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Second Circuit Holds Out-of-Network Provider’s State Law Claims Against Cigna for Payment of Medical Services Are Preempted by ERISA

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…

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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…

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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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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…

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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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Eleventh Circuit Affirms Dismissal of Health Provider’s ERISA Claims Due to Valid Anti-Assignment Provisions

In Griffin, MD v. Blue Cross Blue Shield Healthcare Plan of Georgia, Inc., et. al, No. 22-14187, 2024 WL 889560 (11th Cir. Mar. 1, 2024), the Eleventh Circuit considered the…

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