Outten & Golden: Empowering Employees in the Workplace

Posts Tagged ‘Workplace Prof Blog’

Healthcare Insurers: I Think the Appropriate Word is “Disturbing”

Friday, August 14th, 2009

Washington Post’s Daily Dose Blog adds more fuel to the health care reform debate:

You might have known that insurers can deny health coverage based on preexisting medical conditions, but here’s something else to worry about: They can take away the coverage you thought you had when actually need it, the government says.

The Department of Health and Human Services put a spotlight on that practice Tuesday in its continuing campaign to build support for an overhaul of health insurance.

“When a person is diagnosed with an expensive condition such as cancer, some insurance companies review his/her initial health status questionnaire,” the HHS said in a posting at HealthReform.Gov. In most states, insurance companies can retroactively cancel individuals’ policies if any condition was not disclosed when the policy was obtained, “even if the medical condition is unrelated, and even if the person was not aware of the condition at the time.”

“Coverage can also be revoked for all members of a family, even if only one family member failed to disclose a medical condition,” HHS said.

The department cited recent research by the staff of the House Committee on Energy and Commerce, which found that three large insurers rescinded almost 20,000 policies over five years, saving $300 million in medical claims.
At least one insurer included such savings in an employee performance evaluation.

I teach a case in employee benefits law class, McGann v. H&H Music (5th Cir. 1992), that describes a similar practice to this. Unfortunately, the court in McGann found that the participant could not prevail under an ERISA Section 510 retaliation claim when his coverage was dramatically reduced (1 million to $5000) when he told his employer he had AIDS.

Maybe I’ll just start counting reasons why health care reform is a necessity and that health insurers cannot continue to exist in a world with little regulation and even less meaningful remedies against them for this type of disturbing conduct.

The employee performance part can be filed under “truly disturbing.”

Paul Secunda: Paul Secunda joined the Marquette University Law School as an associate professor of law in the summer of 2008. He teaches employment discrimination, employee benefits, labor law, employment law, civil procedure, and seminars in special education law, global issues in employee benefits, and public employment law. Professor Secunda is the author of nearly three dozen books, treatises, articles, and shorter writings. He is also the author, along with Rick Bales and Jeff Hirsch, of the treatise, Understanding Employment Law, along with Sam Estreicher and Rosalind Connor, of the case book, Global Issues in Employee Benefits Law, and of the Teacher’s Manual to the 14th Edition of the Cox, Bok, Gorman & Finkin Labor Law casebook.Professor Secunda is a frequent commentator on labor and employment law issues in the national media and has written numerous columns and op-eds for the National Law Journal and Legal Times. He co-edits with Rick Bales and Jeffrey Hirsch the Workplace Prof Blog, recently named one of the top law professor blogs in the country, which is part of the Law Professors Blog Network.

This article originally appeared on Workplace Prof Blog and is reprinted here with permission from the author.

The Advent of the Four Day Work Week?

Tuesday, August 4th, 2009

At least in Utah (via Derek Thompson at The Atlantic):

Forget everybody working for the weekend. In Utah all government employees have shifted to a four-day workweek, and the state is calling it a win-win-win for its budget, workers and clean air. Utah has saved $1.8 million in electrical bills in the last year, the air has been spared an estimated 6,000 metric tons of carbon dioxide, and workers are thrilled.  Eighty-two percent of them say they prefer the new arrangement, which still enforces the 40-hour week by requiring 10 or more hours a day Monday – Friday. Is it time to ask your boss if you can take off Friday …. forever?

Not sure this will start a craze, but the fewer day workweek clearly has some benefits, as illustrated above.  Moreover, Thompson points out:

There's another way to realize those kind of savings: Asking workers to telecommute. As I've written before, the benefits of telecommuting are pretty diverse. From the employer side, it can save office space, utilities and overhead for employee services. From the employee side, it allows parents to spend more time with their family and cut down on increasingly expensive travel given the rising price of gas and public transportation. And of course, fewer cars on the road means less traffic, which means quicker travels (and less gas) for other Friday commuters.  

But, on the other hand, any increase in telecommuting will lead to less face time in the office. Will that have deletrious effects on the culture of the workplace and make employees feel that they are not part of a team, part of something more than just what they contribute to the enterprise?

Am I overstating my concerns here?

Paul Secunda: Paul Secunda joined the Marquette University Law School as an associate professor of law in the summer of 2008. He teaches employment discrimination, employee benefits, labor law, employment law, civil procedure, and seminars in special education law, global issues in employee benefits, and public employment law. Professor Secunda is the author of nearly three dozen books, treatises, articles, and shorter writings. He is also the author, along with Rick Bales and Jeff Hirsch, of the treatise, Understanding Employment Law, along with Sam Estreicher and Rosalind Connor, of the case book, Global Issues in Employee Benefits Law, and of the Teacher’s Manual to the 14th Edition of the Cox, Bok, Gorman & Finkin Labor Law casebook.Professor Secunda is a frequent commentator on labor and employment law issues in the national media and has written numerous columns and op-eds for the National Law Journal and Legal Times. He co-edits with Rick Bales and Jeffrey Hirsch the Workplace Prof Blog, recently named one of the top law professor blogs in the country, which is part of the Law Professors Blog Network.

This article originally appeared at Workplace Prof Blog on July 30, 2009 and is reprinted here with permission from the author.

Confusing the Terms of the Health Care Debate

Thursday, July 30th, 2009

Martin Feldstein, a brilliant conservative economist, has his facts wrong on the health care debate in an op-ed he penned today in the Washington Post.

Nate Silver of FiveThirtyEight concisely explains Feldstein’s error:

Take a look at this:
Obama has said that he would favor a British-style “single payer” system in which the government owns the hospitals and the doctors are salaried but that he recognizes that such a shift would be too disruptive to the health-care industry. The Obama plan to have a government insurance provider that can undercut the premiums charged by private insurers would undoubtedly speed the arrival of such a single-payer plan.

Feldstein is simply mistaken here. “Single-payer” has to do with who pays for health care (in the case of single-payer, the federal government does). It has absolutely nothing to do with who provides health care. It’s the difference between the Canadian system, in which private doctors and hospitals are paid by the Canadian government (and indirectly, Canadian taxpayers) to provide health care to its citizenry, and the British system, in which the providers themselves — doctors, nurses, hospital administrators — are actually in the employ of Her Majesty’s Government. For that matter, it’s the difference between Medicare — a single-payer system for American seniors — and the British system. The Canadian system is nationalized health insurance. The British system is nationalized health care — or if you prefer, socialized medicine.

Obama has never expressed or implied any admiration for the British system of socalized medicine. Not that there aren’t admirable elements of it — but I doubt that you’d find even very many self-identified liberals who would suggest that it’s the right system for America. Obama, rather, has expressed admiration for a government-run monopoly on insurance — single-payer — as do about half of Americans in opinion polls.

Got it? Get it? Good.

Paul Secunda:

Paul Secunda joined the Marquette University Law School as an associate professor of law in the summer of 2008. He teaches employment discrimination, employee benefits, labor law, employment law, civil procedure, and seminars in special education law, global issues in employee benefits, and public employment law. Professor Secunda is the author of nearly three dozen books, treatises, articles, and shorter writings. He is also the author, along with Rick Bales and Jeff Hirsch, of the treatise, Understanding Employment Law, along with Sam Estreicher and Rosalind Connor, of the case book, Global Issues in Employee Benefits Law, and of the Teacher’s Manual to the 14th Edition of the Cox, Bok, Gorman & Finkin Labor Law casebook.Professor Secunda is a frequent commentator on labor and employment law issues in the national media and has written numerous columns and op-eds for the National Law Journal and Legal Times. He co-edits with Rick Bales and Jeffrey Hirsch the Workplace Prof Blog, recently named one of the top law professor blogs in the country, which is part of the Law Professors Blog Network.
This article originally appeared at Workplace Prof Blog and is reprinted here with permission from the author.

 


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