Employee Retirement Income Security Act (ERISA). Expert witness in the employee retirement income security act including administrative duties of plan sponsors and employers, administrative services only contracts, and third-party administrators. Over 60% of all American workers are employed by a self-funded or partially self-funded health insurance plan

1. Experts in healthcare data, regulations
and economics
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2. ERISA Expert Witness
Employee Retirement Income Security Act of 1974
EXPERTISE
 Title I of the Employee Retirement Income Security Act (ERISA) is administered by the Employee
Benefits Security Administration (EBSA).
 The Department of Labor also has jurisdiction over the prohibited transaction provisions of Title II
of ERISA.
 IRS generally administers the rest of Title II of ERISA, as well as the standards of Title I of ERISA
that address vesting, participation, nondiscrimination, and funding.
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3. ERISA Expert Witness
Employee Retirement Income Security Act of 1974
EXPERTISE
 Health Laws Under Part 7 of ERISA
 Amendments based on the enactment of other Federal laws
 Duties of Plan Sponsors
 Record Keeping
 Reporting
 Role of Administrative Services Only (ASO) Third-Party Administrators (TPA)
https://noworldborders.com/expert-witness/erisa-expert-witness/

4. ERISA Expert Witness
Employee Retirement Income Security Act of 1974
EXPERTISE
 Health Laws Under Part 7 of ERISA
 The Patient Protection and Affordable Care Act (the Affordable Care Act or ACA). The Affordable Care Act
amended ERISA to incorporate several health coverage market reforms.
 Health Insurance Portability and Accountability Act of 1996. The Health Insurance Portability and Accountability
Act of 1996 (HIPAA) amended ERISA to provide for improved portability and continuity of health coverage
 The Newborns' and Mothers' Health Protection Act of 1996 (Newborns’ Act) requires plans that offer maternity
coverage to pay for at least a 48-hour hospital stay in connection with childbirth (a 96 hour stay in connection
with a cesarean section).
https://noworldborders.com/expert-witness/erisa-expert-witness/

5. ERISA Expert Witness
Employee Retirement Income Security Act of 1974
EXPERTISE
 Health Laws Under Part 7 of ERISA
 The Women's Health and Cancer Rights Act (WHCRA) contains protection for patients who elect breast
reconstruction in connection with a mastectomy. For plan participants and beneficiaries receiving benefits in
connection with a mastectomy, plans offering coverage for a mastectomy must also cover reconstructive surgery
and other benefits related to a mastectomy.
 The Mental Health Parity Act of 1996 (MHPA) provides for parity in the application of aggregate lifetime and
annual dollar limits on mental health benefits with dollar limits on medical/surgical benefits.
 The Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) expanded the protections of MHPA to
financial requirements (e.g., copayments or deductibles)and treatment limitations (e.g., visit limits).
https://noworldborders.com/expert-witness/erisa-expert-witness/

6. ERISA Expert Witness
Employee Retirement Income Security Act of 1974
EXPERTISE
 Health Laws Under Part 7 of ERISA
 The Genetic Information Nondiscrimination Act of 2008 (GINA) prohibits group health plans and group health
insurance issuers from discriminating in health coverage based on genetic information.
 Michelle’s Law, passed in 2008, prohibits group health plans from terminating coverage for a dependent child
who has lost student status as a result of a medically necessary leave of absence.
 The Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) requires group health plans and
group health insurance issuers to permit an employee or dependent that is eligible for but not enrolled in the
plan to enroll when the employee or dependent is covered under Medicaid or CHIP and loses that coverage as a
result of loss of eligibility or when the employee or dependent becomes eligible for Medicaid or CHIP assistance
with respect to coverage under the group health plan.
https://noworldborders.com/expert-witness/erisa-expert-witness/

7. Related Topics
 Medicare Fraud Expert Witness
 HIPAA Expert Witness
 Electronic Health Record Forensic Expert
 Medicare Local Coverage Determination / Medicare LCD
 Medical Billing Expert Witness
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