Ninth Circuit Vacates Denial of ERISA Benefits, Faults Procedural Deficiencies in UnitedHealthcare’s Claims Process
Ninth Circuit Vacates Denial of ERISA Benefits, Faults Procedural Deficiencies in UnitedHealthcare’s Claims Process
In Solis v. T-Mobile US, Inc., et al., No. 24-2412, 2025 WL 1937089 (9th Cir. July 15, 2025), the Ninth Circuit vacated a district court ruling that upheld the denial…
Sixth Circuit Rejects Hospitals’ Attempt to Expand Insurers’ Payment Obligations for Emergency Care
In AMISUB (SFH), Inc. v. Cigna Health & Life Ins. Co., No. 23-5714, ---F.4th----, 2025 WL 1806073 (6th Cir. July 1, 2025), the Sixth Circuit affirmed the dismissal of a…
Ninth Circuit Affirms ERISA Violation for Mental Health Claim Denial but Orders Reconsideration, Not Benefits
In Oksana B. v. Premera Blue Cross, et al., No. 24-560, 2025 WL 1734443 (9th Cir. June 23, 2025), an unpublished memorandum decision, the Ninth Circuit addressed a dispute over…
Fifth Circuit Holds Air Ambulance Providers Did Not Have Standing to Bring ERISA Claim Against Health Insurance Company
In Guardian Flight, L.L.C. v. Health Care Serv. Corp., No. 24-10561, ---F.4th----, 2025 WL 1661358 (5th Cir. June 12, 2025), the Fifth Circuit Court of Appeals considered an appeal of…
Second Circuit Holds Power of Attorney Does Not Give Medical Provider Standing to Sue under ERISA
In Karkare v. Int’l Ass’n of Bridge, No. 22-2874, ---F.4th----, 2025 WL 1618132 (2d Cir. June 9, 2025) (Before: Sullivan, Robinson, and Kahn, Circuit Judges), the Second Circuit Court of…
Sixth Circuit Clarifies Fiduciary Duties under ERISA in Challenge of Blue Cross Blue Shield’s Overpayment Practices
In Tiara Yachts, Inc. v. Blue Cross Blue Shield of Michigan, No. 24-1223, ---F.4th----, 2025 WL 1453273 (6th Cir. May 21, 2025), the Sixth Circuit Court of Appeals addressed whether…
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