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Nichols v. Wal-Mart Stores Inc. Assoc. Health & Welfare Plan elective abortion, Wal-Mart, health benefits, full and fair review, black box -
Via Christ Regional Medical Center v. Blue Cross and Blue Shield of Kansas Via Christi, medical claim for premature baby, fiduciary duty claim, ERISA, contribution by co-fiduciaries, Wesley E. Brown -
Levy v. INA Life Ins. Co. claims handling manual, disclosure in litigation, cofidential information, protective order -
Schoedinger v. United HealthCare of the Midwest Schoedinger, United HealthCare of the Midwest, down coding, re-pricing, grouping, prompt payment laws -
Demirovic v. Building Sevice 32 B-J Pension Fund disability claim, arbitrary and capricious, able to work -
John Doe v. Hartford pseudonym, court order allowing use of pseudonym, privacy -
Dishman v. UNUM ERISA preemption, Dishman, invasion of privacy, state law remedies -
Semien v. Life Ins. Co. of N.A. discretionary authority, ERISA, conflicted fiduciary, insurer, -
Northern Utah Healthcare Corp v. BC Life & Health Ins. Co. ERISA preemption, negligent misrepresentation, estoppel, healthcare provider, insurance verification -
DiFelice v. Aetna U.S. Healthcare limited remedies under ERISA, HMO, damages for wrongful claim denials -
Herzberger v. Standard Life Ins. discetionary authority, ERISA, language sufficient to trigger arbitrary and capricious standard of review -
Seitz v. Metropolitan Life Ins. disability insurance, interpretation of insurance policy
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