Ninth Circuit Affirms Judgment Requiring Premera Blue Cross to Pay for Adolescent’s 14-Month Residential Treatment
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),…
Eleventh Circuit Again Dismisses Provider Claim for ERISA Statutory Penalties Based on Language in Written Assignment of Rights and Benefits
In A. Griffin v. United Healthcare Services, Inc., No. 23-13429, 2024 WL 1855456 (11th Cir. Apr. 29, 2024), the Eleventh Circuit affirmed the dismissal of Dr. Griffin’s lawsuit seeking damages…
Ninth Circuit Revives Putative Class Action Claims Against UnitedHealth Group for Violation of MHPAEA and ERISA
In Ryan S. v. UnitedHealth Grp., Inc., No. 22-55761, __F.4th__, 2024 WL 1561668 (9th Cir. Apr. 11, 2024), Plaintiff-Appellant Ryan S. brought a putative class action against Defendant-Appellee UnitedHealth Group,…
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