17 Jun 2022

Fifth Circuit Enforces Pre-Existing Condition Exclusion in Long-Term Disability Policy Despite Employer’s Misrepresentations

In Bunner v. Dearborn Nat’l Life Ins. Co., No. 21-20327, __F.4th__, 2022 WL 2156227 (5th Cir. June 15, 2022), Plaintiff-Appellant Lisa Bunner appealed from the district court’s grant of judgment…

14 Jun 2022

Ninth Circuit Affirms Sun Life’s Denial of Doctor’s Long-Term Disability Benefit Claim

In Amoroso v. Sun Life Assurance Company of Canada, No. 21-35801, 2022 WL 2115117 (9th Cir. June 13, 2022), the Ninth Circuit considered whether Plaintiff-Appellant Dr. Paul Amoroso was entitled…

13 Jun 2022

Ninth Circuit Affirms Denial of Air Ambulance Transportation Claim for Lack of Medical Necessity

In Cont’l Med. Transp. LLC v. Health Care Serv. Corp., No. 21-35481, 2022 WL 2045385 (9th Cir. June 7, 2022), Plaintiff-Appellant Continental Medical Transport LLC, d/b/a Jet Rescue (“Jet Rescue”)…

09 Jun 2022

Second Circuit: Insurer’s Failure to Render Timely Benefit Determination Gives Claimant Right to File a Lawsuit under ERISA

In McQuillin v. Hartford Life & Accident Ins. Co., No. 21-1514, __F.4th__, 2022 WL 2029879 (2d Cir. June 7, 2022), the Second Circuit considered whether a claimant is deemed to…

07 Jun 2022

Second Circuit Affirms Reliance Standard’s Reduction of Long-Term Disability Benefits Based on Claimant’s Change in Employment Status

In Caccavo v. Reliance Standard Life Insurance Company, No. 21-1410-CV, 2022 WL 1931420 (2d Cir. June 6, 2022), Plaintiff-Appellant Frank Caccavo appealed the district court’s judgment in favor of Defendant-Appellee…

06 Jun 2022

Sixth Circuit: Death by Reckless Driving Is Subject to Accidental Death Policy’s Crime Exclusion

In Fulkerson v. Unum Life Ins. Co. of Am., No. 21-3367, __F.4th__, 2022 WL 1829128 (6th Cir. June 3, 2022), Defendant-Appellant Unum Life Insurance Company of America appealed the district…