Prescription drug copayments - fiduciary duty - plan discounts

Article Abstract:

The decision given by the U.S. District Court for the District of Massachusetts in Alves v. Harvard Pilgrim Health Care, Inc., 316 F.3d 290 (1st Cir. 2003) affirm'd per curiam, 204 F. Supp. 2d 198 (D.C. Mass. 2002) is presented. The case is about the interpretation of the extent of c opayments for prescription drugs in health care plans. James Alves and Hillel Stavis filed the case against Harvard Pilgrim Health Care, Inc. The relevant provisions of ERISA are also d iscussed.

Drugs Reimbursement Benefits, Prescription drug plans, Fiduciary duties, United States. District Court (Massachusetts)

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Exhaustion of remedies - plan's failure to inform

Article Abstract:

Non-compliance with undisclosed claims filing requirements cannot be the basis for applying the doctrine of exhaustion of administration remedies. Hubert Back filed the case against Danka Corporation for wrongfully withholding severance pay in violation of ERISA. This was the ruling given by the Eighth Circuit Court of appeals in the Back v. Danka Corp., case.

Office machines, not elsewhere classified, Office equipment and supplies industry, Office equipment industry, Retirement income, Workers, United States. Court of Appeals for the 8th Circuit, Back, Hubert, Danka Office Imaging Company Inc.

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Supreme court review: social security disability insurance benefits - eligibility

Article Abstract:

In the Barnhart, Commissioner of Social Security v. Walton, the Supreme Court has upheld the SSA's interpretation of the act in awarding disability benefits to the applicant and the subsequent modification.

Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs), Social Security Administration, Interpretation and construction, Disability rights, United States. Supreme Court, United States. Social Security Administration

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