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District Court Finds That Lincoln National Did Not Abuse Its Discretion in Concluding That Treating Provider’s Changed Opinion on Disability Was Not Supported by The Medical Evidence
In Drake v. Lincoln Nat’l Corp., et al, No. CV-22-08230-PCT-SPL, 2024 WL 2942695 (D. Ariz. June 11, 2024), Arizona District Judge Steve P. Logan granted judgment in favor of Defendant…
District Court Affirms Unum’s Application of Long-Term Care Policy’s “Existing Loss” Exclusion to Deny Insurance Claim
In Child v. Unum Life Ins. Co. of Am., No. C22-2071-LTS-MAR, 2024 WL 2804916 (N.D. Iowa May 31, 2024), Iowa Northern District Judge Leonard T. Strand granted summary judgment to Defendant…
Ninth Circuit Affirms Judgment Requiring Premera Blue Cross to Pay for Adolescent’s 14-Month Residential Treatment
In N.C., individually & on behalf of minor A.C. v. Premera Blue Cross, No. 23-35381, 2024 WL 2862586 (9th Cir. June 6, 2024), the Ninth Circuit Court of Appeals affirmed…
Second Circuit Holds Out-of-Network Provider’s State Law Claims Against Cigna for Payment of Medical Services Are Preempted by ERISA
In Park Ave. Podiatric Care, P.L.L.C. v. Cigna Health & Life Ins. Co., No. 23-1134-CV, 2024 WL 2813721 (2d Cir. June 3, 2024), the Second Circuit Court of Appeals affirmed…
Ninth Circuit Affirms Cigna’s Denial of ERISA Claims for Mental Health Treatment Due to Provider’s Fee-Forgiving Practice
In Bristol SL Holdings, Inc. v. Cigna Health & Life Insurance Company, No. 23-55019, 2024 WL 2801531 (9th Cir. May 31, 2024), Plaintiff-Appellant Bristol SL Holdings, Inc. brought an ERISA…
Ninth Circuit Holds State Law Claims Against Cigna Are Preempted by ERISA Where Cigna Denied Reimbursement of Health Claims Due to Provider’s Fee-Forgiving Practice
In Bristol SL Holdings, Inc. v. Cigna Health & Life Ins. Co., No. 23-55019, __F.4th__, 2024 WL 2789835 (9th Cir. May 31, 2024) (Before: Thomas, Bress, and Johnstone, Circuit Judges),…
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