Seventh Circuit Affirms Health Insurer Not Required to Cover Therapies for Autism Based on Available Medical Literature at Time of Treatment
Seventh Circuit Affirms Health Insurer Not Required to Cover Therapies for Autism Based on Available Medical Literature at Time of Treatment
In Midthun-Hensen on behalf of K.H. v. Grp. Health Coop. of S. Cent. Wisconsin, Inc., No. 23-2100, __F.4th__, 2024 WL 3646149 (7th Cir. Aug. 5, 2024) the Seventh Circuit affirmed…
Eighth Circuit Affirms Dismissal of Putative Class Action Challenging United’s Cross-Plan Offsetting due to Lack of Article III Standing
Smith v. UnitedHealth Grp. Inc., No. 23-2369, __F.4th__, 2024 WL 3321646 (8th Cir. July 8, 2024) (Before: Colloton, Chief Judge, Erickson and Kobes, Circuit Judges). Plaintiffs, who are participants in…
Ninth Circuit Affirms Judgment Requiring Premera Blue Cross to Pay for Adolescent’s 14-Month Residential Treatment
In N.C., individually & on behalf of minor A.C. v. Premera Blue Cross, No. 23-35381, 2024 WL 2862586 (9th Cir. June 6, 2024), the Ninth Circuit Court of Appeals affirmed…
Second Circuit Holds Out-of-Network Provider’s State Law Claims Against Cigna for Payment of Medical Services Are Preempted by ERISA
In Park Ave. Podiatric Care, P.L.L.C. v. Cigna Health & Life Ins. Co., No. 23-1134-CV, 2024 WL 2813721 (2d Cir. June 3, 2024), the Second Circuit Court of Appeals affirmed…
Ninth Circuit Affirms Cigna’s Denial of ERISA Claims for Mental Health Treatment Due to Provider’s Fee-Forgiving Practice
In Bristol SL Holdings, Inc. v. Cigna Health & Life Insurance Company, No. 23-55019, 2024 WL 2801531 (9th Cir. May 31, 2024), Plaintiff-Appellant Bristol SL Holdings, Inc. brought an ERISA…
Ninth Circuit Holds State Law Claims Against Cigna Are Preempted by ERISA Where Cigna Denied Reimbursement of Health Claims Due to Provider’s Fee-Forgiving Practice
In Bristol SL Holdings, Inc. v. Cigna Health & Life Ins. Co., No. 23-55019, __F.4th__, 2024 WL 2789835 (9th Cir. May 31, 2024) (Before: Thomas, Bress, and Johnstone, Circuit Judges),…
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