Partnership Doesn't Trump Participant Status

August 16, 2005 (PLANSPONSOR.com) - A Virginia federal judge has rejected arguments by a law firm partner that his state court lawsuit wasn't pre-empted by the Employee Retirement Income Security Act (ERISA).

US District Judge Glen Conrad of the US District Court for the Western District of Virginia turned aside an argument by Thomas Hall, a partner in the Roanoke, Virginia law firm Woods Rogers, who claimed that his long-term disability benefits under the plan were not subject to ERISA pre-emption because he was a partner, not an employee.

According to Conrad, the US Supreme Court recently made clear that working owners, such as law firm principals, qualify as participants in ERISA-governed benefit plans as long as the plan covers at least one employee other than the working owner and his or her spouse.

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Court documents indicated that Hall applied and was approved for long-term disability benefits in December 2000. After falling ill during a vacation Hall became unable to work because he could not speak without coughing. After initially awarding Hall disability benefits, Standard Insurance Company, the company which sold the long term disability policy, cut off Hall’s benefits after a twenty-four month period, alleging that his illness was psychological in nature.

Hall contested this determination, as well as the onset date determined by Standard and the monthly benefit amount, and sued Standard alleging breach of contract. He also made a claim for benefits under ERISA. Standard requested that the breach of contract claim be dismissed, arguing that the claim was pre-empted by ERISA.

Conrad also rejected Hall’s assertion that his participation in the plan as a principal could be distinguished from that of an employee because when principals received benefits under the plan, they were not required to pay income taxes on those benefits, while employees paid income taxes on such benefits.

The opinion in Hall v. Standard Insurance Co., W.D. Va., No. 7:04CV00285, 8/9/05 is  here .

Study: Health care System Costs Drive Consumer Costs

August 15, 2005 (PLANSPONSOR.com) - A new study conducted by Interactive Data Corp. (IDC) and Kronos Incorporated shows 85% of hospital executives believe if hospitals better addressed their controllable expenses it would alleviate the rise in health care costs.

The study found that 30% of health care executives allocate more than 20% of their budget to agency costs to fill nursing and other essential positions, according to a Kronos press release. The company says more than 15% of the $1.7 trillion in health care spending goes to paying the salaries and benefits of hospital workers.

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But the study found that consumers are concerned that controlling labor costs would mean a decrease in health care quality. Only 20% of consumers believe the outlook for controlling US health care costs while maintaining health care quality is very favorable or favorable, compared to 55% of hospital executives. But those in health care believing managing workflow processes will allow staff to be able to focus more on the patient.

Hospital health care executives surveyed in the study cite labor productivity, a shortage of qualified nurses, and labor costs as three key controllable expenses for health care organizations. Their most common response to the question of how to solve today’s health care crisis was to invest in workforce management solutions.

“Reducing consumer health care costs is a lofty goal, but stabilizing these costs is achievable. Similar to taxes, when health care costs are stabilized, consumers benefit,” said Charlie DeWitt, senior director at Kronos Incorporated, in the news release.

The “Curing a Sick System” study surveyed 1,100 US consumers and 200 US hospital and health care financial executives to gauge their attitudes and perceptions on the health care system. Additional information on the study can be found here .

More information about Kronos Incorporated, a workforce management company, can be found at www.kronos.com .

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