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Category: Health Insurance

Your ERISA Watch – Fifth Circuit Revives Claim Against Humana for Denying Eating Disorder Treatment

We have two notable decisions to report again this week, including one that is a firm victory. Let us start with the good news. The first notable decision, Katherine P. v. Humana Health Plan, Inc., No. 19-50276, __F.3d__, 2020 WL…

Your ERISA Watch – Ninth Circuit Holds Kaiser Not Liable for Out-of-Network Mental Health Treatment Benefits

This week’s notable decision, Meyers v. Kaiser Found. Health Plan, Inc., No. 19-15051, __F.App’x__, 2020 WL 1673078 (9th Cir. Apr. 6, 2020), is a cautionary tale for claimants seeking out-of-network treatment under a Kaiser health plan. Meyers brought the action…

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…

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