Fraud and Abuse in Employer Sponsored Health Benefit Plans: Hearing Before the Permanent Subcommittee on Investigations of the Committee on Governmental Affairs, United States Senate, One Hundred First Congress, Second Session, May 15, 1990, Volume 4
United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations
U.S. Government Printing Office, 1990 - 409 páginas
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action administrative agencies agents Agreement amended applicable arrangements assistance Association Attorney authority BALL believe benefit plan bills called Cap Staffing Chairman claims Commissioner continue contract Contractholder costs court coverage covered criminal Department of Labor determine Duke University effective employee benefit plans employee welfare enforcement ERISA established federal Florida fraud fully funds Georgia going health insurance hearing hospital HOWELL individual Insurance Commissioner insurance companies investigations involved issued jurisdiction leasing matter meeting MEWA MEWA's months multiple employer NBAT Office operation opinion organized paid payment Pension Permanent person preemption premiums problem PWBA questions received record regarding regulation regulatory represented request respect responsibility ROBERT LONG Senator NUNN staff statement Subcommittee Texas Thank Travelers Trust United unpaid
Página 328 - State of , do hereby certify that [1st party named], personally known to me to be the same person whose name is subscribed to the foregoing instrument, appeared before me this day in person and acknowledged that he signed, sealed, and delivered the said instrument as his free and voluntary act, for the uses and purposes therein set forth, including the release and waiver of the right of homestead.
Página 355 - Employer" includes any person acting directly or indirectly in the interest of an employer in relation to an employee but shall not include the United States or any State or political subdivision of a State, or any labor organization (other than when acting as an employer) , or anyone acting in the capacity of officer or agent of such labor organization. (e) "Employee" includes any individual employed by an employer.
Página 354 - employee pension benefit plan" and "pension plan" mean any plan, fund, or program which was heretofore or is hereafter established or maintained by an employer or by an employee organization, or by both, to the extent that by its express terms or as a result of surrounding circumstances such plan, fund, or program...
Página 282 - With the care, skill, prudence, and diligence under the circumstances then prevailing that a prudent man acting in a like capacity and familiar with such matters would use in the conduct of an enterprise of a like character and with like aims...
Página 364 - Except as provided in subsection (b) of this section [the saving clause], the provisions of this subchapter and subchapter III of this chapter shall supersede any and all State laws insofar as they may now or hereafter relate to any employee benefit plan...
Página 365 - ... shall be deemed to be an insurance company or other insurer, bank, trust company, or investment company or to be engaged in the business of insurance or banking for purposes of any law of anyStale purporting to regulate insurance companies, insurance contracts, banks, trust companies, or investment companies.
Página 365 - The business of insurance, and every person engaged therein, shall be subject to the laws of the several States which relate to the regulation or taxation of such business.
Página 355 - employee organization" means any labor union or any organization of any kind, or any agency or employee representation committee, association, group, or plan, in which employees participate and which exists for the purpose, in whole or in part, of dealing with employers concerning an employee welfare or pension benefit plan, or other matters incidental to employment relationships; or any employees' beneficiary association organized for the purpose, in whole or in part, of establishing such a plan.