Third Circuit Revives Hospitals’ ERISA Underpayment Claims Against Cigna Under MRC-1 and MRC-2 Plans
Third Circuit Revives Hospitals’ ERISA Underpayment Claims Against Cigna Under MRC-1 and MRC-2 Plans
In Hudson Hospital OPCO, LLC v. Cigna Health & Life Insurance Co., No. 24-2830, 2026 WL 2057076 (3d Cir. July 16, 2026), three New Jersey hospitals appealed the dismissal of…
Third Circuit Revives ERISA Recovery and Fiduciary-Breach Claims Tied to Cigna’s MRC-1 Out-of-Network Reimbursements
In Advanced Gynecology & Laparoscopy of North Jersey P.C. v. Cigna Health & Life Insurance Co., No. 24-2212, 2026 WL 2030368 (3d Cir. July 13, 2026), nearly two dozen New…
Eighth Circuit Holds ERISA Preempts Arkansas’s Geographic Pharmacy Network Adequacy Requirements, Affirming Dismissal of Plan Participant’s Unjust Enrichment Class Action
In Flowers v. Caremark PCS Health, LLC, No. 25-3068, --- F.4th ----, 2026 WL 1859929 (8th Cir. June 29, 2026), the Eighth Circuit held that ERISA preempts Arkansas's geographic pharmacy…
Third Circuit Holds ERISA Preempts Out-of-Network Physician’s Defamation Claim Over Statements in Explanation of Benefits Forms
In Ahn v. Cigna Health and Life Insurance Company, No. 25-1723, --- F.4th ----, 2026 WL 1813215 (3d Cir. June 24, 2026), in a matter of first impression, the Third…
Ninth Circuit: An ERISA Administrator Cannot Rescue a Benefits Denial with a Plan Provision It Never Cited
In Roggenkamp v. Morgan Stanley Medical Plan, No. 24-7864, 2026 WL 1625357 (9th Cir. June 5, 2026), Plaintiff Roggenkamp sued the Morgan Stanley Medical Plan (“MS Plan”) under ERISA §…
Tenth Circuit Dismisses ERISA Appeal as Non-Final Where District Court Remanded Benefits Determination to Plan Administrator
In Kirsten W. v. California Physicians’ Service, No. 25-4029, 2026 WL 1433128 (10th Cir. May 21, 2026), the Tenth Circuit dismissed an appeal from an ERISA mental-health benefits dispute, concluding…
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