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Category: Health Insurance

Your ERISA Watch – Fifth Circuit Rules in Favor of Cigna in Dispute with Out-of-Network Provider Over Patients’ Coinsurance Obligations

This week’s notable decision is North Cypress Med. Ctr. Operating Co., Ltd. v. Cigna Healthcare, No. 18-20576, __ F.3d __, 2020 WL 1291590 (5th Cir. Mar. 19, 2020), where the Fifth Circuit, in the case’s second trip to the Court…

Your ERISA Watch – Court Finds Collateral Estoppel Applies to Wit v. UBH Decision on Issue of Conflict of Interest in Residential Treatment Dispute

This week’s notable decision is Bain v. United Healthcare Inc., No. 15-CV-03305-EMC (N.D. Cal. Feb. 15, 2020), a case involving a dispute over residential treatment benefits.  What’s notable about this decision, and a couple of other decisions picked up this…

Your ERISA Watch – Court Permits Health Plan’s Equitable Lien Claim to Proceed Against Participant’s Attorneys

This week we want to highlight a district court decision involving a health plan’s attempt to seek an equitable lien on personal injury settlement proceeds.  In Publix Super Markets, Inc. v. Figareau et. al., Case No. 8:19-cv-545, 2019 WL 6311160…

Your ERISA Watch – Seventh Circuit Holds Employer to Promise of Lifetime Health-care Benefits for Retirees

Retired steelworkers and their families have something to be thankful for this week.  And no, it’s not turkey.  This week’s notable decision is Stone v. Signode Industrial Group LLC, No. 19-1601, __ F.3d __, 2019 WL 6139680 (7th Cir. Nov.…

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