Perez R A
Rack, Vale, Burke, Fitzgerald, Burns & Balash, Cincinnati.
Benefits Q. 1994;10(4):31-8.
Denial of health benefits may result in devastating financial problems for the consumer. Given the complexities of the system, more and more employees turn to attorneys for help. Litigation and the resultant costs, in turn, further exacerbate the cost of providing benefits to employees and the burden to the employer. The law governing employer-paid health care and benefit plans is a blend of third party beneficiary contract law, trust law and administrative law. This article provides an overview of the federal litigation resulting from a third party payer's denial of coverage.
拒绝提供医保福利可能会给消费者带来毁灭性的财务问题。鉴于该体系的复杂性，越来越多的员工向律师寻求帮助。而诉讼以及由此产生的费用，反过来又进一步加剧了为员工提供福利的成本以及雇主的负担。管辖雇主支付的医疗保健和福利计划的法律是第三方受益人合同法、信托法和行政法的混合体。本文概述了因第三方支付者拒绝承保而引发的联邦诉讼。
