Sixth Circuit Clarifies Insurer vs. Fiduciary Capacity in ERISA Dispute
Sixth Circuit Clarifies Insurer vs. Fiduciary Capacity in ERISA Dispute
In Bluecross Blueshield of Tennessee, Inc. v. Nicolopoulos, No. 24-5307, 2025 WL 1338242 (6th Cir. May 8, 2025), the Sixth Circuit Court of Appeals addressed an issue central to the…
First Circuit Finds Wrongful Death Claim Related to Health Insurance Benefit Denial Is Preempted by ERISA
In Cannon v. Blue Cross & Blue Shield of Massachusetts, Inc., No. 24-1862, __F.4th__, 2025 WL 855194 (1st Cir. Mar. 19, 2025) (Before: Aframe, Lynch, and Howard, Circuit Judges), the…
District Court Orders Inclusion of External Medical Review Documents in ERISA Administrative Record
In Noelle E. v. Cigna Health & Life Ins. Co., 2:23-cv-00686, 2025 WL 754031 (D. Utah Mar. 10, 2025), in a medical benefits action brought under the Employee Retirement Income…
Ninth Circuit Affirms Denial of Coverage for Residential Treatment, Finding Plan Administrator’s Reliance on InterQual Criteria to be Reasonable
In K.K.; I. B. v. Premera Blue Cross, et al., No. 23-35480, 2025 WL 415721 (9th Cir. Feb. 6, 2025), Plaintiffs, K.K. and her daughter I.B., sought recovery of benefits…
Seventh Circuit Affirms ERISA Fund’s Denial of Out-of-Network Medical Treatment
In Est. of Gifford v. Operating Eng’rs 139 Health Benefit Fund, No. 23-3356, __F.4th__, 2025 WL 79102 (7th Cir. Jan. 13, 2025), the Seventh Circuit Court of Appeals affirmed the…
Tenth Circuit Finds Plaintiffs Lack Standing to Bring Parity Act Claim and Affirms Award of ERISA Statutory Penalties Against Health Insurance Company
The Tenth Circuit Court of Appeals recently decided S. v. Premera Blue Cross, No. 22-4056, __F.4th__, 2024 WL 4356319 (10th Cir. Oct. 1, 2024), a case involving claims for mental…
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