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Plan Must Cover Room, Board for Residential Mental Health Treatment

HR Daily Advisor

Background. The permanent final rules ultimately issued in 2013 do require parity in this context, but the facts at issue in this case occurred when the interim rules were still in effect. Catholic Health Initiatives , No. 16-35609 (9th Cir., June 6, 2018). Source: FilippoBacci / E+ / Getty. appealed this decision to the 9th U.S.

HIPAA 40
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9th Circuit Faults Retiree Plan’s Disclosure of Lifetime Maximum

HR Daily Advisor

Background. Because the SMMs were not cumulative, nor was the 96-page SPD amended to reflect them, a plan beneficiary would have to read the relevant SPD section plus each SMM to learn the current language for a given benefit provision. The case is King v. Blue Cross & Blue Shield of Ill., 15-55880 (9th Cir. 15-55880 (9th Cir.