cmonfils | March 29, 2011
www.self-insuranceworld.blogspot.com
March 23, 2011
The Montana State Legislature only meets for two months every two years so getting a bill passed requires a certain amount of precision. So it is particularly impressive that legislation to significantly improve the state’s captive insurance statute cleared the House and Senate by near unanimous votes and is expected to be signed into law by the governor. (more…)
Category: Montana |
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cmonfils | March 21, 2011
www.myhealthguide.com
MyHealthGuide Source: MCIA, 3/18/2011, www.mtcaptives.org
Legislation to further enhance Montana’s captive insurance statute is expected to be signed by the governor in the coming weeks now that it has passed the House and Senate by near unanimous votes. (more…)
Category: Montana |
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Adam V. Russo | February 12, 2010
The highest appellate courts of Maryland and Montana handed down decisions relating to the method by which insured group health plans and the personal insurance protection (PIP) benefits are to be coordinated. In both cases, a group plan refused to cover medical expenses for which PIP reimbursement is provided through auto liability policies. The courts came up with different results. (more…)
Category: Coordination of Benefits, Maryland, Montana |
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Adam V. Russo | February 12, 2010
High courts of Maryland and Montana handed down contrasting decisions relating to coordination of insured group-health and personal insurance protection (PIP) benefits. in both cases, a group plan refused to cover medical expenses for which PIP reimbursement was provided through auto liability policies. In Maryland, a court gave precedence to a provision saying group plans can coordinate with any entity that paid health expenses. Montana’s insurance commissioner threw out Blue Cross’ (BCBS) group-plan enrollment forms, which reserved the right to not pay for an injured member who received or benefits from liability insurers. The court rebuffed BCBS’ challenge, ruling that the Blue would be entitled to subrogation only after it paid benefits to its insured.
Category: Coordination of Benefits, Maryland, Montana |
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Adam V. Russo | January 25, 2010
For the last few years, states have been leading the way toward more comprehensive health care coverage to ensure that more people have or can obtain health insurance. Because of the potential impact of this ongoing activity on employer-provided health insurance benefits, Spencer’s Benefits Reports provides regular updates about state health care reform.
Montana. The state’s Healthy Montana Kids program has faced a large backlog of applications. The program, approved by voter initiative in 2008, expands Medicaid and CHIP, with the goal of covering an additional 29,000 children in low- and moderate-income families in Montana. More than 2,300 families have applied for the program for the first time since September, and only about 740 children have been added. Officials blame the backlog on a computer program. For more information, visit http://hmk.mt.gov/.
Category: Health Care Legislation, Montana |
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Adam V. Russo | April 18, 2008
by Ron E. Peck, Esq.
In the case of Ferguson v. Safeco Insurance Co. of America, 2008 WL 854841 (Mont.,2008), the Supreme Court of the State of Montana was asked to determine whether insureds could sue their insurance carrier in a class action suit, suing that insurance carrier for pursuing subrogation / reimbursement opportunities without first confirming that the insureds had been made whole. In Montana, policies regulated by state law may not subrogate or seek reimbursement for claims paid until the claimant is made whole by the tortfeasor or other liable third party first. Ordinarily, courts require the insured (and their attorney) to advise the insurance carrier that the insured has not been made whole, that the made whole doctrine applies, and provide evidence of the insured’s not being made whole. In the case at hand, however, the insured sued the insurance carrier not because it ignored her claim of not being made whole, but rather, failed to investigate on its own whether the insured had been made whole prior to pursuing reimbursement opportunities. (more…)
Category: Made Whole Rule, Montana |
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