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50% Savings - Healthcare Crisis Turnaround
for Employers, Insurers & TPA's
Rx-1
$$$$$$$$$ERISA $$$$$$$$$$
Rx-2
US
Supreme Court
Visits ERISAclaim.com
at 11:57:03 AM on Friday, November 21,
2003
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Unanimous US Supreme Court Ruling
In US Health Care Crisis
by Jin Zhou,
02/11/2005
© 2005,
Jin Zhou,
ERISAclaim.com
Managed-Care Nightmares?
Health-Care Crisis without True Solutions?
What Does
an Unanimous US
Supreme Court Say?
On June 21, 2004, an unanimous US Supreme
Court ruled that claim processing and denials of benefits under the
employer-sponsored health plans,
ERISA-regulated benefit
plans,
for
both self-insured and fully-insured
(through purchase of insurance) health plans, are
completely governed by federal law ERISA, that supersedes and
invalidates state laws.
How
Can Anyone in USA, from Congress to General Motor to the White House,
from Industry Experts to Patient Advocates, Solve US Health Care Crisis
without Even Thinking of ERISA?
"Failure of Imagination" As a
Nation Is the Real Tragedy
ERISAclaim.com - Supreme Court
Managed Care ERISA Watch
Unanimous US Supreme Court Ruling In US Health Care Crisis
Aetna Health Inc. v. Davila
06/21/04
Opinion of the
Court
"Held:
Respondents’ state causes of action fall
within ERISA§502(a)(1)(B), and are therefore completely
pre-empted by ERISA §502 and removable to federal court.
Pp. 4–20."
"We hold that
respondents’ causes of action, brought to
remedy only the denial of benefits under
ERISA-regulated benefit
plans, fall within the scope of, and are completely pre-empted
by, ERISA §502(a)(1)(B), and thus removable to federal
district court. The judgment of the Court of Appeals is
reversed, and the cases are remanded for further proceedings
consistent with this opinion.7
It is so ordered."
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Happy or Sad 30th Birthday To ERISA?
(Copyright
© 2004
by
Jin Zhou, ERISAclaim.com)
Sept. 2, 2004
On Sept. 2, 1974,
exactly 30 years ago today, ERISA, The Employee Retirement
Income Security Act,
was signed into law by President Gerald R. Ford. The congressional intent in enacting ERISA was to
protect employees in pension and welfare plans, to provide
uniform federal protections in response to the failure of the
Studebaker Co. in December 1963, with thousands of long-service
employees cheated out off their promised pensions, and to
preempt any state laws when the employees pension and welfare
benefits were threatened. 30 years later, ERISA Failure in its
compliance and enforcement left thousands of retirees without
medical benefits, and resulted in a skyrocketing national healthcare expenditure explosion with 45 million uninsured and a possible national pension bailout.
ERISA Failure Syndrome
U.S. Healthcare Crisis
Trilogy
Jin Zhou Identifies "ERISA Failure" That Killed
U.S. Healthcare
"Failure of Imagination"
Again?
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ERISA Celebrates 30th Anniversary As Trouble Brews For the Pension
Insurance Program (Spencer Benefits Reports)
Excerpt: "The seed for
ERISA was planted with the failure of the Studebaker Company in
December 1963, leaving thousands of long-service employees
without their promised pensions."
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ERISA Failure Syndrome
U.S.
Healthcare Crisis Trilogy
(Copyright © 2004
by
Jin Zhou,
ERISAclaim.com) |
ERISA
Medical Killing |
ERISA
Medical Inflation |
ERISA
Insurance Robbery
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GAO-04-312
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American Job ExportING! |
Mass layoffs up in January 2004
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Weirton Steel cancels 10,000
GM: $67.5 billion in 2003
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One Nation under Debt:
U..S. economy threatened by
aging of America
Healthcare
Disaster at Fault Verdict Index:
U.S. Government 30%
U.S. Employers &
Insurers 30%
Healthcare Providers 30%
Consumers 10%
(ERISA
Failure + Managed-Care) Destroyed US Healthcare
(ERISA Failure + Managed-Care + HSA) Invite US Federal Budget
Deficit & Social Security Disasters = 100X 9/11 Attacks
GAO: Current and Emerging Fiscal and Retirement Security
Challenges, American Benefits Council/MetLife Conference,
Washington, DC, on January 14, 2005
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Rising Health care Costs Have
Many Implications
(Direct)
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Rising Healthcare Costs Have Many
Implications
(Indirect)
Rx-1
$$$$$$$$$ERISA$$$$$$$$$$
Rx-2
Health costs a big part of GDP
(Newsday.com)
February 9, 2005
"Socolar and
Sager co-direct Boston University's Health Reform Program,
which attempts to develop solutions to the nation's health
care problems. In the report released today, they argue that
if health care costs had grown no faster than GDP,
the nation would have saved a stunning
$1 trillion."
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Release
Date: 10/21/2004
"EBSA closed 4,399 civil investigations in
FY 2004. Nearly 70% of those investigations resulted in correction
of violations under the Employee Retirement Income Security Act
(ERISA). Criminal investigations led to
the indictment of 121 individuals. In addition, EBSA received a
record 474 applications to participate in its compliance assistance
program to help employers and plan officials to voluntarily correct
specific violations of the law."
EBSA Achieves Record $3.1 Billion in Fiscal Year 2004
Results •
Press Release
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INVESTIGATION REVEALS WIDESPREAD CORRUPTION
IN INSURANCE INDUSTRY
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Department of Law
120 Broadway
New York, NY 10271 |
Department of Law
The State Capitol
Albany, NY 12224
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For More Information:
(212) 416-8060 |
For Immediate Release
October 14, 2004 |
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Leading Brokerage Firm Sued for Fraud and
Antitrust Violations; Insurance Company Executives Plead
Guilty; Major Insurance Firms Implicated |
"Attorney General Eliot Spitzer today sued the
nation's leading insurance brokerage firm, alleging that it
steered unsuspecting clients to insurers with whom it had
lucrative payoff agreements, and that the firm solicited rigged
bids for insurance contracts."
Attachments:
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"This Is Not Some Wild Theory"
"Cut 50
percent of the cost of health care"
US companies mad as hell at HMO premiums
Are All
Consultants Corrupt? (Fast Company)
Evolving Role of Third Party Administrators Brings
New Demands and
Innovations (Employee Benefit News)
Why
"Zhou's Model of Prudent Health Care"???
National labor and economical security are being harmed
every day by our healthcare crisis when we all have been
fantasizing practical solutions from political Hollywood and
self-destructive Disneyland. Now it's time to do some reality check:
U.S. Firms Losing Health Care Battle, GM Chairman Says (The
Washington Post; one-time registration required)
Excerpt: "American manufacturers are losing their
ability to compete in the global marketplace in large measure
because of the crushing burden of health care costs, General Motors
Corp. chairman and chief executive G. Richard Wagoner Jr. said
yesterday as he called on corporate and government leaders to find
'some serious medicine' for the nation's ailing health system. In a
speech at the Economic Club of Chicago, the auto executive, who is
responsible for providing health insurance for ...."
Health costs a big part of GDP
(Newsday.com)
February 9, 2005 | |
