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But is it CVS that is requiring the pre-auth? Or is the pre-auth required by the terms of the insurance contract? If, as I suspect, it's in the insurance contract, changing pharmacies is not going to solve the problem.

I'm willing to bet that somewhere in there, there is a qualifier that the employee actually has to be sick to use them. I seriously doubt that the CA legislature intended these days to be a forced-by-the-employee extension of vacation time.

I understood that he wanted to pay for the medication up front and then be reimbursed by the insurance, in which case the insurance carrier makes the rules. But if he wanted to by-pass the insurance altogether, then I agree with you; the pharmacy can allow it but doesn't have to.

40 years experience with group medical insurance here: First of all; Is this legal? Yes. Your insurance policy is a contract. It says they will pay for certain items when certain conditions are followed. This is one of the conditions. What if I didn't have insurance? Then there wouldn't be a...

For workers comp in MN, the maximum time the law allows is six months after the onset of the illness or injury. Your specific policy might indicate a shorter time and that is acceptable under the law. Only someone from your HR or Benefits office can tell you for certain where the lines are drawn.

I'm not seeing anything to suggest that the OP is being sued by a hospital. But your point is well taken, Jack. I'm not seeing anything to suggest that it ISN'T a hospital either.

Someone can correct me if I'm wrong, but I don't believe an attorney's office is subject to HIPAA.

Not exactly. Workers comp is limited to illnesses or injuries which are CAUSED BY your employment or a factor thereof. It does not apply to illnesses or injuries which may have manifested themselves while at work but are not caused by your work. The classic example is a heart attack. Even if you...

I mention it because state law really does matter in this instance. We have had people who have been afraid if they post their actual state their employer, spouse, neighbor, what-have-you, will be able to identify them so they list a different state. If (and I am not accusing you of lying - just...

That's where your IP address says you are posting from.

Not according to your IP address.

Since these laws are very much state specific, we need to know exactly which state you are in before we could respond. It's not enough to tell us it's a two-party state; we need to know WHICH two-party state as not all the details are the same from state to state.

Although California is the only state that cares even minimally about how PTO is managed while you're still employed (a number of states care about how it's handled when you leave) as I have said before, even California doesn't care much. This is going to be mostly a company policy issue. I...

This thread is from 2016. I think it's quite unlikely that the OP is still coming back looking for additional responses.

Because if it were the same, I was going to ask what happened in THAT case with the DOL;

Is this the same situation as your prior thread, 401(k) wise? 401k being deducted out of a paycheck but not going into 401k account

I hear that, trust me. I was in a fender-bender last night (I was a passenger). The driver asked me to call the police because the guy in the other car was being abusive; by the time I was able to reach my phone in my computer bag in the back of the jeep, everyone had calmed down, insurance...

Keep in mind that this door swings both ways. It is the LANDLORD's property. If he decides that the number of trailers he wants on HIS property is zero, it's unlikely that the law of any municipality will force him to allow you to keep them.

Also, if there are any law schools in your area. many provide legal "clinics" where third year students, under the guidance of their professor, gain experience by providing consultation on a free or low-cost basis.

My dad had a liver transplant. We had him for almost another twenty years after that. Transplants are truly miracles.