Eighth Circuit Holds ERISA Plan Participant Has Standing to Sue Health Plan’s Former Third-Party Administrator and Upholds Denial of Medical Claim
Eighth Circuit Holds ERISA Plan Participant Has Standing to Sue Health Plan’s Former Third-Party Administrator and Upholds Denial of Medical Claim
In Shafer v. Zimmerman Transfer, Inc., No. 22-2275, __F.4th__, 2023 WL 3857343 (8th Cir. June 7, 2023), a case seeking to recover ERISA medical benefits, the Eighth Circuit considered (1)…
Tenth Circuit Finds United Behavioral Health Arbitrarily and Capriciously Denied Residential Treatment Benefits to Minor with Severe Mental Health Disorders
In D. K. v. United Behav. Health, No. 21-4088, __F.4th__, 2023 WL 3443353 (10th Cir. May 15, 2023), the Tenth Circuit clarified the procedural requirements for medical insurance claims governed…
Fifth Circuit Affirms Judgment Ordering Blue Cross to Pay for Proton Beam Therapy to Treat Throat Cancer
In Salim v. Louisiana Health Service & Indemnity Company, No. 22-30573, 2023 WL 3222804 (5th Cir. May 3, 2023), an unpublished opinion, the Fifth Circuit Court of Appeals affirmed the…
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),…
Take Two: Ninth Circuit Reverses Class Win Against United Behavioral Health
Wit v. United Behav. Health, No. 20-17363, __F.4th__, 2023 WL 411441 (9th Cir. Jan. 26, 2023) (Before: Christen and Forrest, Circuit Judges, and Anello, District Judge). The Ninth Circuit issued…
Sixth Circuit Upholds Application of Probate Exception to Medical Plan’s ERISA Suit Seeking Equitable Lien on Settlement Proceeds
American Electric Power Service Corporation v. John K. Fitch et al., No. 22-3005, 2022 WL 3794841 (6th Cir. Aug. 30, 2022) (Before: Guy, Moore, and Clay, Circuit Judges). American Electric…
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