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Medical Necessity of Orthognathic Surgery$33,934.88 plus prejudgment interest
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Reversing a Disability Denial Based on Seizures and Traumatic Brain Injury$115,000 Disability Claim
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Resolving Disputes Involving Managed Care ContractsManaged Care Contracts
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Payment of Rehabilitation ClaimAward of Over $35,000 on Rehabilitation Claim
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Rescinded Insurance PolicyReversing an Insurer's Rescission of Policy
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Peay v. BellSouth Medical Assistance PlanJurisdiction & Venue in ERISA
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Haymond v. Eighth District Electrical Benefit FundAmbiguous ERISA plan documents
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University of Utah Hospital v. Educators Mutual$335,000 arbitration award
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Teen Help, Inc. v. Operating Engineers Health & Welfare Trust FundMedical Criteria Must Be Produced Upon Request
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Hernandez v. Prudential Ins. Co. of AmericaSecond Decision Requiring Production of Medical Necessity Criteria
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Suit Based on Inaccurate Insurance Verification is Not Preempted by ERISA
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Bennett v. Aetna Life Ins. Co.
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.
News
- Posted on 07/11/2019 Timothy D. v. Aetna Health and Life Ins. Co.
- Posted on 06/24/2019 Family says insurance fails to pay for mental health coverage despite medical necessity
- Posted on 04/24/2006 Eliminating Discretionary Clauses in Insurance Policies