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Ninth Circuit Affirms Cigna’s Denial of ERISA Claims for Mental Health Treatment Due to Provider’s Fee-Forgiving Practice

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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District Court Finds Reliance Standard Improperly Sought to Offset Social Security Earned Income Benefits from Long-Term Disability Benefits

In Aisenberg v. Reliance Standard Ins. Co., No. 1:22cv125 (DJN), 2024 WL 2154739 (E.D. Va. May 14, 2024), Virginia Eastern District Judge David J. Novak granted Plaintiff’s Motion to Determine…

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Third Circuit Revives Excessive Fee Litigation Against ERISA Retirement Plan Fiduciaries

Mator v. Wesco Distribution, Inc., No. 22-2552, __F.4th__, 2024 WL 2198120 (3d Cir. May 16, 2024) (Before: Hardiman, Porter, and Fisher, Circuit Judges). Plaintiffs-Appellants Nancy and Robert Mator brought an…

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District Court Finds Guardian Improperly Applied a Pre-Existing Condition Exclusion to Deny Plaintiff’s ERISA-Governed Disability Claim

In Kim v. The Guardian Life Insurance Company of America, No. 823CV01579DOCADS, 2024 WL 2106240 (C.D. Cal. May 9, 2024), California Central District Judge David O. Carter granted judgment to…

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Ninth Circuit Affirms Dearborn Insurance Company’s Denial of Life Insurance Waiver of Premium Benefits

In Wilcox v. Dearborn Insurance Company; Amgen, Inc. Life Insurance Plan, No. 23-55484, 2024 WL 2130598 (9th Cir. May 13, 2024), an unpublished opinion, the Ninth Circuit affirmed the district…

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