Case law increasingly establishes that being a fiduciary has more to do with the action one takes, than the contract one signs. Entities working on behalf of self-funded benefit plans may be unknowingly taking on fiduciary status. Are you a fiduciary? What are the advantages and disadvantages of taking on that burden? What can you do to protect yourself?

SIIA State Legislative/Regulatory Update Report

On March 17, 2015
In the face of stiff opposition by SIIA and allied stakeholders, the principal backers of HB 552/SB 703 proposed significant changes to the legislation, including lower attachment points and a study of several issues.

Pushback & Counter-Attack

On February 12, 2015
Pushback & Counter-Attack – How attorneys, providers, and the government are combating your efforts to contain costs… and what you should be doing about it!

Anthem Data Breach Implications for Employers

On February 10, 2015
As has now been widely reported, Anthem, Inc. was the unfortunate target of a cyber-attack potentially impacting 80 million current and former customers.

IMPLANT WARS!

On January 14, 2015
IMPLANT WARS: How monitoring provider self-referrals, & negotiating based on actual costs can result in major plan savings!

Federal Court Keeps TPA As Third-Party Defendant in Suit Between Stop Loss Carrier and Group

On January 14, 2015
This case is a federal civil procedure professor’s dream. One can easily imagine it as a part of a first-year law student’s final exam. I discuss it because the backdrop for all the procedural issues is a stop loss dispute between a carrier and a group and its TPA

4th Quarter Newsletter 2014

On January 13, 2015
I’d like to start by thanking all of you that have chosen The Phia Group as your trusted partner. I know very well that other options are available to you, and we are inspired and thankful everyday that you place your trust in us. I have always, and will continue to promise, that our team of recovery specialists, plan drafters, paralegals, lawyers, and support staff will do everything in our power to maximize the benefits while lowering the cost of your health benefit programs!

4th Quarter 2015 Newsletter – Phia News

On January 13, 2015
4th Quarter 2015 Newsletter for The Phia Group. New Faces, Giving Back, Announcements

"In Reference To The FAQ"... The DOL FAQ Dissected - Part Deux!

On November 20, 2014
Join The Phia Group’s CEO, Adam V. Russo; Sr. VP & General Counsel, Ron E. Peck; and other members of the legal team as we continue to dissect the FAQ, its key provisions, and how it impacts “RBP Plans .

Phia Group Consulting Addresses Regulatory Compliance

On November 16, 2014
Braintree, MA – For years, The Phia Group’s team of consultants have been dealing with various regulatory inquiries. In response to the impending influx of regulation bound to follow the recent election and rollout of PPACA’s most complex provisions, The Phia Group announced this week the official formation of its Regulatory Compliance team.