Ninth Circuit Orders Reconsideration of ACA Challenge to Gender-Affirming Care Exclusions
Ninth Circuit Orders Reconsideration of ACA Challenge to Gender-Affirming Care Exclusions
In Pritchard on behalf of C.P. v. Blue Cross Blue Shield of Illinois, No. 23-4331, ---F.4th----, 2025 WL 3202338 (9th Cir. Nov. 17, 2025), the Ninth Circuit vacated the district…
Northern District of California Transfers GS Labs’ COVID-19 Reimbursement Suit Against Cigna to Connecticut
In GS Labs, LLC v. Cigna Health and Life Insurance Company, et al., No. 24-cv-08749-AMO, 2025 WL 3019519 (N.D. Cal. Oct. 29, 2025), Judge Araceli Martínez-Olguín granted Cigna’s motion to…
Fifth Circuit Issues Revised Opinion in Angelina Emergency Medicine Associates v. Blue Cross: Clarifying the Path Forward for Out-of-Network ERISA Providers
In August, we wrote about the Fifth Circuit’s decision in Angelina Emergency Medicine Associates, P.A. v. Blue Cross and Blue Shield of Alabama, which revived key ERISA claims by Texas…
Eleventh Circuit Upholds Insurer’s Denial of Nasal Surgery Coverage as Not Medically Necessary
In Gomez v. Neighborhood Health Partnership, Inc., No. 24-11898, 2025 WL 2658881 (11th Cir. Sept. 17, 2025), the Eleventh Circuit affirmed a district court decision granting summary judgment to Neighborhood…
Fifth Circuit Revives Emergency Physician Groups’ ERISA Claims Against Out-of-State Blue Cross Plans
In Angelina Emergency Medicine Associates PA v. Blue Cross and Blue Shield of Alabama, No. 24-10306, ---F.4th----, 2025 WL 2268126 (5th Cir. Aug. 8, 2025), a significant decision for out-of-network…
Sixth Circuit Rejects Tribe’s ERISA Fiduciary Breach Claims as Time-Barred in Longstanding Dispute with Blue Cross
In Grand Traverse Band of Ottawa & Chippewa Indians v. Blue Cross Blue Shield of Michigan, No. 24-1367, ---F.4th----, 2025 WL 2104569 (6th Cir. July 28, 2025) the Sixth Circuit…
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