Feb 06, 2012
Library Categories:
- Disability and Life Insurance Claims
- Residential Treatment Claims
- Medical Claims
- Hits
- Misses
- General
Disability and Life Insurance Claims:
- Bloomberg Markets' article on ERISA [PDF]
Bloomberg Markets' article from April, 2011, explains how ERISA, a statute designed to protect consumers, actually exploits them. - Burgio v. The Prudential [PDF]
Burgio, ERISA, discovery, - Kellogg v. Metropolitan Life Ins. Co. [PDF]
AD&D, accidental death, ambiguity, standard of review, de novo, reasonable expectations - Cohen v. MetLife [PDF]
Contempt, ERISA, disability, Cohen, - Ziesemer v. First UNUM [PDF]
disability claim, deemed denied, exhaustion, remand - Cooper v. LINA [PDF]
disability insurance claim, LINA, ERISA, arbitrary and capricious, Cooper v. LINA, - Nicolas v. MCI [PDF]
venue, forum selection clause, ERISA, - Levy v. INA Life Ins. Co. [PDF]
claims handling manual, disclosure in litigation, cofidential information, protective order - Milliman Report Regarding the Cost of Eliminating Discretionary Clauses [PDF]
discretionary authority, NAIC, insurers, prohibition of discretionary clauses - Provident Internal Memo: Why Insurers Love ERISA [PDF]
ERISA, Provident, limited remedies, no jury trials, no consequentials, no punitives - Types of Disability Claims
Salt Lake City, Utah law firm representing life insurance and disability claims in Utah and nationwide. If you’ve lost a family member or are suffering from a disabling condition or disease, contact the law offices of ERISA and disability lawyer Brian S. King.
Residential Treatment Claims:
- James F. v. CIGNA Behavioral Health Inc. [PDF]
A health insurer abuses its discretion in denying residential treatment
Medical Claims:
- EPIC v. Salt Lake County [PDF]
EMTALA, unjust enrichment, prisons, jails, reasonable value, quantum meruit - Juniper v. M & G Polymers USA [PDF]
ERISA, venipuncture, bundling, abuse of discretion, medical benefits - Boldon v. Humana [PDF]
experimental, investigational, unresectable hepatocellular carcinoma, liver cancer, TheraSphere - Whitley v. Carolina Care Plan (part 1) [PDF]
Whitley v. Carolina Care Plan, LVAD, experimental, - Whitley v. Carolina Care Plan (part 2) [PDF]
Whitley v. Carolina Care Plan, LVAD, experimental - Via Christ Regional Medical Center v. Blue Cross and Blue Shield of Kansas [PDF]
Via Christi, medical claim for premature baby, fiduciary duty claim, ERISA, contribution by co-fiduciaries, Wesley E. Brown - Schoedinger v. United HealthCare of the Midwest [PDF]
Schoedinger, United HealthCare of the Midwest, down coding, re-pricing, grouping, prompt payment laws - Northern Utah Healthcare Corp v. BC Life & Health Ins. Co. [PDF]
ERISA preemption, negligent misrepresentation, estoppel, healthcare provider, insurance verification - Illinois Insurance Dept. Opposes HIMMA [PDF]
Illinois Insurance Department letter to Senator Obama opposing the Health Insurance Marketplace Modernization and Affordability Act of 2006 - NAGA Opposes HIMMA [PDF]
National Association of Attorneys General Opposes the Health Insurance Marketplace Modernization and Affordability Act - Illinois Attorney General statement regarding the Health Insurance Marketplace Modernization Act [PDF]
Illinois Attorney General, Lisa Madigan, opposes the Health Insurance Marketplace Modernization Act. This letter outlines her concerns. - Krodel v. Bayer Corp. [PDF]
- Peay v. BellSouth Medical Assistance Plan opinion [PDF]
ERISA, Nationwide Service of Process, jurisdiction, venue, Brian S. King - Haymond v. Eighth District Electrical Benefit Fund opinion [PDF]
Haymond, Eighth District Electrical Benefit Fund, ambiguity, ERISA plan documents, Brian S. King - University of Utah Hospital v. Educators Mutual arbitration award [PDF]
denied medical claim, insurance, notice-prejudice rule, Brian S. King - Teen Help v. Operating Engineers Health & Welfare Trust Fund opinion [PDF]
ERISA, Brian S. King, denied medical claim, pertinent documents, ERISA claim procedures, relevant documents - Hernandez v. Prudential opinion [PDF]
ERISA, Brian S. King, relevant documents, pertinent documents, ERISA claim procedures, denied medical claim - Neurocare, Inc. & Barbara Whitmore Decision [PDF]
rehabilitation claim, ERISA, Brian S. King, Neurocare, Principal Life Insurance Co. - Memorandum Decision in Toman v. Goldman, Sachs Medical Benefit Plan [PDF]
orthognathic surgery, medical necessity, medically necessary, jaw surgery, ERISA, medical claim denial; United HealthCare, Brian S. King
Hits:
- CIGNA v. Amara [PDF]
ERISA plan documents, summary plan descriptions, equitable relief, damages - Murphy v. Deloitte & Touche Group Ins. Plan [PDF]
Murphy v. Deloitte & Touche Group Ins. Plan - Blankenship v. MetLife [PDF]
Blankenship v. MetLife - Holmstrom v. MetLife [PDF]
Holmstrom v. MetLife - Standard v. Morrison (9th Circuit opinion) [PDF]
Standard Ins. Co. v. Morrison - Quaid v. U.S. Healthcare [PDF]
health insurance for adopted children, COBRA, Quaid, Loren Cook Plan, Aetna, termination of insurance coverage - Atwood v. Swire Coca-Cola, USA [PDF]
equitable relief under ERISA, instatement, Atwood, breach of fiduciary duty - Nichols v. Wal-Mart Stores Inc. Assoc. Health & Welfare Plan [PDF]
elective abortion, Wal-Mart, health benefits, full and fair review, black box - Demirovic v. Building Sevice 32 B-J Pension Fund [PDF]
disability claim, arbitrary and capricious, able to work - Dishman v. UNUM [PDF]
ERISA preemption, Dishman, invasion of privacy, state law remedies - DiFelice v. Aetna U.S. Healthcare [PDF]
limited remedies under ERISA, HMO, damages for wrongful claim denials - Herzberger v. Standard Life Ins. [PDF]
discetionary authority, ERISA, language sufficient to trigger arbitrary and capricious standard of review - Seitz v. Metropolitan Life Ins. [PDF]
disability insurance, interpretation of insurance policy - Fought v. UNUM Life Ins. Co. [PDF]
UNUM Insurance Co., interpretation of insurance policy, arbitrary and capricious standard of review, conflict of interest
Misses:
- Garcia v. Best Buy Stores [PDF]
ERISA, statute of limitations - Holdeman v. Devine [PDF]
breach of ERISA fiduciary duties - Klotz v. Xerox Corp [PDF]
forum selection clause, ERISA, venue, jurisdiction - Mote v. Aetna Life Ins. Co. [PDF]
ERISA, disability insurance, surveillance, arbitrary and capricious - Brigham v. Sun Life of Canada [PDF]
disability insurance, arbitrary and capricious, paraplegic, Sun Life insurance, - Kimber v. Thiokol Corporation [PDF]
Kimber v. Thiokol, diabetes as a disabling condition, arbitrary and capricious, - Semien v. Life Ins. Co. of N.A. [PDF]
discretionary authority, ERISA, conflicted fiduciary, insurer, - Gallagher v. Reliance Standard Life Ins. [PDF]
disability insurance, interpretation of insurance policy - Adamson v. UNUM Life Ins. Co. [PDF]
UNUM Life Insurance Co., interpretation of insurance policy, arbitrary and capricious, conflict of interest
General:
- Information About Langley v. United States, the FBI New Agent Trainee Case
Information About Langley v. United States, the FBI New Agent Trainee Case - Testimony of Judge William Acker Before Senate Finance Committee [PDF]
Testimony of Judge William Acker Before Senate Finance Committee - DeBofsky Senate Testimony [PDF]
Testimony of Mark DeBofsky before the U.S. Senate Finance Committee on 9/28/2010 about ERISA's deficiencies - Preliminary Injunction in C/HCA, et. al., v. Regence Blue Cross Blue Shield of Utah [PDF]
Preliminary Injunction - Secretary of Labor amicus brief in Nicolas v. MCI Health [PDF]
The Secretary of Labor determines that forum selection clauses in ERISA plans are bad - ACI 2009 ERISA Conference brochure [PDF]
ACI ERISA Conference brochure, 2009 - Krolnik v. Prudential [PDF]
Krolnik v. Prudential - Santos v. Quebecor World LTD Plan [PDF]
Santos, ERISA, discovery - Walker v. Metropolitan Life Ins. Co. [PDF]
ERISA, discovery, conflict of interest, Glenn, Abatie, file reviews - Wal-Mart letter to James Shank [PDF]
Shank, Wal-Mart, subrogation, reimbursement - Tiffany v. UNUM Life Ins. Co. [PDF]
ERISA, life insurance, remedies, preemption, "thief and confidence man" - Georgetown Study [PDF]
Georgetown Study, effect of arbitrary and capricious standard of review, deferential review, ERISA - Allstate's McKinsey & Co. documents [PDF]
Allstate, McKinsey & Company, from good hands to boxing gloves, Berardinelli, - Pruitt v. United Healthcare Services [PDF]
Subrogation, state law claims, removal, remand, ERISA preemption - Remarks at 2007 UTLA Annual Meeting [PDF]
Shank, ERISA, subrogation, UTLA - Smith v. Jefferson Pilot Fin. Ins. Co. [PDF]
discovery, fiduciary exception, attorney-client privilege, insurer - Diaz v. Prudential Ins. Co. [PDF]
standard of review, scope of review, ERISA, trial - Langbein Law Review Article Regarding Deferential Review [PDF]
Langbein, ERISA, standard of review, Bruch, discretion, error, - In Re UnitedHealth Group PSLRA litigation [PDF]
UHG, backdating of stock options, - Trustees v. Papero [PDF]
subrogation, attorney as ERISA fiduciary - Physicians v. BCBSA Settlement Agreement [PDF]
Blue Cross and Blue Shield Association, class action, physicians, preferred provider agreements, settlement agreement, Moreno - DOL's ERISA Claims Procedure FAQs [PDF]
Department of Labor FAQs for ERISA's claims procedures - ERISA's claims procedure regulations [PDF]
ERISA's claims procedure regulations - John Doe v. Hartford [PDF]
pseudonym, court order allowing use of pseudonym, privacy - Westphal v. Eastman Kodak Co. [PDF]
Westphal, medical necessity, psychiatric, unpaid claims, appeal - Joint Letter Opposing Amendments to ERISA [PDF]
joint letter from 162 lawyers, law professors and organizations opposing changes to ERISA, equitable relief, monetary relief, ERISA, - Federal Giveaway Would Hurt Utahns [PDF]
Pension Protection Act, giveaway to insurance companies, amendment of ERISA, subrogation, reimbursement of health insurance payments, one-way street - Lundquist v. Continental Casualty Co. [PDF]
denied disability claims, denied healthcare claims, healthcare appeals processes