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Medical Necessity of Orthognathic Surgery $33,934.88 plus prejudgment interest -
Reversing a Disability Denial Based on Seizures and Traumatic Brain Injury $115,000 Disability Claim -
Resolving Disputes Involving Managed Care Contracts Managed Care Contracts -
Payment of Rehabilitation Claim Award of Over $35,000 on Rehabilitation Claim -
Rescinded Insurance Policy Reversing an Insurer's Rescission of Policy -
Peay v. BellSouth Medical Assistance Plan Jurisdiction & Venue in ERISA -
Haymond v. Eighth District Electrical Benefit Fund Ambiguous ERISA plan documents -
University of Utah Hospital v. Educators Mutual $335,000 arbitration award -
Teen Help, Inc. v. Operating Engineers Health & Welfare Trust Fund Medical Criteria Must Be Produced Upon Request -
Hernandez v. Prudential Ins. Co. of America Second Decision Requiring Production of Medical Necessity Criteria
Articles
- Posted on 05/17/2011 CIGNA v. Amara
- Posted on 03/29/2011 Bloomberg Markets' article on ERISA
- Posted on 12/24/2010 James F. v. CIGNA Behavioral Health Inc.
FAQs
- ?I have been awarded Social Security disability benefits. But the insurer of my disability policy has denied my claim. Can the insurer do that?
- ?I already have a lawyer working on my social security disability claim. Can't that lawyer handle my disability insurance claim too?
- ?What issues do you see in life insurance claims?
News
- Posted on 07/11/2019Timothy D. v. Aetna Health and Life Ins. Co.
- Posted on 06/24/2019Family says insurance fails to pay for mental health coverage despite medical necessity
- Posted on 04/24/2006Eliminating Discretionary Clauses in Insurance Policies