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The New York Disability Benefits Law (DBL) is article 9 of the Workers' Compensation Law (which is itself chapter 67 of the Consolidated Laws of New York) and creates a state disability insurance program designed to provide employees with some level of income replacement in case of disability caused off-the-job.
The OPMC is charged with investigating complaints against physicians, unlicensed and licensed residents, and physician assistants in New York. In 1976, the Board for Professional Medical Conduct (BPMC) was created under the auspices of the State Health Department, and has continued in that capacity since that time. [ 1 ]
In New York City, the five boroughs (counties) compose one district, whereas outside of New York City each district corresponds to one county. [2] Administrative reviews ("Fair Hearings") are handled by the New York State Office of Temporary and Disability Assistance, Office of Administrative Hearings. [3]
According to the Department of Health and Human Services, [12] over 82% of employers with over 500 employees offer a self-funded health plan, and over 25% of firms with between 100 and 499 employees and over 13% of employers with fewer than 100 employees also offer a self-funded health plan.
In 1987, PEF spent $36,822 on state political party-building efforts, more than any other group in New York State. [311] In 1988, PEF spent $570,841 on political campaigns—behind only the New York State AFL–CIO ($1 million), the Civil Service Employees Association ($704,875), and the Medical Society of the State of New York ($695,275). [312]
Effective by January 1, 2014, the Patient Protection and Affordable Care Act will impose a $2000 per employee tax penalty on employers with over 50 employees who do not offer health insurance to their full-time workers. (In 2008, over 95% of employers with at least 50 employees offered health insurance.
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Forms of fraud by health insurance companies include the wrongful denial of claims, wrongful cancellation of coverage, and underpayment of hospitals and physicians. [2] [3] When detected, health insurance fraud can result in civil liability as well as criminal penalties, and potential action against a healthcare provider's license. [35] [36]