Fifth Circuit Orders United Healthcare to Pay for Minor’s Partial-Hospitalization Treatment for Anorexia Nervosa
Fifth Circuit Orders United Healthcare to Pay for Minor’s Partial-Hospitalization Treatment for Anorexia Nervosa
In Dwyer v. United Healthcare Ins. Co., No. 23-50439, __F.4th__, 2024 WL 4230125 (5th Cir. Sept. 19, 2024), the Fifth Circuit reversed the district court’s judgment in favor of United…
Eighth Circuit: ERISA Health Plan’s Counterclaim Seeking Equitable Right to Settlement Funds Does Not Establish Subject-Matter Jurisdiction in Federal District Court
In Kellum v. Gilster-Mary Lee Corp. Grp. Health Benefit Plan, No. 23-2765, __F.4th__, 2024 WL 3930833 (8th Cir. Aug. 26, 2024), a dispute where a self-funded health plan removed an…
Seventh Circuit Holds State Law Claims Seeking Payment and Penalties for Unpaid Medical Bills from Self-Funded Health Plan Are Preempted by ERISA
In Carnes v. HMO Louisiana, Inc., No. 23-2903, __F.4th__, 2024 WL 3873528 (7th Cir. Aug. 20, 2024), Plaintiff-Appellant Carnes appealed the district court’s dismissal of his lawsuit against Defendant HMO…
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…
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