Wanda Glenn contested the denial of her health care claim arising from an ERISA governed welfare plan. The District Court held in her favor; the Federal Appeals Court reversed. In […]
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Section 1557 forbids discrimination by (a) age, (b) race, (c) sex (including orientation), (d) color, (e) religion or (f) national origin with respect to benefits, benefit-related programs or eligibility thereof. […]
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Here is a table that allows the scaling of relative claim dollar totals for attained age bands 0-4, 5-19, 10-14 … 60-64 (source: Chart 6: Inpatient Facility Costs by Age and […]
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The Centers for Medicare & Medicaid Services (CMS) Continuance Tables and the CMS Minimum Value calculator are based on a Mean (Average) Inpatient (IP) value of $1,657 (trended to 2016) and a Standard […]
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