Second Circuit Affirms United’s Denial of “Facility Fee” Payments to Physicians Performing Office-Based Surgeries in New York
Second Circuit Affirms United’s Denial of “Facility Fee” Payments to Physicians Performing Office-Based Surgeries in New York
In The Med. Soc’y of the State of New York, et al. v. UnitedHealth Grp. Inc., et al., No. 22-2702-CV, 2024 WL 177448 (2d Cir. Jan. 17, 2024), Plaintiffs, representing…
Ninth Circuit Finds Assignment of Rights Gives Surgery Center Authority to Sue Anthem for Non-Payment of Benefits
In Coast Specialty Surgery Ctr., Inc. v. Blue Cross of California, No. 22-55717, __F.4th__, 2024 WL 105317 (9th Cir. Jan. 10, 2024), the Ninth Circuit held that Plaintiff-Appellant South Coast…
District Court Affirms Denial of ERISA AD&D Claim Finding Death Due to Toxic Ingestion of Prescribed Medication Was Subject to Policy’s Sickness Exclusion
In Jensen v. Life Insurance Company of North America, et al., No. 2:22-CV-293-DAK-DAO, 2024 WL 54433 (D. Utah Jan. 4, 2024), Utah District Judge Dale A. Kimball denied Plaintiff’s motion…
District Court Holds Plan Administrator’s Second Voluntary Appeal Decision Is Subject to ERISA Procedural Requirements
In Ramos v. Schlumberger Group Welfare Benefits Plan, No. 22-CV-0061-CVE-JFJ, 2023 WL 8869239 (N.D. Okla. Dec. 22, 2023), Oklahoma Northern District Judge Claire V. Eagan remanded Plaintiff’s claim for short-term…
District Court Awards Post-Judgment Interest And Reasonable Attorneys’ Fees and Costs To Plaintiff As Prevailing Party In ERISA Disability Action
In Reynolds v. Life Insurance Company of North America, No. C21-1424 TSZ, 2023 WL 8717164 (W.D. Wash. Dec. 18, 2023), on ERISA post-judgment motions, Washington Western District Judge Thomas S.…
Tenth Circuit Finds Lawsuit Challenging Post-Retirement Life Insurance Premium Increases Preempted by ERISA
In Huff v. BP Corporation North America, Inc. et al., No. 23-5022, 2023 WL 8802698 (10th Cir. Dec. 20, 2023), the Tenth Circuit considered whether a retiree’s state law claims…
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