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Cms Releases Non Group Teaser
May 3, 2023

CMS releases Non-Group Health Plan (NGHP) Applicable Plan Appeals Reference Guide (Version 1.0)

The Centers for Medicare and Medicaid Services (CMS) has released a Non-Group Health Plan (NGHP) Applicable Appeals Reference Guide (Version 1.0, April 27, 2023).

Cms Gender
May 1, 2023

CMS’s Query Process and non-binary/unspecified gender designations – current issues and considerations

Section 111 non-group health plan (RREs) involves the inability to submit non-binary or unspecified gender designations as part of the (CMS’s)

Businessowners Program Teaser
May 1, 2023

It’s a good time for insurers to consider a businessowners program

Solutions to ease entry into the businessowners policy program market and sustain that business across the value chain.

Property Auto Inspection
April 28, 2023

Having the best of both worlds in property and auto inspections

Determining or verifying key risk characteristics of insured property or vehicles can be costly, labor-intensive, and time-consuming.

Marketstance Teaser
April 27, 2023

Can insurers make finding growth opportunities easy? Absolutely

Here's one way to stay ahead of the competition.

Texas Transitions Teaser
April 26, 2023

Reminder update: Texas transitions to Release 3.1 regarding First Report of Injury (FROI) and Subsequent Report of Injury (SROI) effective July 26, 2023

Reminder update: Texas transitions to Release 3.1 regarding First Report of Injury (FROI) and Subsequent Report of Injury (SROI) effective July 26, 2023

11th Circuit Teaser
April 26, 2023

The Eleventh Circuit dismisses a Medicare Advantage “double damages” lawsuit – court rules the MSP statute does not preempt insurer's claims-filing deadline or Florida’s no-fault pre-suit demand

In a recent Medicare Advantage recovery action, the United States Eleventh Circuit Court of Appeals in MSP Recovery Claims.

11th Circuit Teaser
April 26, 2023

Starting April 29, 2023, CMS Will Use the 2020 CDC Life Table for WCMSAs

The (CMS) has announced that beginning April 29, 2023, it will use the new 2020 CDC Life Table to calculate adjusted life expectancies in (WCMSAs).

Cms Releases Section
April 25, 2023

CMS releases Section 111 NGHP User Guide (Version 7.1, April 24, 2023)

The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 NGHP User Guide (Version 7.1, April 24, 2023)

Second Circuit Teaser
April 25, 2023

Second Circuit dismisses Medicare Advantage “double damages” lawsuit on standing grounds – rules the insurer’s Section 111 reporting did not establish liability

In an interesting new Medicare Advantage recovery decision, the United States Second Circuit Court of Appeals in MSP Recovery Claims.

Q1 Quarterly Report 23
April 12, 2023

Reconstruction cost dips signal increased market stabilization

Total reconstruction costs, including materials and labor, increased 3.1% from April 2022 to 2023. Costs continue to slow down and steady.

Weather Teaser
April 6, 2023

Severe thunderstorms and hail: Concentrated events that pack a punch

Severe thunderstorms are a common natural phenomenon in the US, causing more than half of annual reported insured losses since 1985.

Emerging Issues Teaser 1
April 4, 2023

Emerging Issues Bracket Recap: Your Top Topic Picks in 2023

Your top concern? PFAS “forever chemicals.”

Undetected Fraud Teaser
April 3, 2023

Uncover the Undetected Fraud in Your Claim

Annually, insurance fraud steals roughly $308.6B from American consumers. Self-insureds could be vulnerable to insurance fraud and undetected leakage.

Lousiana Froi Teaser
March 31, 2023

Reminder update: Louisiana transitions to Release 3.1 regarding First Report of Injury (FROI) reporting effective May 22, 2023

This is an important reminder that the (LWC) will transition from EDI Claims R3.0 (FROI only) to EDI Claims R.3.1 (FROI only) effective 05/22/23.

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