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Eighth Circuit: Exhaustion of Administrative Remedies Is Not Required Where ERISA Plan Contains No Review Procedures & Accidental Heroin Overdose Is Not an “Intentionally Self-Inflicted Injury”

In Yates v. Symetra Life Insurance Company, No. 22-1093, __F.4th__, 2023 WL 2174840 (8th Cir. Feb. 23, 2023), the Eighth Circuit Court of Appeals addressed two questions: Is an ERISA…

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District Court Rejects Aetna’s Interpretation of ERISA Plan Provision Requiring Social Security Disability Award for Continued Receipt of Long-Term Disability Benefits

In Robinson v. Aetna Life Insurance Company, et al., No. 20-CV-4670, 2023 WL 2058310 (N.D. Ill. Feb. 16, 2023), Illinois Northern District Judge Rebecca R. Pallmeyer found that Aetna abused…

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Ninth Circuit Holds Medical Providers to Terms of Oral Settlement with Health Insurance Company

In Infoneuro Group, DBA Beverly Hills Pain Inst. & Neurology, a California Corporation; et al. v. Aetna Life Insurance Company, No. 22-55239, 2023 WL 2052781 (9th Cir. Feb. 16, 2023),…

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District Court Finds ERISA Law Governed Life Insurance Proceeds Deposited with Court in Interpleader Action

In The Lincoln National Life Insurance Company v. Subramaniam, et al, No. 21-CV-12984, 2023 WL 1965430 (E.D. Mich. Feb. 13, 2023) Michigan Southern District Judge Judith E. Levy found that…

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Ninth Circuit Upholds Hartford’s Decision to Reduce Claimant’s Long Term Disability Benefits by a Third-Party Settlement Payment

In Haddad, M.D. v. SMG Long Term Disability Plan; Hartford Life and Accident Insurance Company, No. 21-16175, 2023 WL 1879464 (9th Cir. Feb. 10, 2023) (Before: McKeown, Bybee, and Bumatay,…

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District Court Finds Ex-Wife Can Maintain Cross-Claim on Behalf of Minor Son for ERISA Life Insurance Benefits Based On Terms of Legal Separation Agreement

In Hartford Life and Accident Insurance Company v. Kowalski, et al., No. 21-CV-06469-RS, 2023 WL 1769261 (N.D. Cal. Feb. 3, 2023), Hartford filed a Complaint in Interpleader to resolve competing…

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