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In Case You Missed It: Plan Administrator Must Give Providers ERISA Appeal Process

The ruling in Penn. Chiropractic Ass’n v. BCBSA threatens to make recoveries more difficult for all insurers and may complicate the claims administration of self-funded plans. It also may necessitate self-insured plan sponsors reviewing network contracts with providers. Here’s what happened: a federal district court gave  providers ERISA beneficiary status instead of following the language in […]

The 4 Four S’s of Social Media Risk

Social media is clearly part of the cultural fabric, says attorney Elijah Yip, but that doesn’t mean there aren’t risks when employers use it or try to limit employees’ use of it. The 4 S’s of Social Media Risk Yip, who is litigation partner at the Honolulu office of law firm Cades Schutte LLP, offered […]

Workplace Roughhousing: Co-Workers Can Be Sued Only If They Intended To Cause An Injury; Take Steps To Avoid Problems

Manuel Torres installed tires for Parkhouse Tire Service in San Diego. One day while he was working on his knees, Parkhouse sales representative Roy Naas sneaked up behind Torres, grabbed his back-support belt, lifted him off the ground and dropped him back on his knees. Torres suffered a serious back injury and couldn’t return to […]

Before job descriptions, job analysis

You can’t really write a job description until you’ve explored all phases of the position you seek to fill. Job analysis is the process that does it. In today’s business, before there is a job, there is a job description. But, say occupational specialists from Ohio State University, before there can be a job description, […]

A Clear and Present Danger: Domestic Violence in the Workplace

On Monday, November 19, emergency room doctor Tamara O’Neal was shot outside her workplace, Mercy Hospital & Medical Center on Chicago’s south side. According to sources, the shooter, Juan Lopez, was angry with her over a broken engagement, leading to yet another workplace active shooter situation. While coworkers can be the perpetrators of workplace violence, […]

Good News: HR Degrees Are Worth It

More good news for the HR pros: That degree was worth it. We recently wrote about human resources (HR) making Forbes’ “America’s 15 Most Surprising Six-Figure Jobs” list. Now the HR profession has made another list: Salary.com’s “8 College Degrees That Will Earn Your Money Back” list.

℞ for Your PBM: ‘Here’s what we’re willing to pay …’

Haas, who is vice president of Wells Fargo Pharmacy Consulting, spoke to BLR about the problem of generic drug pricing. To attack the problem, Haas and his team at Wells Fargo created a unique procurement strategy. “About 4 years ago, we listed every generic drug—and there are about 2,750 of them—by their specific identifying codes. […]

The Heart-Healthy Guide to Approaching Employee Wellness

February brings with it a number of holidays and observances, from Groundhog Day and President’s Day in the U.S. to Valentine’s Day throughout the world. But as we celebrate love, Washington’s birthday, and everyone’s favorite groundhog, Punxsutawney Phil, a national health observance goes unnoticed by most.

The Growing Trend of Hiring Teams Ghosting Applicants

In today’s job market, the term “ghosting” is no longer just associated with dating or unresponsive applicants. Increasingly, it’s the hiring process itself that’s vanishing into thin air—leaving candidates frustrated, confused, and disengaged. According to new research from LiveCareer, this problem is more common—and more systemic—than many HR teams may realize. The practice of “ghost […]