The Phia Group Blog

Welcome to The Phia Group Blog, your source for cutting-edge insights into health plans, cost containment, and industry regulations updates. We break down top stories and trends, share actionable strategies, and provide expert perspectives to help you stay ahead.

United States Court of Appeals, Eleventh Circuit. Cornelius B. FAISON, Plaintiff–Appellee, v. DONALSONVILLE HOSPITAL INC., Defendant–Appellant. No. 12–15400. Aug. 22, 2013. Appeal from the United States District Court For the Middle District of Georgia. D.C. Docket No. 1:11–cv–00010–WLS. Jerry A….

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EARLY IDENTIFICATION, INTERVENTION AND STRONG PLAN LANGUAGE HAVE NEVER BEEN MORE IMPORTANT!!! In the last hour, The Supreme Court of the United States issued an 8-1 decision in favor of the plan participant in the case of Montanile v. Board of…

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Take Your Money and Run! Montanile Changes Subrogation – How Will You Respond? On January 20, 2016, The Supreme Court of the United States decided in favor of the plan participant in the case of Montanile v. Board of Trustees…

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The Stacks   The High Cost of Healthcare Dissected, by Adam Russo, Esq., Ron Peck, Esq., and Jon Jablon, Esq. I. The Cost of Healthcare in The US is Arbitrary and Out of Control It is no secret that the…

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By Keith R. McMurdy The Employee Retirement Income Security Act generally requires that plan participants get copies of summary plan descriptions, plan documents and annual reports when requested. ERISA Section 104(b)(4) provides that “the administrator shall, upon written request of…

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A federal court hearing an FMLA interference case has sidestepped deciding whether it is legal for an employer to place an employee on involuntary FMLA leave. Read More…

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