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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”)…

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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…

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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…

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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…

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Eleventh Circuit: Unum Erred by Denying Disability Benefits to Pharmacist with Cognitive Limitations Caused by Pain and Medication Side Effects

In S.S. v. Unum Life Insurance Company of America, No. 21-11593, 2022 WL 1772273 (11th Cir. June 1, 2022), the Eleventh Circuit reversed the district court’s judgment in favor of…

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Third Circuit Affirms Class Certification: Named Plaintiffs Have Standing to Bring Claims for Plan Funds in Which They Did Not Personally Invest

Boley v. Universal Health Servs., Inc., No. 21-2014, __F.4th__, 2022 WL 1768984 (3d Cir. June 1, 2022) is a matter involving ERISA breach of fiduciary duty claims against the fiduciaries…

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