If you have an employee benefit plan, it should follow the minimum standards set by the Employee Retirement Income Security Act of 1974 (ERISA). This federal law aims to protect the interests of employees and their beneficiaries by setting standards for retirement and...
ERISA Claims
What can I do if my health insurance will not pay?
Austin residents may hardly think about their health insurance as they go about their daily lives. They may glance over their Explanation of Benefits and just pay what the provider says the provider is owed. But in a major health crisis or after a serious injury,...
ERISA and retaliation
ERISA -- the Employee Retirement Income Security Act of 1974 -- is designed to protect workers who have employer-sponsored retirement benefits and health plans. One way it does this is by imposing minimum standards on these plans. ERISA also protects the rights of the...
Are ERISA claims treated differently in Texas?
As our readers know, we tend to do things differently in the Lone Star State. And, this may lead one to wonder whether ERISA claims are treated differently in Texas too. What is ERISA? ERISA is the federal law regulates employee benefit plans. Benefit plans include...
Understanding an ERISA claim
The Employee Retirement Income Security Act of 1975 (“ERISA”) is a federal statute that was passed to ensure the fair treatment of employees who are covered by an employer-funded health and disability insurance plan. The federal law does not directly provide any...
Presidential veto leaves ERISA investments unchanged
On March 23, 2023, the House of Representatives failed to achieve the two-thirds majority required to override a veto by President Biden of a bill allowing retirement fund managers to consider specific factors in investments. A Labor Department ruling in 2020 required...
What is the appeals process for a denial of an ERISA claim?
Many people in Austin receive their health insurance through their employers’ health plan options. Many of these health insurance plans are governed by the Employee Retirement Income Security Act (ERISA). Like any health insurance plan, there are different coverage...
Benefits for ERISA claims require fair reading by administrator
Many employees treat health insurance plan paperwork as they do heat and air conditioning: They disregard them until an emergency arises. A federal law known as the Employee Retirement Income Security Act (ERISA) regulates employer-provided health insurance. Though...
Reasons for ERISA claim denial in Texas
Under the Employee Retirement Income Security Act (ERISA), employers are required to ensure that employees receive the long-term disability (LTD) benefits they are entitled to receive. However, ERISA claim denials are more common than people realize. As you begin your...
The ERISA claim and appeal process
Being insured is important for residents in Texas and elsewhere. With a traditional insurance company, a claim is filed based on the terms of the insurance contract. Thus, if an insurer refuses to pay a claim for a benefit, it is possible for them to file a suit in...