24 Feb 2021
An Apple a Day Keeps Providers Away: COVID-19 Health Insurance Claims Pre-litigation
Follow preliminary steps and address key considerations that arise during the investigation phase of a health insurance claim with this practice note, which evaluates applications, policy issuance, and the claims process. The overlay of COVID-19—which demands yet another layer of analysis, inquiry, and preparation—is also discussed. Includes potential claims against health insurers and insurance intermediaries.
Related Content
- COVID-19 Health Insurance Claims Pre-Litigation Checklist
Use this health insurance claim for potential suit, including concerns involving defense of an insurance intermediary joined in a claim for wrongful denial of benefits and matters to address when differentiating actual health insurance from other products. - Coronavirus (COVID-19) Resource Kit: Healthcare
Review a compilation of practice notes, checklists, articles, and state law surveys on COVID-19 and its impact on the healthcare industry, particularly healthcare providers and health insurers. - CAA Benefits Alert: 2021 Appropriations Bill Adds New ERISA Disclosure Requirements for Health Plan Brokers and Consultants
Learn about the rules included in the Consolidated Appropriations Act, 2021 (CAA), which require brokers and consultants to disclose compensation they receive to steer health plan sponsors to certain insurance carriers, benefits administrators, and other vendors. - State-Law Health Insurance Individual Mandate and Employer Reporting Obligations Chart
Identify state-based laws requiring individuals to maintain health insurance coverage and the associated reporting and notification requirements for employers. - Health Insurance Payment Systems State Law Survey
Get a national perspective on coverage mandates in healthcare insurance, including changes following full implementation of the PPACA, state provisions on mandated benefits reviews, independent/external reviews of coverage denials and claims, prohibitions or restrictions to financial incentives to physicians, and requirements on premium rating types. - Domestic Partnership/Same-Sex Marriage/Civil Union State Law Survey
Develop a 50-state perspective on the laws, regulations, and cases that address various evolving family relationships in the insurance context, including legality and constitutionality of domestic partnerships and same-sex marriages, definitions of terms, regulatory guidance, and insurance-related case law.
Practical Guidance Updates
Featuring the latest updates in Practical Guidance.
- COVID-19 Resource Kit: Business Response (Insurance)
- Insurance Claims Resource Kit
- Insurance Coverage Resource Kit
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