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	<title>Passion for Subro &#187; Stop Loss</title>
	<atom:link href="http://www.passionforsubro.com/category/stop-loss/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.passionforsubro.com</link>
	<description>The personal subrogation blog of Attorney Adam V. Russo.</description>
	<lastBuildDate>Thu, 09 Feb 2012 15:03:37 +0000</lastBuildDate>
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		<title>Administrator Flubs Stop-loss Claim; State-law Charges on Administrator Not Preempted</title>
		<link>http://www.passionforsubro.com/erisa/administrator-flubs-stop-loss-claim-state-law-charges-on-administrator-not-preempted/</link>
		<comments>http://www.passionforsubro.com/erisa/administrator-flubs-stop-loss-claim-state-law-charges-on-administrator-not-preempted/#comments</comments>
		<pubDate>Wed, 18 Jan 2012 15:14:49 +0000</pubDate>
		<dc:creator>cmonfils</dc:creator>
				<category><![CDATA[4th]]></category>
		<category><![CDATA[ERISA]]></category>
		<category><![CDATA[Maryland]]></category>
		<category><![CDATA[Preemption]]></category>
		<category><![CDATA[Stop Loss]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=8473</guid>
		<description><![CDATA[Employer’s Guide to Self-Insuring Health Benefits        January 2012 &#124; Vol. 19, No. 4  A claims administrator lost an attempt to dismiss negligence and breach of contract charges relating to its failure to process and pay a large claim before the final day of a stop-loss policy’s run-out period.  The self-insured Hebrew Home health plan sued [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>SPBA&#8217;s Fred Hunt: State of the TPA Industry &amp; Forecast for 2012</title>
		<link>http://www.passionforsubro.com/stop-loss/spbas-fred-hunt-state-of-the-tpa-industry-forecast-for-2012/</link>
		<comments>http://www.passionforsubro.com/stop-loss/spbas-fred-hunt-state-of-the-tpa-industry-forecast-for-2012/#comments</comments>
		<pubDate>Mon, 09 Jan 2012 01:04:31 +0000</pubDate>
		<dc:creator>cmonfils</dc:creator>
				<category><![CDATA[Health Insurance]]></category>
		<category><![CDATA[Plan Sponsor]]></category>
		<category><![CDATA[PPACA]]></category>
		<category><![CDATA[State Law]]></category>
		<category><![CDATA[Stop Loss]]></category>
		<category><![CDATA[Supreme Court]]></category>
		<category><![CDATA[Third Party Administrators]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=8359</guid>
		<description><![CDATA[www.myhealthguide.com MyHealthGuide Source: Fred Hunt, Active Past President, SPBA, 12/2012, www.SPBATPA.org The state of TPAs and the forecast for the future is the brightest it has been for many years (not to say that it is not an extremely tight marketplace). Background and Mood TThis article is useful for perspective in shaping corporate strategy, but [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Court Foils Latest Attempt to Argue Stop-loss Converts Self-funded Plans Into Fully Insured</title>
		<link>http://www.passionforsubro.com/erisa/court-foils-latest-attempt-to-argue-stop-loss-converts-self-funded-plans-into-fully-insured/</link>
		<comments>http://www.passionforsubro.com/erisa/court-foils-latest-attempt-to-argue-stop-loss-converts-self-funded-plans-into-fully-insured/#comments</comments>
		<pubDate>Wed, 04 Jan 2012 01:52:44 +0000</pubDate>
		<dc:creator>cmonfils</dc:creator>
				<category><![CDATA[3rd]]></category>
		<category><![CDATA[6th]]></category>
		<category><![CDATA[ERISA]]></category>
		<category><![CDATA[Preemption]]></category>
		<category><![CDATA[Self-Funding]]></category>
		<category><![CDATA[Stop Loss]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=8299</guid>
		<description><![CDATA[Employer’s Guide to Self-Insuring Health Benefits      December 2011 &#124; Vol. 19, No.3  The attempted treatment of stop-loss coverage as “health insurance” subject to state insurance law has been a thorn in the sides of self-funded plans seeking to maintain ERISA preemption of state insurance laws.  In Goyen v. Vail Corp., 2011 WL 4479091 (D. Colo., [...]]]></description>
		<wfw:commentRss>http://www.passionforsubro.com/erisa/court-foils-latest-attempt-to-argue-stop-loss-converts-self-funded-plans-into-fully-insured/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Colorado Federal Court Reaffirms Principle That Purchase of Stop Loss Insurance Does Not Affect Self-Insured Status of Plan</title>
		<link>http://www.passionforsubro.com/stop-loss/colorado-federal-court-reaffirms-principle-that-purchase-of-stop-loss-insurance-does-not-affect-self-insured-status-of-plan/</link>
		<comments>http://www.passionforsubro.com/stop-loss/colorado-federal-court-reaffirms-principle-that-purchase-of-stop-loss-insurance-does-not-affect-self-insured-status-of-plan/#comments</comments>
		<pubDate>Fri, 16 Dec 2011 14:45:38 +0000</pubDate>
		<dc:creator>cmonfils</dc:creator>
				<category><![CDATA[Colorado]]></category>
		<category><![CDATA[Self-Funding]]></category>
		<category><![CDATA[Stop Loss]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=8073</guid>
		<description><![CDATA[The Self-Insurer   November 2011 Issue &#38; Volume 37    From the Bench    By Thomas Croft, Esq. (Goyen v. Vail Corp., No. 10-cv-02392, in the United States District Court for the District of Colorado, September 26, 2011). If it weren’t for the recent brouhaha spawned by the NAIC’s criticisms of stop loss insurance, this case would be [...]]]></description>
		<wfw:commentRss>http://www.passionforsubro.com/stop-loss/colorado-federal-court-reaffirms-principle-that-purchase-of-stop-loss-insurance-does-not-affect-self-insured-status-of-plan/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Health Care Reform Spotlights Need for Medical Stop Loss Insurance</title>
		<link>http://www.passionforsubro.com/stop-loss/health-care-reform-spotlights-need-for-medical-stop-loss-insurance/</link>
		<comments>http://www.passionforsubro.com/stop-loss/health-care-reform-spotlights-need-for-medical-stop-loss-insurance/#comments</comments>
		<pubDate>Fri, 16 Dec 2011 14:12:48 +0000</pubDate>
		<dc:creator>cmonfils</dc:creator>
				<category><![CDATA[Health Care Legislation]]></category>
		<category><![CDATA[Stop Loss]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=8058</guid>
		<description><![CDATA[Two new requirements imposed by the health care reform act (ACA) make the issue of self-funding and the need for stop loss insurance more compelling for plan sponsors. First, ACA adds new federal taxes on health insurer providers beginning in 2014. These new taxes will add to state insurance premium taxes and make the savings [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Allegations Based on TPA&#8217;s Late Submission of Stop Loss Claim Held Actionable Under State Law; &#8220;Substantial Compliance&#8221; with Payment Window of Stop Loss Policy Cuts No Mustard</title>
		<link>http://www.passionforsubro.com/erisa/allegations-based-on-tpas-late-submission-of-stop-loss-claim-held-actionable-under-state-law-substantial-compliance-with-payment-window-of-stop-loss-policy-cuts-no-mustard/</link>
		<comments>http://www.passionforsubro.com/erisa/allegations-based-on-tpas-late-submission-of-stop-loss-claim-held-actionable-under-state-law-substantial-compliance-with-payment-window-of-stop-loss-policy-cuts-no-mustard/#comments</comments>
		<pubDate>Mon, 05 Dec 2011 15:14:52 +0000</pubDate>
		<dc:creator>cmonfils</dc:creator>
				<category><![CDATA[ERISA]]></category>
		<category><![CDATA[Self-Funding]]></category>
		<category><![CDATA[Stop Loss]]></category>
		<category><![CDATA[Third Party Administrators]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=7984</guid>
		<description><![CDATA[www.myhealthguide.com MyHealthGuide Source: Thomas Croft, Esq., King &#38; Croft LLP, 12/2/2011, www.StopLossLaw.com Case: Hebrew Home of Greater Washington, Inc. v. CoreSource, Inc. and Sun Life Assurance Co. of Canada; No.11-cv-00710, in the United States District Court for the District of Maryland, 11/3/2011. Court&#8217;s Opinion Mr. Croft&#8217;s Comment: A Maryland federal court has determined that a [...]]]></description>
		<wfw:commentRss>http://www.passionforsubro.com/erisa/allegations-based-on-tpas-late-submission-of-stop-loss-claim-held-actionable-under-state-law-substantial-compliance-with-payment-window-of-stop-loss-policy-cuts-no-mustard/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Stop Loss Health Insurers Warming up to Wellness</title>
		<link>http://www.passionforsubro.com/stop-loss/stop-loss-health-insurers-warming-up-to-wellness/</link>
		<comments>http://www.passionforsubro.com/stop-loss/stop-loss-health-insurers-warming-up-to-wellness/#comments</comments>
		<pubDate>Tue, 29 Nov 2011 18:41:12 +0000</pubDate>
		<dc:creator>cmonfils</dc:creator>
				<category><![CDATA[Stop Loss]]></category>
		<category><![CDATA[Wellness]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=7917</guid>
		<description><![CDATA[www.myhealthguide.com MyHealthGuide Source: Joanne Wojcik, 11/20/2011, Business Insurance Article As more and more middle-market employers turn to self-funding their benefits as part of their cost-containment strategy, some stop-loss insurers are lending a helping hand with incentives to adopt medical management programs.Many stop-loss underwriters providing excess coverage will consider effective wellness and disease management programs in [...]]]></description>
		<wfw:commentRss>http://www.passionforsubro.com/stop-loss/stop-loss-health-insurers-warming-up-to-wellness/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Sun Life Financial&#8217;s, Karin James, Sees, &#8216;Stop-Loss in Fierce Competition&#8217;</title>
		<link>http://www.passionforsubro.com/stop-loss/sun-life-financials-karin-james-sees-stop-loss-in-fierce-competition/</link>
		<comments>http://www.passionforsubro.com/stop-loss/sun-life-financials-karin-james-sees-stop-loss-in-fierce-competition/#comments</comments>
		<pubDate>Tue, 29 Nov 2011 18:39:55 +0000</pubDate>
		<dc:creator>cmonfils</dc:creator>
				<category><![CDATA[PPACA]]></category>
		<category><![CDATA[Self-Funding]]></category>
		<category><![CDATA[Stop Loss]]></category>
		<category><![CDATA[Third Party Administrators]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=7915</guid>
		<description><![CDATA[www.myhealthguide.com MyHealthGuide Source: Allison Bell, 11/21/2011, LifeHealthPro Article Karin James, an assistant vice president in the U.S. stop-loss operations at Sun Life Financial Inc., Toronto (NYSE:TSX), says, &#8220;Stop-loss is a very tough market.  Very competitive.&#8221; during a recent interview. The Patient Protection and Affordable Care Act of 2010 (PPACA) has increased interest in stop-loss for [...]]]></description>
		<wfw:commentRss>http://www.passionforsubro.com/stop-loss/sun-life-financials-karin-james-sees-stop-loss-in-fierce-competition/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Stop-loss Insurance and Self-insuring: Will Regulators Ever Understand It?</title>
		<link>http://www.passionforsubro.com/erisa/stop-loss-insurance-and-self-insuring-will-regulators-ever-understand-it/</link>
		<comments>http://www.passionforsubro.com/erisa/stop-loss-insurance-and-self-insuring-will-regulators-ever-understand-it/#comments</comments>
		<pubDate>Mon, 21 Nov 2011 00:50:32 +0000</pubDate>
		<dc:creator>cmonfils</dc:creator>
				<category><![CDATA[3rd]]></category>
		<category><![CDATA[4th]]></category>
		<category><![CDATA[5th]]></category>
		<category><![CDATA[7th]]></category>
		<category><![CDATA[9th]]></category>
		<category><![CDATA[DOL]]></category>
		<category><![CDATA[ERISA]]></category>
		<category><![CDATA[Health Insurance]]></category>
		<category><![CDATA[HHS]]></category>
		<category><![CDATA[PPACA]]></category>
		<category><![CDATA[Self-Funding]]></category>
		<category><![CDATA[Stop Loss]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=7856</guid>
		<description><![CDATA[Employer’s Guide to Self-Insuring Health Benefits Thompson Publishing                  November 2011      Vol. 19, No. 2 The federal agencies in charge of implementing health reform and the National Association of Insurance Commissioners (NAIC) keep saying stop-loss policies with low attachment points mean an employer-sponsored health plan is really not self-funded. Contributing Editor Adam V. Russo and Attorney [...]]]></description>
		<wfw:commentRss>http://www.passionforsubro.com/erisa/stop-loss-insurance-and-self-insuring-will-regulators-ever-understand-it/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Plan Cannot Prolong COBRA Benefits  For Retiree Without S-L Insurer’s OK</title>
		<link>http://www.passionforsubro.com/stop-loss/plan-cannot-prolong-cobra-benefits-for-retiree-without-s-l-insurer%e2%80%99s-ok/</link>
		<comments>http://www.passionforsubro.com/stop-loss/plan-cannot-prolong-cobra-benefits-for-retiree-without-s-l-insurer%e2%80%99s-ok/#comments</comments>
		<pubDate>Wed, 16 Nov 2011 20:22:52 +0000</pubDate>
		<dc:creator>cmonfils</dc:creator>
				<category><![CDATA[Self-Funding]]></category>
		<category><![CDATA[Stop Loss]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=7816</guid>
		<description><![CDATA[Employer’s Guide to Self-Insuring Health Benefits        October 2011 &#124; Vol. 19, No. 1 A self-funded group health plan extended COBRA benefits to a retiree for 10 years after he stopped working, but never told its stoploss (S-L) insurer about the special terms between the retiree and plan, beyond merely listing his name as an eligible [...]]]></description>
		<wfw:commentRss>http://www.passionforsubro.com/stop-loss/plan-cannot-prolong-cobra-benefits-for-retiree-without-s-l-insurer%e2%80%99s-ok/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
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