Texas District Court Recommends Significant ERISA Fee Award, Approves Out-of-District Rates and Rejects Proportionality Arguments
Texas District Court Recommends Significant ERISA Fee Award, Approves Out-of-District Rates and Rejects Proportionality Arguments
In Dwyer v. UnitedHealthcare Insurance Co., No. 1:17-cv-00439-RP (W.D. Tex. Jan. 21, 2026), on remand from the Fifth Circuit, a magistrate judge in the Western District of Texas issued a…
Ninth Circuit Vacates ERISA Benefit Denials Where Plan Misapplied “Hospital” Definition
In Delgado, et al. v. ILWU-PMA Welfare Plan, No. 24-1845, 2026 WL 161403 (9th Cir. Jan. 21, 2026) (Before: Wardlaw, N.R. Smith, and Miller, Circuit Judges), the Ninth Circuit held…
Ninth Circuit Holds ERISA Preempts Provider’s State-Law Misrepresentation Claims Against Insurer
In Healthcare Ally Management of California, LLC v. United Healthcare Services, Inc., No. 24-5178, 2025 WL 3485391 (9th Cir. Dec. 4, 2025), the Ninth Circuit affirmed the dismissal of a…
Sixth Circuit Holds ERISA Completely Preempts State-Law Claims Challenging Insurer’s Reimbursement Practices
In Patterson v. UnitedHealth Group, Inc., No. 25-3175, ---F.4th----, 2025 WL 3458953 (6th Cir. Dec. 2, 2025), the Sixth Circuit affirmed the dismissal of a putative class action alleging that…
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…
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